That's how Japan abolished the samurai. The Meiji emperor promised very generous pensions to all samurai if they turned in their swords and retired.

A few years later, there was a budget crisis and the government cut the pension to a fraction of what was agreed on. But the ex-samurai were too demobilized to overthrow it by then.

Not trying to draw too much of a comparison here, but Britain did this when they formally abolished slavery. It's still very controversial today, but it did thwart the opposition to abolition among Parliament's pro-slavery lobby and plantation owners, particularly in the Caribbean. Paying off health insurers for years' worth of profits would be very expensive, but on the flip side I doubt it would be as unpopular as the slavery payments.

https://en.wikipedia.org/wiki/Slave_Compensation_Act_1837

Probably applies to other cases as well. I think many people would be ok with "ok Disney, you have Mickey mouse exclusivity for 200 years if you stop messing with copyright extensions".

I believe that's called a transition period and we saw how it worked with Obama care.

We could also drag the obstructionist leeches into the capital and roast them like Jim gaffigan just roasted Karen.

When someone's abusing an entire country you don't pay them to stop, you throw them in jail. People are dying are dying by the truckload and we care about

Or just roast them considering the number of people that are dying every year due to their greed.

Insurance companies are already making money from Medicare, and not just on Medicare Select. The Feds pay the bills, but there are 5 regional contracts under which private insurance companies actually administer Medicare.

If you work for a large company it’s pretty much the same thing. Your employer brings a risk pool and then a private insurance company like Cigna quotes for how much it takes to “fill” it while taking their vig.

I would expect the same under M4A: 5 really big insurance companies would continue to cost-plus bill the Feds, and then maybe there would still be a few re-insurance companies to cover stuff M4A doesn’t cover.