This is not a thing you can legislate away effectively. The key to understanding here is that negotiation for health care is hard due to the fractured nature of

This is not a thing you can legislate away effectively. The key to understanding here is that negotiation for health care is hard due to the fractured nature of providers and care. Insurers are micro-monopolies because they tend to serve districts or business sectors more effectively (cheaply) than others and rise to the top, but without a huge base of citizens to negotiate for no significant pricing change can really occur.