By defining “cost” in Medicare Part D as the net cost after rebates, the government could share rebates with seniors without significantly increasing Medicare Part D premiums, which costs taxpayers in additional premium subsidies, and without giving drug companies more profits, according to West Health. The West Health proposal would require legislation; Democrats are writing drug-pricing legislation to help pay for their $3.5 trillion budget reconciliation package. The Trump administration tried to share rebates with consumers by making rebates illegal,...