[sbalough]

I think a main root cause of high insurance costs is failure of govt to break up health company monopolies and other impediments to a competitive marketplace like no individual mandate which should make it hard for smaller players to take on risk that they can afford to manage.

[slt2021]

wrong take, companies started consolidated right after ACA passed.

It was less concentrated industry before the ACA.

the fundamental reason is as usual: too much government regulation that was erected with good intentions, but ended up becoming a competitive Moat that reduced the competition and entrenched big players. With that amount of regulation healthcare should be universal like in Canada or UK.

To maintain private healthcare sector, there should be less government

[Clubber]

>too much government regulation that was erected with good intentions, but ended up becoming a competitive Moat that reduced the competition and entrenched big players.

While I agree with this, that regulations are often championed and even written by entrenched companies to increase the barrier to entry, the government can sue to block any merger they deem a harm to competition. Unfortunately they choose not to.

AI is a good example of this. If the government regulated AI, the only companies who will control and profit from AI are the ones who already have it.