related, this is a think tank's history of negotiating power in health care https://www.nihcr.org/wp-content/uploads/2015/03/Congressional_Testimony-_Health_Ca

related, this is a think tank's history of negotiating power in health care https://www.nihcr.org/wp-content/uploads/2015/03/Congressional_Testimony-_Health_Care_Provider_Market_Power.pdf https://www.nihcr.org/wp-content/uploads/2015/03/Congression... its claim is that there's a shifting balance of power driven by the business cycle. employers expand coverage in random directions in boom times, someone gets squeezed in bust times 'who is the villain' in this mess changes faces from cycle to cycle