Another way of putting it is that the government has eliminated a competitive open market and replaced it with a mandatory monopoly. Since the government is now the purchaser, it alone decides what is purchased and what is not. MRIs? Too expensive - won’t be needing any of those. Hip replacements? Not necessary. Oxycontin will take away the pain and it is much cheaper.
For those Republicans who think that Ted Cruz is just too rash, it has not hit them yet what the entire White House Marxist Regime has planned for us all.