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The AMA and Goldman Sachs on Insurer Market Concentration and Decline in Price Competition
American Medical News / Goldman Sachs via Physicians for a National Health Program 
[Opinion] Mar. 10, 2010
Excerpt: So 99 percent of metropolitan areas have 'highly concentrated' private insurance markets, and price competition of private insurers continues to decrease as private insurers are 'more willing than ever to walk away from existing business.' Competitive pricing has almost disappeared from the private insurance market, so insurance has become a 'take it or leave it' proposition.
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