In healthcare the pharmaceutical shoppe gives you what your insurer defaults to - the cheapest. Neither the insurer nor the pharmaceutical shoppe are manufactur

In healthcare the pharmaceutical shoppe gives you what your insurer defaults to - the cheapest. Neither the insurer nor the pharmaceutical shoppe are manufacturing the drug (neither the brand name nor the knock-off). Amazon - the shoppe - is the one making the decision, and it’s decision is to default to the item that Amazon manufactures. In one instance the payor is choosing a manufacturer and the shoppe is fulfilling the order - all manufacturers are on equal footing; in the other the shoppe is both choosing the manufacturer (itself) and fulfilling, while disadvantaging the other manufacturers, and making the decision without asking the payor. I hope you see how these situations are in no way analogous, and only superficially related in that the customer ends up with a knock-off.