The government created these entities by giving the insurance companies a priveliged position in their regulatory structure starting in WW2, and increasing this

The government created these entities by giving the insurance companies a priveliged position in their regulatory structure starting in WW2, and increasing this with every promised legislative "fix" including the creation of the HMO in the 70's with the HMO Act of 1973, all the way through Obamacare, which was considered to be the best thing since Sliced Bread, right up until "We can't handle any of this Capitalism shit, we need Single Payer!"