I could be wrong or I could be remembering that they were effectively killed by inserting a key loophole. I'll have to dig up my notes and probably do some research to figure that out.
My point about performance -- 2x, 10%y/y -- stands.
There is no point to comparing US expenses to other countries where drug manufacturers and hospitals and doctors are not allowed to negotiate, and have to accept what the government gives them.
What would you do if you were the insurer and there was one hospital in an area or 1 patented medicine and the government forced you to cover it?
My point about performance -- 2x, 10%y/y -- stands.