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		| I hear you, but I'm not sure MID can really be blamed for the bubble, as it's significantly predates it. | 
	
 True.  But I think we can agree, without it (or with one that phased out a lot earlier), we could not have had a bubble as bad the one we did.  
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		| You left out the important part: don't let it use it's purchasing power to negotiate lower prices or alternative pricing structures (the latter of which is remedied by Obamacare, btw). | 
	
 That facet of HCReform is one I can't laud enough.  Medicare Part D's failure to do so exhibits the only form of compromise these parties can achieve: Agreeing universally, without no hint of dispute, to fuck taxpayers on behalf of donors.