NC Blue has 96.8%  market share in the individual market.
NC Blue has 72.5%  overall market share.
NC Blue is similarly dominant in the small business (groups with less than 50 employees) market in NC where they insure 26,800 groups and have 66.7% of the market . Their closest competitor, United HealthCare, insures 6,500 groups. So, small business in NC basically have a “choice.” Either they “choose” Blue Cross – which the vast majority seem to be required to do. Or a few might be able to “choose” one other company.
Tell me again why an affordable public health insurance plan option would be a bad idea for small businesses.