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Providers, not insurers, are responsible for excess U.S. health care cost (2024)

Hacker News · Jun 10, 2026, 5:37 PM · Also reported by 3 other sources

Key takeaways

  • Noah Smith Jun 10, 20262319622Share In a post last week, I wrote about the progressive anti-monopoly movement’s increasing disconnect from reality.
  • These include some industries with high profit margins, but also some with very low margins.
  • Commenter Matthew argued that the low profit margins of insurers are not a reason not to worry about their market power:

Noah Smith Jun 10, 20262319622Share In a post last week, I wrote about the progressive anti-monopoly movement’s increasing disconnect from reality. I wrote:

[C]onsider the movement’s choice of targets. These include some industries with high profit margins, but also some with very low margins. These include grocery stores, airlines, and health insurers. Grocery stores and health insurers both consistently have much lower profit margins than American corporations in general, often hovering near the zero mark.

Commenter Matthew argued that the low profit margins of insurers are not a reason not to worry about their market power:

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