不是自由市场吗？

https://www.cnn.com/2024/02/01/politics/medicare-drug-price-negotiations-initial-offers/index.html

Several have said they were essentially （1）forced to participate or （2） otherwise face steep penalties or （3）withdrawal from the Medicare and Medicaid markets.

不降价就不保你的药，难道私人医疗保险不是这样的吗？私人医疗保险也不是所有的药都保。