the fewer competitors, the less competition and the slide to single payer continues.
The problem is that, barring some incredibly aggressive reversal by a fearless political party (won't happen) we are down this path for quite a while.
Medicine has already been irrevocably changed. It is now run by those who know the least, but think they are finally bringing ‘quality’ and ‘oversight’ to the medical system. They aren't, and they are actually more expensive (by a lot) than practicing physicians are, but they are currently empowered.
They have successfully changed the mores of medicine. The most upbeat, pro-patient, tireless physicians I've known in my professional life are now cynical, tired, and not willing to give up their personal lives like before. It's another ‘success’ for the social engineers.