December 3, 2025


GOP Strategist Advises Shift to Drug Pricing Amid Health Care Debate

In a strategic move, a top pollster for former President Donald Trump, Tony Fabrizio, has urged House Republicans to shift their health care narrative towards reducing drug prices. This advice was given during a closed-door meeting with the Republican Study Committee just a few blocks away from the Capitol last Wednesday.

Fabrizio presented new polling data that suggests pivoting to drug price reduction could effectively counteract the Democrats' focus on the expiring Obamacare tax credits. According to sources familiar with the meeting, Fabrizio did not advocate for extending the insurance subsidies, a stance he has supported in the past. This marks a significant redirection in strategy as the Trump administration intensifies its focus on drug pricing—a recurrent theme used by Trump when confronted with Democratic criticisms regarding health care policies.

The urgency of addressing drug prices was highlighted by Trump's previous attempts to incorporate a most favored nation provision into a major GOP bill earlier this summer, despite opposition from within his own party and the pharmaceutical industry. House Speaker Mike Johnson had expressed his reservations about this policy at the time.

Beyond health care, Fabrizio also emphasized housing as a critical issue. With rising home prices and interest rates affecting voters, he proposed the advancement of portable mortgages—an innovative concept that would allow homeowners to retain their mortgage rates when relocating. This idea is currently under consideration by some Trump administration officials.

Additionally, Fabrizio analyzed the recent Tennessee special election results during the meeting, where the GOP narrowly retained a traditionally safe seat. He attributed the close race to the party's insufficient focus on affordability and economic issues that resonate with voters. His advice to the gathered Republicans was clear: "stay the course and talk about the realities of the economy."

This strategic shift comes at a crucial time as Republicans prepare for the upcoming midterms, aiming to refine their message in response to voter concerns over health care and economic stability. Fabrizio's insights could potentially guide the GOP's efforts to reclaim narrative control and appeal to a broader electorate amid intensifying political challenges.