You're just rephrasing the part that's ridiculous, which is that this sort of hyper-local competition for resources results in worse outcomes for all sides. St.

You're just rephrasing the part that's ridiculous, which is that this sort of hyper-local competition for resources results in worse outcomes for all sides. St. Louis County comprises 90+ municipalities, each of which is presumably vying for Centene's tax money. Somebody working at Centene might drive across a dozen of these cities each morning on their way to work. That's absurd. Yes, as you say, it obviously matters who wins and who loses, but this is a system that's generating an enormous number of unnecessary losers.