Heh, negotiated leverage. Providers aren't stupid, and they jack up the "rack rate" so they can offer the demanded discounts to insurers. The main result of thi

Heh, negotiated leverage. Providers aren't stupid, and they jack up the "rack rate" so they can offer the demanded discounts to insurers. The main result of this is cash patients pay through the nose. If you really want to fix this, have ACA:NG prohibit any cash price exceeding the lowest 'negotiated' rate. Similarly, if you want to avoid the problem of expensive drugs that sell for significantly less in Canada, legally require Big Pharma to sell in the US for the lowest 'negotiated' price among all the national healthcare systems.