1. Give Medicare the right to negotiate drug prices directly with the manufacturers as the VA does, eliminating the Pharmacy Benefit Managers and other middlemen. 2. Require hospitals, doctor's offices and pharmacies to CLEARLY post the prices (with & without insurance) of the most common medical procedures, prescriptions and insurance copays at their places of business. That way patients can comparison shop and know what their out of pocket costs will be. Also require that patients be able to get a cost estimate from the provider of more complicated services UP FRONT before making a decision on treatment. Would you sign a contract for remodeling your house without an estimate of the cost up front?