Health and Human Services Secretary Alex Azar has this pen. It's not all that remarkable looking, but he held it up multiple times Monday at a briefing with reporters.
"This pen," he said, "has a lot of power."
And he said he is prepared to use it.
Azar was making the point that in the area of drug prices, the head of HHS — which runs the Medicare and Medicaid programs and buys about $130 billion in prescription drugs each year — can make a lot of changes in the pharmaceutical market. And he doesn't need congressional approval to do it.