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The health service in the United States is exceptional because, despite so much competition, adding the gains and losses, you get nothing that is strange, because competition usually increases the value of lower cost and higher quality. Insurers have focused on cost reduction and transfer; maximize your bargaining power and other restrictions, as a commodity. They have provided many services without differentiation, competition in the convenience and reputation in its market sector.

The contest is designed to provide greater value to patients, which leads to more innovation. Health plans do away with restrictions that are members on the market for insurers, who have the greatest value for their excellent condition, can be selected.

The competition is regarded as an incredibly powerful force in a convincing improvement in reducing the quality and cost. The United States generates more competition for other health systems in the world, but the paradox are that the costs are steep and without increasing the supply of the highest quality.

Health insurers treat as a commodity. The focus is shifting costs for competitors to attract customers, the growth in size, to strengthen the negotiating position to obtain opportunities and services, and finally resort to legal action.

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