Pfizer, Merck, and Eli Lilly & Co. contribute to one-third of pharma campaign donations. Kamala Harris received $1.12 million in donations, while Trump received $204,748. Both candidates aim to lower prescription drug prices, though the issue was only briefly discussed in a debate. Trump's efforts to lower prices faced industry and legislative resistance, while Harris' administration passed the Inflation Reduction Act, capping drug spending and negotiating lower prices for Medicare recipients. Harris' platform includes expanding drug cost caps to all insured Americans and protecting the Affordable Care Act, contrasting with Trump's opposition to the ACA and his vague healthcare plans. The pharmaceutical industry, aware of the risks, is hedging its bets by donating more to Democrats.