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Healthy competition? Critics say consumers lose as providers build, bicker

As president of the Madison-based health insurance buying pool The Alliance, Cheryl DeMars spends her days haggling with providers over the cost of services. It’s a tough job, given that health care spending continues to skyrocket.

“I understand the public sees what appears to be overbuilding but you need to look at each project on an individual basis,” says Jeff Grossman, president and CEO of the UW Medical Foundation, the clinical practice organization for faculty physicians in the UW-Madison?s School of Medicine and Public Health. Still, critics wonder how adding new buildings can do anything other than increase how much is spent on health care. And that?s a lot.