Shit, you're not joking.
https://www.rawstory.com/2018/07/trumps-supreme-court-finalist-brett-kavanaugh-insists-indicting-president-cripple-federal-government/
Given this:
I would imagine that the issue is companies' like Nestle's really fucky history with things like actively discouraging breastfeeding in developing countries.
I do suspect that the drug companies soak the US market for the profits they can't make in the rest of the world. It doesn't really work to be the only country that doesn't have any kind of price controls on drugs.