The problem is convincing Americans. There is a significant population of people who would never vote for this because it would benefit those who don't work and pay taxes. They are so stubborn about this that they are willing even to let pharma prices exceed their own grasp.
One of the reasons I don't vote for it is because the current system benefits billions of people that don't pay any US taxes. Most of the rest of the world greatly benefits from positive externalities from US medical R&D.
Billions of people elsewhere in the world plus Americans in 20+ years when patents expire if far greater than ~40 million people in the US in the present
