> a very strong negotiating position and economies of scale
Pretty sure that the US Federal government is the most indebted entity on the planet, and they'd be subject to exactly the same forces that have currently made them upregulate the cost of healthcare.
There is no reason to think they'd use a good bargaining position to bring down costs - the US Federal government is the most cost insensitive entity in history. And a free market is totally capable of finding economies of scale if it is cheaper.
Pretty sure that the US Federal government is the most indebted entity on the planet, and they'd be subject to exactly the same forces that have currently made them upregulate the cost of healthcare.
There is no reason to think they'd use a good bargaining position to bring down costs - the US Federal government is the most cost insensitive entity in history. And a free market is totally capable of finding economies of scale if it is cheaper.