Former Department of Justice officials Martin Gaynor and Jonathan Kanter warn that the growing dominance of vertically integrated health care conglomerates—like UnitedHealth Group and CVS Health—threatens competition, raises costs, and limits physician autonomy. In a JAMA opinion piece, they argue that these entities now control everything from insurance and pharmacy benefits to data analytics and physician services, creating “Big Health Care” platforms that mirror Big Tech monopolies.
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