If regulators approve the recently announced mega-deals in which Aetna, Inc. would buy Humana Inc. and Anthem Inc. would buy Cigna Corp., will consumers benefit? Or will the winners be limited primarily to the executives and shareholders of the companies involved?
Among the losers -- in addition to the people enrolled in the insurers' health plans -- will be many of the employees of the acquired companies, and taxpayers in the cities that come out on the short end of the stick when the combined companies decide where the corporate headquarters will be.
Remember Blockbuster? In its heyday -- which wasn't so long ago -- Blockbuster had 60,000 employees and 9,000 locations. For most Americans, for a minute anyway, it was the place to rent a movie.
Among those who apparently have not yet benefited much at all, at least so far, are owners of small businesses who would like to keep offering coverage to their employees but can no longer afford it. They can't afford it because insurers keep jacking their rates up so high every year that more and more of them are dropping employee health benefits altogether.
Insurers know the president won't allow the law to be repealed or even altered substantially, which will be good for future profits, and they also know they can count on the Republicans to push through legislation to get rid of the health plan tax and let them sell low-value policies again.
As I predicted two months ago, California voters have been bombarded by a group with a consumer-friendly name warning that a vote for a ballot initiative tomorrow would allow "one politician" to "interfere" with their health care treatment options.
Regardless of where you live, you should check out those rankings before selecting your insurance carrier for 2015. You'll find that, just as in California, the nonprofits lead the pack and the for-profits are eating their dust.
What Boeing is doing represents a seismic shift in health care financing and delivery that potentially will have more far-reaching effects than Obamacare, primarily because it is coming from the private sector, not the government.
For the next two months, Californians will to be subjected to a barrage of TV, radio and online ads, which, ironically, they unknowingly will be paying for with their health insurance premiums.