Yes, better price transparency will likely reduce future windfalls and flatten growth across markets where pricing opacity has historically enabled outsized profits””but the effect will be uneven and slower than proponents hope. The healthcare and pharmaceutical industries offer the clearest evidence: hospital margins have already collapsed from 7.0% in 2019 to 2.1% in 2024, with further declines expected as transparency mandates take hold. Manufacturers preparing for 2026 will cut prices on at least 15 drugs, reducing gross brand-name revenues by $35-40 billion. For collectors and investors in alternative assets like Pokemon cards, these dynamics offer a useful parallel: when everyone can see what something actually costs or sells for, the information asymmetry that creates windfalls disappears.
The Pokemon card market has undergone its own transparency revolution over the past decade. Platforms that aggregate sale prices, track auction results, and publish historical data have fundamentally changed how collectors approach buying and selling. A card that once commanded a premium because the seller knew more than the buyer now trades within a narrower band. This article examines what healthcare transparency mandates and pharmaceutical pricing reforms tell us about the relationship between information access, profit margins, and market growth””and what collectors should understand about these forces shaping their hobby.
Table of Contents
- How Does Price Transparency Actually Eliminate Market Windfalls?
- What Happens to Growth When Profit Margins Compress?
- Can Transparency Backfire Through Supplier Collusion?
- How Should Collectors Think About Windfall Opportunities Today?
- What Are the Real Limits of Transparency’s Market Impact?
- The Role of Platform Economics in Transparent Markets
- Where Does This Leave Long-Term Market Growth?
- Conclusion
How Does Price Transparency Actually Eliminate Market Windfalls?
Price transparency eliminates windfalls by destroying the information gaps that create them. When a buyer doesn’t know the fair market value of a Base Set Charizard or a surgical procedure, sellers can charge whatever the market will bear in that moment of ignorance. Transparency closes that gap. In healthcare, studies show price transparency tools led to a 1-4% decrease in laboratory test prices””modest, but meaningful when scaled across billions of dollars in annual spending. The potential savings from healthcare price transparency are estimated at $80.1 billion for the commercial population in 2025, assuming a 40% reduction in expenditures for “shoppable” services. The mechanism works through comparison shopping and competition.
Executive Order 14221, issued on February 25, 2025, requires healthcare providers to disclose actual prices””not estimates””by May 26, 2025. When patients and insurers can compare prices across providers, the highest-priced outliers face pressure to justify their premiums or lose business. The same dynamic plays out in collectibles: when a seller lists a PSA 10 card at twice the recent comp prices visible on any tracking site, the listing sits unsold. However, transparency alone doesn’t guarantee windfall elimination. Only 10% of employees actively sought price estimates through online tools in one study of healthcare consumers. Information must not only exist but be accessible and used. Markets where participants ignore available data””or where the data is too complex to interpret””retain more pricing inefficiency than theory would suggest.

What Happens to Growth When Profit Margins Compress?
Compressed margins don’t necessarily kill growth, but they change its character. Healthcare providers facing what analysts describe as a “more than 25% haircut” in revenue due to care migration to ambulatory settings won’t disappear””they’ll adapt, consolidate, or find new revenue streams. The question is whether the growth that remains is sustainable or merely slower. The U.S. economy is projected to expand 2.4% in 2026 according to the IMF, but growth at 2% in 2025 falls short of the 3% threshold economists consider necessary for meaningful wage gains. In pharmaceutical markets, the dynamic is particularly stark. Seventy percent of global pharmaceutical profits currently originate in the United States, and Trump’s Most Favored Nation pricing model threatens to reduce U.S.
pharmaceutical revenue by up to 50% for some drugs. List price cuts ranging from -25% to -85% across affected drugs represent a fundamental restructuring of where profits flow. The Congressional Budget Office warns that reducing expected drug revenue would decrease new drug development””a genuine tradeoff between today’s affordability and tomorrow’s innovation. For Pokemon card collectors, margin compression has already arrived in certain segments. The explosive growth of 2020-2021 was partly driven by information asymmetry: new investors didn’t know what cards were truly rare or valuable. As pricing data became ubiquitous, the easy arbitrage opportunities vanished. Growth continues in the hobby, but it’s steadier and rewards different skills””expertise in condition assessment, knowledge of print runs, understanding of long-term collector demand rather than short-term speculation.
Can Transparency Backfire Through Supplier Collusion?
One underappreciated risk of price transparency is its potential to enable rather than prevent market manipulation. Research from the Office of Health Economics notes that price transparency can risk supplier collusion in some market conditions. When all sellers can see what competitors charge, they can more easily coordinate””tacitly or explicitly””to maintain higher prices. This is why transparency advocates emphasize buyer-side access to pricing data while regulators remain cautious about seller-side information sharing. The Pokemon card market illustrates both sides of this dynamic. Public pricing data helps collectors identify fair deals and prevents sellers from claiming ignorance about a card’s value during negotiations.
But it also means that major dealers can observe each other’s pricing in real time. When a few large sellers control significant inventory of a particular card, transparent pricing makes it easier to maintain price floors. Whether this constitutes collusion or simply rational market behavior depends on your perspective. The healthcare context adds another wrinkle: over 100 price transparency bills were introduced across 33 states and D.C. in 2025, each with different disclosure requirements and enforcement mechanisms. Fragmented transparency””where some prices are visible and others aren’t””may create worse distortions than either full opacity or full transparency. Markets work best when all participants operate under the same informational conditions.

