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Illustration: Axios Visuals

President Trump released an executive order on Sunday ordering the Department of Health and Human Services to begin the process of limiting what Medicare pays for prescription drugs relative to other countries.

Why it matters: It's September of an election year. That means that this executive order is, at best, a statement of Trump's intention to keep trying to achieve something big on drug prices should he get a second term.

  • But given that he's had four years already to act on what was also a big issue in 2016, there's plenty of reason to be skeptical of this ever translating into official policy.
  • "President Trump's executive order on drug pricing does not by itself do anything. It has to be followed up by regulations, which will take time. Trump has a history of bold talk on drug prices, only to pull back when it comes to putting actual regulations in place," the Kaiser Family Foundation's Larry Levitt tweeted.

Details: The order calls for Medicare to receive the "most-favored-nation" price for certain drugs.

  • This price is defined as "the lowest price, after adjusting for volume and differences in national gross domestic product, for a pharmaceutical product that the drug manufacturer sells in a member country of the [OECD] that has a comparable per-capita gross domestic product."

The bottom line: Trump and Joe Biden have both pitched aggressive drug pricing policies — a good reminder that once we get the pandemic under control, the issue is bound to become front-and-center again.

Go deeper

Trump appointee resigns over order removing job protections for some federal workers

Photo: Alex Wong/Getty Images

Federal Salary Council Chair Ron Sanders resigned on Monday over President Trump’s recent executive order that strips civil service protections for some federal workers.

Why he's saying: Sanders, who was appointed by Trump in 2017, said he could no longer work for the president as “a matter of conscience.”

Updated 26 mins ago - World

Death toll mounts as fighting between Israel and Hamas intensifies

Palestinian Muslims exchange wishes for Eid al-Fitr, marking the end of the fasting month of Ramadan, near a razed building in the northern Gaza Strip town of Beit Lahia, on May 13. Photo: Majdi Fathi/NurPhoto via Getty Images

At least 109 Palestinians and seven people in Israel have been killed since recent fighting between Israel's military and Hamas began Monday.

The big picture: Israel began massing troops on its border with Gaza on Thursday, launching attacks from the air and ground as Hamas continued to fire rockets into Israel.

By the numbers: Where the earmarks are wanted

Expand chart
Data: House Committee on Appropriations; Chart: Danielle Alberti/Axios

The Dallas-Fort Worth area is being targeted for the largest collective earmark request in the country, according to a detailed breakdown of overall requests released by the House Appropriations Committee.

Why it matters: House appropriators are trying to balance bipartisan momentum for infrastructure investment with "pork-barrel" spending's checkered political history. The data dump is an effort to provide transparency for what are now termed "community project funding" requests.