In the U.S., the foundational principles of freedom, equality, and the pursuit of happiness are undermined by the collusion between big pharma, congressional elites, and government agencies. This alliance prioritizes profit over patient welfare, restricting access to affordable medications and violating constitutional promises of life and liberty. To realign with American ideals, there must be reforms to limit pharmaceutical influence, promote competition, and prioritize patient-centric policies. It’s crucial to advocate for a healthcare system that truly serves its people and reflects the nation’s founding values.