Make it so formularies have to be separated from PBMs and any companies they are affiliated with or own. They removed their leverage. Require Medicare adv and part D plans to buy from any provider that publishes a price lower than what they make patients pay out of pocket. Require all providers to honor their published cash prices for anyone. Any not published would be 120 pct of Medicare Put together a financing plan for all healthcare out of pocket costs, held by the provider , guaranteed by the Feds. And personally guaranteed against fraud by provider CEOs (to end provider fraud )