All the monopolists are in turn owned by same investors in what is called horizontal shareholding. Controlling stake in leading companies of entire pharma/health industry. Two investors, BlackRock/Vanguard, are biggest owners in almost every single one of the leading companies. https://twitter.com/RocheLaw1/status/1246269210176688128
BlackRock is owned by Vanguard, BlackRock’s biggest owner being a mystical PNC Services, whose biggest owner in turn is Vanguard. Vanguard itself is recorded directly as BlackRock’s second biggest owner.
Moreover, BlackRock and Vanguard are the two biggest owners of almost all the other 15-20 biggest investors, which most are cross-owned and together own the entire US pharma and healthcare sector. Ultimately, then we might have the situation that the whole healthcare sector and
Big Pharma are controlled by one giant oligarch clan (and the very real people who stand behind them), one single interest group of oligarch investors.

Besides, it’s the same for the entire US economy. Those two investors control almost all major US companies.

Amazing ain't it.
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