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Imagine for a minute you want to buy a car. There is only one dealership within a reasonable distance to a population. And when that dealership opened 50 years ago, they sold a quality car at a fair price. Because they were the only ones, and they provided a good product, they became very popular and everyone in the area bought and serviced their car there. Because of the unending trust, and the monopolistic set up, as the dealership grew over the years, they raised their prices. After all, customers were not price shopping, so how were they to know if they were being overcharged? One year, the dealership started using cheaper part suppliers, and lower wage mechanics, but again, there was no choice for the consumer. 

You see, when the customers of a business do not demand high quality and fair prices, it doesn’t really matter how altruistic of a business you are, your quality will go down and your costs will go up. And this is what has occurred in our health care system. 

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