Issues

Health Care & Pharmaceuticals

Monopoly is a huge factor in driving up prices and driving down quality in America’s health care sector. After waves of hospital mergers, most Americans now live in communities where only one or two hospitals still compete for their health care dollars, and where competition among health care insurers has also largely disappeared. Meanwhile, competition in the pharmaceutical industry is stymied by patent monopolies and highly concentrated corporate ownership.


Health Insurance & Monopoly

Date Published: June 1, 2017

When Americans buy health insurance they typically find they have fewer and fewer choices. In some states, such as Alabama, a single insurance company has a near total monopoly. In half of all metro areas, just two health insurers divide two-thirds of the market.

This high degree of concentration has been building for years.

Continue Reading

Consumer Choice & Monopoly

Date Published: June 1, 2017

The American consumer enjoys more choices than ever before, or so it seems. A trip to the grocery store reveals aisle after aisle of varied products marketed under countless brand names to countless specifications. Big e-commerce sites like Amazon feature a still greater plethora of choices.

Yet all is not what appears to be. Take eyeglasses, for example.

Continue Reading

Time to Fight Healthcare Monopolization

Date Published: October 2, 2016

Compared to the discourse in the other party’s nomination process, the debate between Hillary Clinton and Bernie Sanders over health-care reform may have seemed thoughtful and on point. Clinton argued that Sanders’s “Medicare for all” plan was too expensive to ever become law and was also a threat to the progress achieved by the Affordable Care Act (ACA). Sanders criticized Clinton for compromising the progressive goal of a single-payer system that would make health care a right.

Continue Reading

Lost in Obamacare

Date Published: May 2, 2015

Buried in Steven Brill’s convoluted tome are important truths about how to reform our health care delivery system.

Continue Reading

After Obamacare

Date Published: February 2, 2014

A frenzy of hospital mergers could leave the typical American family spending 50 percent of its income on health care within ten years—and blaming the Democrats. The solution requires banning price discrimination by monopolistic hospitals.

Continue Reading

Join the Movement


In America today, wealth and political power are more concentrated than at any point in our country’s history.

The Open Markets Institute, formerly the Open Markets program at New America, was founded to protect liberty and democracy from these extreme -- and growing -- concentrations of private power.

Stay updated


Sign up to stay informed.