It was only a few years ago that an up-and-coming member of the House Democratic leadership pointed to a cozy arrangement in the Republican-written Medicare prescription-drug program as a symptom of everything wrong with Washington. The 2003 bill barred the government from negotiating for lower drug prices for its 43 million Medicare recipients. Instead, that task was delegated to private insurers and their agents, whom Democrats argued — and still argue — don’t have the muscle to get the steep discounts that a huge government program could.
