Obama might like my proposal for this:
CERTAIN DRUG PRESCRIPTIONS
There shall be no duty levied on drug prescriptions costing at least $50 of a drug approved by Health Canada/European Union and not considered by US federal law to be addictive or rejected by the FDA filled:
I. at any hospital in the UK, Canada, France, The Netherlands, Belgium, Scandinavia or Germany
or
in a foreign hospital participating an FDA regulated US patient supply experimental program and
II. in the hospital’s (main) local patient customer business work area and
III. from a source of the prescribed drug the hospital habitually uses to supply inpatient customers with the prescribed drug and
provided that the prescription is not marked up by more than 20% by the hospital.
You have been doing some serious thinking!