https://pluralistic.net/2025/04/12/pre-authorization/#is-not-a-guarantee-of-payment

«The theory that monopolies will defend us from other monopolies is a disastrous example of “the old lady who swallowed a fly” strategy. For the strategy to work, everyone has to be a monopolist, otherwise they’ll get steamrollered – on their wages, their care, or their compensation.

And of course, patients don’t get to merge to monopoly (that’s what governments are for, and we know how Blue Cross feels about single payer care). Workers don’t get to merge to monopoly either (that’s what unions are for, and no one hates a union more than a health care monopolist).

Blue Cross’s position – the position of the entire for-profit health industry – is that they should be able to grow as large as they can, at the expense of us, the patients. In other words, they are economic tumors – so no wonder they’re on the side of breast cancer.»