Thanks for the very informative link. It appears from the article that it would be possible for the federal government to "negotiate" prices by giving rebates for most drugs. At any rate why was Medicare Part D written to specifically exclude negotiations and reimportation of less expensive drugs? That was included for the benefit of PHARMA and needs to be reworked. The VA found the ability to negotiate the price of the drugs it supplies to us veterans so there is a way for Medicare to do it also if only there was the political will. Until Citizens United is repealed we can all expect to see more work being done to pay back the campaign contributions than to lower drug prices and healthcare costs for Americans.