I pretty sure that the insurers already beat the crap out of Pharma and the retailers for reductions.
If you're gonna "negotiate" --- that's gotta be for each drug individually. Because SOME drugs are only applicable to 10,000 patients or less. You start beating on THOSE drugs -- and folks are gonna die. Because NO pharma will bring a low-volume drug to the market. Another example of socialists not understanding how stuff really works.
It's always a fictional view of a perfectly simple world, where stuff just magically gets willed into existence and costs whatever "good folks with the best intentions" want them to cost.
The future is really in "custom drugs".. Targeted to characteristics of your genome. So this "negotiation" is gonna cost a trainload if it's done for 10 or 100 patients at a time..
I'm an insulin dependent diabetic with crap insurance so I pay for all my medications with cash.
Insulin kept getting more and more expensive and I couldn't figure out why. I called the manufacturer, searched the internet, but could get no satisfactory answer. Then I stumbled on it:
I asked a pharmacist about it at my grocery store, and she couldn't give me an answer either, but she did say that Walmart had a generic insulin for much cheaper. I'm not crazy about taking Walmart insulin, so I discarded the idea.
When the prices increased again, I went to investigate. What I found is that this generic insulin was not generic at all. It was made by Lilly--the same manufacture of the insulin I was using, but put an ® on the package to identify Walmart's generic drug company name--Reliance.
It was less than half the price I was paying for my insulin, but made by the exact same people. I'm still purchasing it today. So what happened?
What happened is that Walmart cornered Lilly into selling their insulin cheaper because Walmart has a huge prescription customer base. Lilly in return increased the price of their insulin everywhere else, and that's why it was getting so expensive. It was a dirty deal between Lilly and Walmart.
The reason I wrote this story is to point out what would happen if drug companies would be pressured into lowering their prices; they would only increase their prices on their other products, or on the same product if let's say the deal was made for Medicare only. We would still be paying.
It's like Commie Care--cost shifting, but no real solution.