Medallion holders had a weaker more fragmented system. If there was a nation wide system, they would have been able to organize better and kill Uber. Considerin

Medallion holders had a weaker more fragmented system. If there was a nation wide system, they would have been able to organize better and kill Uber. Considering groups like the AMA literally dictate how many people are allowed to graduate from med school in a given year, the obviously have more control. Furthermore, on the state level there are often "Need Based Laws" that require healthcare providers to obtain approval before establishing or expanding certain healthcare facilities or services. This is unironically designed to prevent unnecessary duplication of healthcare services, control healthcare costs and ensure equitable distribution of healthcare resources. Imagine how expensive it would be if we have two many choices! The cab cartel was more or less city level. Add in the fact that "health care" is much more politically charged and its easy to find useful idiots that want to "protect people's health" that enforcement is a lot easier, they're entirely different.