this post was submitted on 04 Dec 2023
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It's not about unwillingness. Negotiating lower prices requires collective bargaining. In the US there are so many different insurance companies and each one has to negotiate prices for its relatively small pool. Contrast that with countries like Canada which have a single system, giving them the ability to negotiate prices for the whole country.
I wouldn't call it unwillingness, Obama did try to create a public option.