Patients For Affordable Drugs Now is a bipartisan national patient organization fighting to lower drug prices.
Patients For Affordable Drugs Now is a bipartisan national patient organization focused exclusively on policies to lower drug prices. We help educate and mobilize patients in support of legislation to fix our broken system. To maintain our independence, we do not accept donations from organizations that profit from the development or distribution of prescription drugs. Touted by The Hill as “a leading drug pricing advocacy group,” Patients For Affordable Drugs Now helps patients share their drug pricing stories and ensure lawmakers take action.
Patients For Affordable Drugs Now works to change the policies that allow prescription drug prices to remain so high in the United States. Our goal is simple: to ensure every person in the U.S. can access the medications they need at prices they can afford.
We mobilize patients and allies to push for real, lasting policy change by engaging directly with lawmakers, the White House, and federal agencies when decisions are being made about drug pricing. Since 2017, we have supported patients from across the country as they:
We advocate for legislation that delivers real relief for patients – such as bills that curb patent abuse, promote competition, and strengthen Medicare’s ability to lower drug prices – and we oppose proposals that would undermine those reforms or lock in higher costs for patients and taxpayers. Through patient advocacy and direct engagement with lawmakers, Patients For Affordable Drugs Now helps drive the policy changes needed to build a drug pricing system that works for patients – not drug companies.
Patients For Affordable Drugs Now is governed by a bipartisan Board of Directors alongside CEO Merith Basey. The board members are:
Patients For Affordable Drugs Now is a 501(c)(4) organization.

David Mitchell founded Patients For Affordable Drugs Now in 2016 after confronting the high cost of prescription drugs firsthand. Diagnosed in 2010 with multiple myeloma – an incurable blood cancer – David relied on medications that cost $300,000 a year, which made clear to him just how broken the U.S. drug pricing system is for patients who depend on these medicines to survive.
Recognizing that patients were being excluded from drug-pricing debates, David built a national movement that placed patients at the center of policymaking. In doing so, he became one of the most influential patient advocates in modern U.S. health policy.
Under his leadership, patient advocates helped drive and defend system-changing reforms, challenged pharmaceutical industry influence, and blocked numerous pharma-backed proposals that would have raised costs or weakened protections for patients. Most significantly, Patients For Affordable Drugs Now played a central role in the passage of the drug price reforms included in the Inflation Reduction Act of 2022 – the most consequential federal action on prescription drug pricing in decades – breaking a long-standing barrier by allowing Medicare to negotiate drug prices for the first time.
Across six Congresses and three presidential administrations, Democratic and Republican, David helped shift the national conversation on drug pricing. His work demonstrated that lowering drug prices is not a partisan issue and that organized patients can change the balance of power.
David retired from P4ADNow in 2025 and passed away on January 2, 2026.