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Should the federal government use its massive market power to bid down the price of prescription drugs? The Bush administration's Medicare prescription drug benefit has a prohibition against such negotiations built right into it, which many democrats say guarantees it will do nothing to actually reduce drug prices. But the engineers of the bill say that they ruled out the exercise of this degree of purchasing power because it would amount to government price fixing. Two former Medicare administrators debated the merits of the prescription drug benefit at the Cleveland City Club Forum in late September.

Health care reform: A good bill or a bill of goods?

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