Concentrated Health Markets Defeat 'Choice'

Healthcare markets—payers, hospital systems, and provider networks—have concentrated to the point that laissez‑faire 'choice' rhetoric is a practical non‑starter; without active structural remedies (antitrust, accountable mergers, regulated network rules) nominal competition cannot lower prices or expand access. The Republican insistence on 'choice' therefore functions politically as a cover for inaction rather than a viable policy pathway. — Reframing health‑care rhetoric around market concentration forces policymakers to choose between genuine structural interventions (breakups, entry support, regulated networks) and hollow market rhetoric that will leave prices and access unchanged.