Any claims that a government run option won't become a monopoly or that "competition is always a good thing" are complete nonsense. The fact is that a private healthcare provider can't possibly compete with a government run option. Let's look at the United States Postal Service, Amtrak, and the recent Cash for Clunkers program as examples. Any private business run as poorly as the USPS or Amtrak would have shut its doors long ago and quit being a burden on society, but because they're government run they can run at huge losses for as long as the government funnels our money into them and forces private competition out of the market. Cash for Clunkers proves the adage that "there's nothing so permanent as a temporary government program." After burning through $1 billion in a week the Cash for Clunkers program got more funding from the government to continue subverting market forces. The point is that a government run healthcare option will be able to run at a devastating loss for years whereas a private option couldn't possibly do so. The government will simply be able to dump taxpayer money into the public option indefinitely while they undercut all of the private options, inevitably forcing them out of business. I hope those vaunted anti-trust laws apply to the government option, but I won't hold my breath.