The U.S. Department of Justice is preparing to go to court toblock two giant health insurance mergers, adevelopment that is surprising, but not shocking.

Thus far, the four companies involved in the two proposedmergers Anthem-Cigna and Aetna-Humana have kept their public response to antitrust concerns relativelyvague, arguing in general terms that their increased size will notsignificantly reduce competition in the insurance market but willallow them to offer better service to members.

By merging, they have argued, they will become more efficientand stronger in price negotiations with hospitals andpharmaceutical companies, which will lead to lower costs for theirmembers.

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