How Are Insurance Co's And Dodo Birds Alike?

Zeke Emanuel, Rom's bro and a big player in health care reform, says insurance companies will be extinct in eight years.
The piece sort of explains for me the puzzling spectacle of my local hospital buying up local provider practices and clinics, affiliating with a big Seattle provider for reasons — as explained in the local press — that were indeciferable. Now the same thing is going on in my old stomping grounds.

Fun fact: The third brother is Ari, the model for Ari Gold, the lovably insufferable Hollywood agent on HBO's Entourage.