Health care costs

FILE - In this Sept. 20, 2019, file photo, an American flag flutters in the breeze outside of the Sutter Medical Center in Sacramento, Calif. Opening arguments begin Thursday, Oct. 10, 2019, in the antitrust case against Sutter Health, one of California's largest hospital systems, which is facing a trial over accusations that it has used its market dominance to snuff out competition and overcharge patients for medical bills. (AP Photo/Rich Pedroncelli, File)

Pharmacist Clint Hopkins displays the HIV prevention drugs Descovy, left and Truvada, right, at Pucci's Pharmacy in Sacramento, Calif., Monday, Oct. 7, 2019. Gov. Gavin Newsom signed a bill, SB159, by state Sen. Scott Wiener, D-San Francisco, Monday, authorizing pharmacists to sell the HIV preventative medications, to patients without a physician's prescription. (AP Photo/Rich Pedroncelli)

President Donald Trump speaks at the Young Black Leadership Summit 2019 in the East Room of the White House in Washington, Friday, Oct. 4, 2019. Kearyn Bolin, back left, of Texas State University listens. (AP Photo/Manuel Balce Ceneta)

FILE - In this Tuesday, Sept. 3, 2019, file photo, a Walmart logo forms part of a sign outside a Walmart store, in Walpole, Mass. Walmart is rolling out a health care pilot program for its employees that will come up with a curated list of high quality providers but offer fewer choices than under the current plan. (AP Photo/Steven Senne, File)

Speaker of the House Nancy Pelosi, D-Calif., speaks during an interview at The Texas Tribune Festival on Saturday, Sept. 28, 2019, in Austin, Texas. (Nick Wagner/Austin American-Statesman via AP)

Speaker of the House Nancy Pelosi, D-Calif., arrives for a closed-door meeting with the House Democratic Caucus, Wednesday, Sept. 18, 2019, at the Capitol in Washington. (AP Photo/J. Scott Applewhite)

FILE - In this Nov. 5, 2018 file photo, a drugstore employee reaches for medicine from shelf in downtown Tehran, Iran. A cheap, daily pill that combines four drugs has been tested for the first time in the United States to see if it works as well among low-income Americans as it has in other countries to treat conditions leading to heart attacks and strokes. The results published Wednesday, Sept. 18, 2019, suggest the combo pill can lower blood pressure and bad cholesterol. Experts say the study may draw U.S. interest to a strategy that has been seen as useful only in places with limited access to medical care. (AP Photo/Ebrahim Noroozi, File)

Speaker of the House Nancy Pelosi, D-Calif., arrives for a gathering of the House Democratic Caucus at the Capitol in Washington, Tuesday, Sept. 10, 2019. A leaked draft proposal from Pelosi says Medicare should overhaul how it pays for prescription drugs, by negotiating prices for the costliest medications, curbing year-to-year price hikes, and limiting what seniors pay out of their own pockets. (AP Photo/J. Scott Applewhite)

Democratic presidential candidate former Vice President Joe Biden speaks during a campaign event at Keene State College in Keene, N.H., Saturday, Aug. 24, 2019. (AP Photo/Michael Dwyer)

FILE - In this Nov. 5, 2018 file photo, a drugstore employee reaches for medicine from shelf in downtown Tehran, Iran. According to a study published in the British journal Lancet on Thursday, Aug. 22, 2019, researchers say a cheap daily pill that combines four drugs cut the risk of heart attacks, strokes and heart failure in a large study, suggesting it could be a good way to prevent heart problems. (AP Photo/Ebrahim Noroozi)