Competition allows for efficiency through innovation. simple economics
Profit by itself is not the problem. Its the "rules of the game" that are the problem.Which is why the marriage of the profit motive and the administration of H.C. should be divorced. It is a really bad (accidental) idea.
my point exactly.You may have missed this, but Health Insurance companies have ALREADY consolidated - they call it merging and say it promotes "efficiency". For those of us living in small states, it means there is MacDonalds or Burger King when you go health insurance shopping.
From an analytical point of view, one needs to try to understand why the companies consolidated in the first place, how that affects health care delivery, and what kind of policies can be put into place to change these incentives.
I suggest you read the following article. It explains clearly the opposing position to Obama's reform plan... better than most of us on the forum could... there are just so many factors to consider when you look at health care as a whole.