Also there is some consumerresistance as well: Older, and lower-income consumers in particular continue to value the hand-holding traditional dealerships provide and as a group have resisted "no-haggle" pricing.
But an increasingly heavy drugs bill, rising consumer expectations and doctors' resistance have combined to start sending medical costs up again by 6-8% a year.
And fierce public resistance to eroding generous worker and consumer protections has made governments unwilling, or unable, to implement the kinds of deep structural reforms that could help.