These arguments, too, were patently false. Trump, Spicer, and others conveniently overlooked that Medicare, through its prescription drug benefit, already negotiated lower prices through private insurance companies that provided medicines to enrollees; in addition, the ACA already permitted insurance companies to compete across state lines. More broadly, the claims flew directly in the face of our data. Gutting Medicaid would surely decrease taxes for corporations and wealthy people. But those savings would come at potentially devastating costs to less affluent individuals and families living
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