That is a lot more pie in the sky than tightening origional patent review. You would have to throw out 200 years of patent law and face several constitutional c

That is a lot more pie in the sky than tightening origional patent review. You would have to throw out 200 years of patent law and face several constitutional challenges. A more moderate response would be for government programs like medicare and medicaid to simply refuse buy products with such a high markup. This is called purchasing controls and practiced by many European countries.