the articles i linked suggest it is in part because of hospital / health system consolidation leading to higher negotiating power. i think that is an economic factor, although i think i can see where you are coming from
i assume youre suggesting that having a single payer would balance out the negotiating dynamic? that could certainly be the case. to be pedantic, if the US does get a single payer system, one could argue that the political act of creating a single payer system is driven by economic factors (local provider monopolies increase cost of care, payers adopt high deductible plans in response, people suffer financially as a result, therefore vote with their wallets)
i dont think politics supersedes economics or vice versa, theyre very intertwined
i assume youre suggesting that having a single payer would balance out the negotiating dynamic? that could certainly be the case. to be pedantic, if the US does get a single payer system, one could argue that the political act of creating a single payer system is driven by economic factors (local provider monopolies increase cost of care, payers adopt high deductible plans in response, people suffer financially as a result, therefore vote with their wallets)
i dont think politics supersedes economics or vice versa, theyre very intertwined