Let's start with a thought experiment focusing on soaring household expenses. Consider healthcare insurance, which has risen not just in the monthly premiums paid by employers and employees, but in higher fees out of pocket and co-pays. The value of the healthcare insurance has declined as households opt for high-deductible plans and insurers deny claims to reduce their expenses.

Let's say that a household paying their own insurance seeks to lower their costs by finding a local provider rather than one of the giant corporate insurers which effectively form a cartel. They soon discover that there aren't any local providers of healthcare insurance. There may be direct primary care alliances that offer some services, but virtually all healthcare insurance in the US is controlled by a handful of corporations, a cartel with superficial competition.

This is also the case for home and auto insurance, utilities, education expenses and interest on debt all of which are rising rapidly for many households. In every case, the competition between the handful of giant corporations that dominate each sector is superficial, as this is the point of cartels and quasi-monopolies: eliminate competition to keep revenues and profits high.

A slew of essential services such as Internet and mobile phone subscriptions are also controlled by a handful of providers. Introductory offers that expire in a few months provide a fig-leaf of competition, but the actual cost differences are negligible: maybe enough to buy one sandwich a month, not enough to restore a stretched household budget.