"Nobody knew health care could be so complicated," was Donald Trump's now famous pronouncement on the issue. The Congressional Republicans were struggling too. Not only did they fail to reach a legislative solution, but, even worse, they were confused about where to even search for a solution. All told, health care begins to look insoluble. But is it really that complicated? Actually, no.
Why are pharmaceutical prices so high while the prices of so many other items we buy are low and even falling? The difference is competition. Drug companies typically have a monopoly on the drugs they sell, and monopolists charge high prices. So to get lower drug prices, we need more competition.