in the law and constitution, impediments I know
“The lead plaintiff in the lawsuit is the National Infusion Center Association, which filed as a representative of the Pharmaceutical Research and Manufacturers of America (PhRMA) and the Global Colon Cancer Association.”
We can’t truly be free if pharma can’t completely drain poor old people’s monthly social security allotment.
I thought the prevention of Medicare not being allowed to negotiate drug prices, and paid full retail, was enacted when Medicare part D was implemented under Bush…not the ACA.
You are probably right. Lieberman killed the public option.
So you made all that up.
“Negotiate”?
What happens if the private sector refuses?
yes, because the insurance companies who administer the program could haggle drug prices. I don’t know how I feel about it, I do see a potential problem with the regulating authority negotiating directly. It is a recipe for government corruption. Given the corrupt practices of pharmaceutical sales reps, it would be problematic for them to be negotiating with government regulators who are not even spending their own money.
That said, the insurers didn’t do enough.
negotiation by regulatory edict?
which of course will result in the drugs not being available at all
I’m fine with “negotiations” as long as the power dynamic is not lopsided.
Government doesn’t “negotiate”, it uses violence.

yes, because the insurance companies who administer the program could haggle drug prices.
Insurance companies do not administer Medicare. They do administer Medicare advantage , which has been a huge windfall for insurance companies, while they screw their"customers" and not pay providers. Thank you George W Bush for screwing up Medicare.
that’s why they didn’t allow Medicare to negotiate directly when Part D passed. Aside from having the regulator negotiating, which is a huge difference in the power dynamic, the potential for corruption is huge
prescription drug coverage (Part D) is administered by private insurance companies

that’s why they didn’t allow Medicare to negotiate directly when Part D passed. Aside from having the regulator negotiating, which is a huge difference in the power dynamic, the potential for corruption is huge
Does that happen with the VA?

prescription drug coverage (Part D) is administered by private insurance companies
That is correct.
does your whataboutism make any difference to me?



VA official found guilty of theft, false statements in disability benefits...
A North Little Rock man accused of defrauding the U.S. Department of Veterans Affairs out of more than $22,000 in disability benefits he was not entitled to was found guilty on two federal counts by a jury Tuesday after 90 minutes of deliberation.


Feds announce fraud, corruption charges at Veterans Affairs hospitals in West...
At least 15 South Florida residents have been indicted in what authorities call a widespread, deceptive, and atrocious fraud and corruption scheme at Veterans Affairs hospitals in West Palm Beach and Miami.


Philly VA hospital employee sentenced to 6 months in prison for accepting...
Ralph Johnson, the former chief of environmental services, admitted that he’d accepted roughly $30,000 in bribes between 2018 and 2019 hidden in cash-stuffed binders and packages mailed to his home.
https://www.vaoig.gov/crime-alerts-and-fraud-resources
could never happen!
then why did you find it necessary to try to obfiscate about it?

then why did you find it necessary to try to obfiscate about it?
Every large entity both private and public has some sort of fraud or theft. It is a human thing…sad, but true.
somewhat, yes. so why invite it into the government? I am not saying this to say we should not negotiate drug prices, just that we should monitor our negotiators very closely. There are several things which must be avoided, kickback bribes, quid pro quo pricing arrangements, and undue pressure as the regulator.
The potential for corruption or for coercion are huge.
What value do these old conservative hypotheticals have now?
The first round of Medicare negotiations dropped targeted drug prices for American seniors by at least a third, without creating shortages.
It was a flawlessly executed policy that achieved undeniable, benefical results for the republic.
What even is the problem? Why hasn’t this country moved beyond the initial policy discussion?
some of us would prefer to be less fascist