If there is one clear truth from the year-long health care debate in  Washington, it is that health insurance markets are broken. Most are  dominated by a single insurer, which has resulted in escalating  premiums, skyrocketing profits, and record numbers of uninsured. Few  states have the resolve or resources to take on these monopolies.
Here in Pennsylvania, Insurance Commissioner Joel Ario has been  investigating the conduct of the state’s four Blue Cross Blue Shield  plans, seeking to identify anticompetitive practices and repair our  broken health insurance market. But as he was poised to expose their  practices, Highmark, the insurance monopolist in Western Pennsylvania,  sued, claiming that the department was unlawfully exceeding its  investigative authority.