Wow, yourself. You presented a plausible scenario with essentially no information, it is less than anecdotal evidence, indistinguishable from fantasy. With a city and the parties identified, it actually becomes meaningful and verifiable (or disprovable).
I didn't say government should be involved in any dispute between companies, so where do you come off claiming I advocate its involvement in all such disputes? You're trying to paint me as being extreme, and I may be, but on the other side from that you accuse me of being.
You paint UPMC as the villain, but I do not accept your contention. I think you've been watching too many Highmark commercials that have been attacking UPMC. What I see is two companies which are each involved in activities they should have been barred from by state (not federal) regulators. UPMC has been a healthcare provider for a long time, in 1998 it was allowed to offer healthcare insurance, Highmark has been a healthcare insurer for a long time and last year purchased West Penn Allegheny (which had sued both Highmark and UPMC for acting together to stifle hospital competition) to became a healthcare provider. I see two governmental agencies, the Pennsylvania Insurance Department and the Division of Acute and Ambulatory Care, failing to represent the interests of the people of Pennsylvania by failing to prevent the obvious conflict of interest involved in allowing integrated delivery system providers (particularly in companies which already dominated one aspect of that system). The solution is for government to take actions to eliminate its need for further involvement, and the state went the other way, reminiscent of our" too big to fail" banks.
You portray UPMC as the bully using its position to dominate the market for healthcare when Highmark is a much bigger company in both revenues and profits that dominates the region in providing health insurance, which purchased the plaintiff in the antitrust suit against it to kill the suit, and is in the catbird seat as it has the revenue up front and can direct business to itself for its customers who would have little choice while UPMC can merely cut off its nose to spite its face by not accepting Highmark insurance thereby turning away business, I hardly think that is the abusive position you suggest. It was not the local government that dealt with the mess, it was the Pennsylvania Insurance Department which should have prevented the issue 26 years ago.