1990年，阿尔贝托·藤森当选总统。这位日裔秘鲁人当时仍是政治素人，但他清楚地意识到，秘鲁必须进行激进改革，于是邀请德索托担任顾问。德索托提出的方案是一套典型的市场化改革思路：紧缩财政、放松管制、开放市场、推动经济正规化。这与今天阿根廷总统米莱的改革路径颇为相似。
特朗普誓言將推動醫療價格透明化，並終結「處方藥價格瘋狂上漲」問題。他譏諷前任總統們「光說不練」，強調自己將採取實際行動解決醫療負擔。
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"I could carry a meeting without any problems; but then I'd be sat there, not knowing what the name of something was that I've known for years, then you're embarrassed, then the hot flushes come and the anxiety and overwhelm and it was just all too much.