No, the monopsony designation is key to the comment I was responding to and the point I was trying to make.<p>If there is no monopsony power, it&#x27;s hard to make any claim of abuse on the part of the government.  Single payer governments are leveraging their bargaining power like any rational market participant.  Drug companies are not required to sell to them.  They do so of their own volition at a price favorable to their bottom line, otherwise they wouldn&#x27;t do it.