If the Secret Service doesn’t like what GM charges for a few dozen black Escalades, they can’t take a haircut on GM’s revenue for every one it sells to the gene

If the Secret Service doesn’t like what GM charges for a few dozen black Escalades, they can’t take a haircut on GM’s revenue for every one it sells to the general public. But that’s how the IRA works. Also, the way Medicare Part D was set up, the government doesn’t buy the drugs in the first place. Private insurers negotiate their rates and then are reimbursed. They already have significant market incentive and power to negotiate lower prices.