Otherwise open the markets so insurers can compete across state lines and reduce costs and pass legislation to prevent providers from fixing prices though oligopoly. If individual States desire to create public options or single payer systems they should be allowed to. People should be able to import medications from abroad and the Federal government should be able to intercede in cases where generics and open market competition will never become a option such as insulin. In which case the Federal government should be allowed to purchase the patent and contract production of generics to private producers to meet demand at affordable prices.
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