Doesn’t Washington hate big, lobbyistic businesses these days?Why are they helping create them? Oh wait, they don’t hate them, they love them, it gives them more control.
The rise of enormous, super-empowered HMOs closely tied to government regulations suggests we are headed further in the direction of building a corporatist, medico-industrial complex whose powerful lobbies will fight reforms, abuse monopoly powers and further congeal the American health care system into an unmanageable and unaffordable form that will undermine living standards while providing ever-less-satisfactory care.