Actually here in the Netherlands the health care insurers do exactly that. They negotiate HARD. Funny enough big pharma is usually willing to lower the price fo

Actually here in the Netherlands the health care insurers do exactly that. They negotiate HARD. Funny enough big pharma is usually willing to lower the price for meds. They make up for it by overcharging Americans I guess ;) Same with hospitals. Your radiology department is more expensive than the others? We'll stop contracting you and send our customers to another hospital.