The FDA, while crucial for public health, also limits access to affordable medications through its lengthy and costly drug approval process. This affects the availability of cheaper generics and restricts personal importation of prescription drugs. In contrast, countries like the UK and Canada regulate drug prices to ensure affordability. The current U.S. policies leave many Americans cutting pills, skipping doses, or forgoing medications due to high costs. Advocacy for change is essential to promote transparency in drug pricing, reform the FDA’s approval process, and allow safe importation of prescription drugs, ensuring health autonomy for all Americans.