Trump’s Drug Price Ultimatum and the Rise of Enemy Politics

In an era increasingly defined by transactional politics, the rhetoric of ultimatum has become one of President Donald Trump's favorite tools. When he declared to pharmaceutical giants on August 1st, "We will deploy every tool in our arsenal" should they fail to lower drug prices, it echoed a familiar pattern of the use of "demand" to shift from negotiation to confrontation. Trump's all-too-familiar pattern of prescribing with deadlines, threats of tariffs or sanctions, and appeals to fairness or national pride.

In his letter to 17 major drug manufacturers, Trump demanded that drug manufacturers slash prices to match "most favored nation" levels—the lowest rates offered in other developed countries. He emphasized that Americans are "demanding lower drug prices and they need them today." His language, though cloaked in populist concern, carried a veiled threat:

"If you refuse to step up, we will deploy every tool in our arsenal to protect American families from continued abusive drug pricing practices."

The appeal of ultimatums lies in their appeal to decisiveness. They communicate strength, clarity, and dominance, all qualities celebrated within MAGA circles. Yet beneath this surface, such rhetoric undermines the democratic principles of deliberation, transparency, and shared ownership of public outcomes.

It undermines the essence of Democracy.

While Trump's base sees this posture as long-overdue boldness, his approval ratings tell a different story. As of late July, his overall approval ranges from 40% to 46%, with disapproval between 51% and 57%, yielding a net deficit of -5 to -16 points. Among independents, support has declined sharply, falling to 29% in some polls.

This erosion reflects more than policy disagreement. It's a response to a style of leadership that conflates dissent with disloyalty.

The Enemy Frame

Ultimatums are rarely isolated policy moves but are part of a larger narrative architecture that casts disagreement not as democratic discourse but as betrayal. Trump's language routinely escalates from "I demand" to "They are bad people," forging a moral frame in which you're either with him or against America.

This rhetorical strategy centralizes power and bypasses accountability. Legislative bargaining becomes irrelevant when negotiation is replaced by coercion.

When Trump recasts the opposition not merely as being obstructionists or critics but as "radical left lunatics," "sick people," or worse, this justifies almost any actions needed to rid our nation of this threat.

In his first six months in office, Trump has used the presidency to target perceived enemies that include many government officials, student protesters, and, of course, journalists. This demonization, combined with threats to use domestic military force, is a dangerous precedent in a free society.

A look back at just one week in April gives us a glimpse into the extent of Trump's actions against perceived enemies. In early April, Trump ordered criminal probes into two former Trump administration officials, saying one was "guilty of treason." On the same day, he signed an order targeting a law firm for alleged "election misconduct." The very next day, Trump's former personal attorney announced criminal investigations into the state's Democratic governor and attorney general over immigration policies. And the following day, the administration sent a series of demands to Harvard University, which included an end to diversity programs and audits to ensure the implementation of this policy.

Democracy Undermined

The delegitimizing of opposition isn't just dangerous, it's corrosive. Pluralism is the lifeblood of democratic governance, and the steady labeling of dissenters as enemies that includes real punitive action undermines the rule of law. The abundance of ICE arrests, criminal investigations, and contract bans goes on and on.

These unprecedented and extraordinary measures are justified not by evidence, but by moral absolutism, a worldview in which Trump's perceived truths are universal, incontestable, and self-justifying. In its extreme form, this moral absolutism can rationalize deception if the lie serves "the cause."

These actions aren't the populism that many of his supporters desire. It's a hollowing out of democratic norms beneath the banner of moral clarity.

The Reckoning Ahead

The language of ultimatums and demands has real consequences.

While ultimatums offer the illusion of courage, this is not the leadership America needs. The real leadership in a vibrant democracy requires an invitation to complexity and the messy work of consensus. When leaders demand submission and frame disagreement as defiance, they fracture civic dialogue and undermine the fabric of what makes America great.

David Nevins is co-publisher of The Fulcrum and co-founder and board chairman of the Bridge Alliance Education Fund.