push vickrey macro policy reforms generally
we have open trade borders
plus a sovereign currency and a forex rate
both potentially under congressional control
we can control the trade deficit and the debt to gdp ratio with these tools
so
restrict talk of the CL mark up cap and trade system
to our health sector alone
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possibly CL can be discussed
wrt the euro zone's various national pricing systems
--- no national forex instrument and restricted control of market interest rate---