South Dakota's medical industry triopoly ensures doctors stay rich

So, if Avera, Sanford and Monument are monopolies in their markets like utilities are why isn't there a public commission to regulate pricing?

2. South Dakota

South Dakota’s score: 93.41 out of 100

South Dakota is the second most-expensive state for healthcare. It has these key statistics:

• South Dakota ranks fourth highest for its percentage of children whose families struggled to pay for their child’s medical bills in the past 12 months (11.9%).
• It also has the fourth highest average deductible for residents with single health insurance coverage through an employer ($2,433 annually).
• South Dakota features the fifth highest average deductible for residents with family health insurance coverage through an employer ($4,330.67 annually).
• The state also has the sixth highest average premium for residents with plus-one health insurance coverage through an employer ($4,599.33 annually).
• Additionally, South Dakota has the sixth highest health insurance premium for those with silver plans in the Affordable Care Act marketplace ($596.67 annually).