Bloch R E, Falk D M
Health Aff (Millwood). 1994 Spring;13(1):206-23. doi: 10.1377/hlthaff.13.1.206.
The goals of health care reform and the antitrust laws are similar: promotion of consumer welfare. Under reform, having large groups of consumers and providers will offer substantial efficiencies in purchasing and providing health care services but also will pose some antitrust risks. Health alliances may have excessive market power. Health plans and provider networks may have the potential to foreclose competition from actual or potential rivals. Mergers and joint ventures between providers will proliferate but may raise similar problems. Explicit exemptions from the antitrust laws-through federal or state legislation-may significantly limit the benefits of competition for consumers. A reformed health care system will not reduce the need for antitrust enforcement.
促进消费者福利。在改革之下，拥有大量消费者群体和供应商群体将在购买和提供医疗保健服务方面带来显著的效率提升，但也会带来一些反垄断风险。健康联盟可能拥有过大的市场力量。健康计划和供应商网络可能有能力排除实际或潜在竞争对手的竞争。供应商之间的合并和合资企业将会激增，但可能引发类似问题。通过联邦或州立法明确豁免反垄断法，可能会严重限制消费者竞争所带来的益处。改革后的医疗保健系统不会减少反垄断执法的必要性。
