The government does not 'bargain.' It directs and then points a gun at you should you refuse. There is noting fair about that idea whatsoever.However a fair and equitable health care solution is something that should have government involvement. That is because government can help pool risk between the many who do not need health care most of the time, and the few do, as well as implement collective bargaining with health care providers, to get the best fair prices for everyone.