Comment by hypeatei

Sure, but that article literally contradicts your original point about Americans wanting a "free market" as it lists the complicated nature of existing laws, Medicare, PBMs etc. and the incentives those create.

You could just say "Americans need to vote better and cleanup their laws around this" and yes, that would be ideal, but I don't see that happening anytime soon. It's part of why some want the government to not involve themselves at all: no matter how good the politicians you elect, others can come into office and fuck it all up while everyone is forced to deal with it because they have the monopoly on violence. Not to mention the glacial pace at which our legislative bodies move.