> Don’t most national healthcare programs also add in collective bargaining? Which of the major cost drivers in US healthcare does collective bargaining addres

> Don’t most national healthcare programs also add in collective bargaining? Which of the major cost drivers in US healthcare does collective bargaining address? Yes, we could switch to paying marginal costs for drugs, but drugs don't happen unless the average costs are paid, so if someone is paying marginal, someone else has to pay above average. There are things that we could do to reduce said average costs, but we can do them without doing anything else.