Bill, those "negotiations" with insurers was a payoff to get them on board. Maybe you have not noticed, but those same insurers have now left since they can no longer coverage the sick pool that they got.

The drug issue is because the cost to recapture all the R&D is borne by the US citizen. Foreign gov't health plans only cover the marginal cost to produce, none of the sunk costs.

The PPACA was created to fail in order to soften us up for single payer, which is what Jonathan Gruber's comments allude to.

If only the world were made of pixie dust and unicorn flatulence.