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Significance

The allegation fuels tensions between technology firms and US regulators over antitrust rules. Another key target of the former’s criticism is Lina Khan, chair of the Federal Trade Commission (FTC), who, like Kanter, seeks to modernise competition doctrine and increase antitrust enforcement.

Impacts

More mergers in highly concentrated markets will likely be challenged even if they decrease competition by only a small amount.

Hospital system mergers, an active M&A sector, are at particular risk of greater scrutiny under the new guidelines.

Regulating 'big tech' as public utilities would be an alternative to more robust antitrust enforcement, but it lacks political support.

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