It is just like when producers aggregate into cartels like the AMA (American Medical Association) so consumers aggregate into insurance companies (eg Medicare).

It is just like when producers aggregate into cartels like the AMA (American Medical Association) so consumers aggregate into insurance companies (eg Medicare). At the end the situation isn’t so great for people who fall through the cracks with unusual issues, but for common scenarios it’s great. The unusual issues should still have access to the ad-hoc market and usually there, producers (with all their resources and organization) have the advantage.