Am I a bad person for hoping it really is something like that? Because it's entirely possible that he's being totally serious and is about to use his bullshit dictator powers to force drug prices into the realm of the affordable with no strings attached, just because he knows how popular it would make him. Why not? The drug companies' money isn't his money, after all. He's not beholden to lobbyists. He's not beholden to anyone. And he would love nothing better than to prove that this makes him the ideal person to solve everybody's problems the easy way.
That part where he says this is what the Democrats, his sworn enemies, have been pushing for for years, though... did hell just freeze over? It was in no way necessary to mention that. It was in no way beneficial to him to mention that. And, depending on your point of view, it's not even entirely accurate. Democrats occasionally make a big show of wanting drug costs to be lower, but of course they're beholden to the same lobbyists as the Republicans, so they've been playing along with the scam.