The main critique of the program is how the law forbids the government to negotiate prices. This means the Part D program pays much more than other federal agencies (like Veterans Affairs) for the same drugs.
was hoping someone would bring this up. such a provision is literally unparalleled in the whole history of the world; as Chomsky puts it, the Pentagon negotiates prices when it buys paperclips.
Not exactly the same. There are no intellectual copyrights on paperclips -
To negotiate prices there has to be a credible risk for the buyer to walk away. So you have to recognize by doing that you are risking not having newer drugs available to those on Medicaid.