How Should Collectors Think About Windfall Opportunities Today?
If transparency reduces future windfalls, the logical response is to capture remaining opportunities before they disappear. But this calculation requires honesty about what windfalls actually look like in practice. Most collectors who believe they’ve found underpriced gems have simply failed to account for condition issues, authentication risk, or illiquidity. Genuine windfalls””buying a card for far below its actual value from someone who doesn’t know better””have become rare precisely because pricing data is so accessible. The comparison to healthcare is instructive. Hospitals that generated 7.0% margins in 2019 weren’t necessarily providing better care than those earning 2.1% in 2024.
Much of that margin came from charging higher prices to patients and insurers who lacked alternatives or information. As transparency mandates bite, the providers who thrive will be those offering genuine value””better outcomes, more efficient care, superior patient experience””rather than those skilled at information arbitrage. For collectors, this means the skills that matter are shifting. Knowing the price of a card is table stakes. Understanding why a card is priced that way, predicting how demand will evolve, assessing condition nuances that don’t show up in population reports””these create value that pure price transparency can’t commoditize. The windfall opportunities that remain are in judgment and expertise, not information access.
What Are the Real Limits of Transparency’s Market Impact?
Transparency’s impact has clear limits that collectors and investors should understand. First, transparency only affects markets where information asymmetry was the primary driver of price variance. Cards priced based on genuine scarcity, aesthetic appeal, or nostalgia don’t become cheaper just because everyone knows their price. Second, transparency requires engagement””and most people don’t engage. If only 10% of healthcare consumers actively use price tools, the competitive pressure from transparency remains weaker than advocates predict. Third, transparency can’t overcome structural market power.
The 340B program profits expected to vanish if manufacturers lower list prices closer to net prices represent a redistribution of existing value, not a creation of new competition. When a handful of sellers control supply””whether pharmaceutical companies with patents or collectors holding the PSA 10 population of a specific card””price visibility doesn’t automatically create price competition. The pharmaceutical industry’s response to transparency mandates offers a preview of how markets adapt. First negotiated Medicare Maximum Fair Prices take effect in 2026 for 10 drugs, expanding to 15 drugs for 2027-2028 and 20 drugs for 2029 onward. This phased approach gives manufacturers time to adjust business models, shift R&D priorities, and find new profit centers. Markets don’t passively accept margin compression””they evolve.

The Role of Platform Economics in Transparent Markets
Pricing platforms themselves become significant market actors as transparency increases. The sites that aggregate Pokemon card sales data, the apps that track auction results, the grading companies that maintain population reports””these entities shape what transparency means in practice. Their choices about what data to display, how to present it, and who can access it determine the actual information environment collectors navigate.
Healthcare has discovered similar dynamics. The requirement to disclose actual prices rather than estimates””mandated by May 26, 2025 under Executive Order 14221″”only matters if that information is presented in ways patients can use. A 500-page PDF of procedure codes isn’t transparency in any practical sense. The IMF’s observation that fiscal windfalls “should be used to put public debt on a decisively downward path” reflects a similar principle: information or resources only create value when channeled effectively.
Where Does This Leave Long-Term Market Growth?
The honest answer is that transparency flattens certain types of growth while enabling others. Markets built on information asymmetry””where profits came from knowing more than counterparties””will see those profits competed away. Markets built on genuine value creation will continue to grow, though perhaps more steadily and with lower peak margins. The $80.1 billion in potential healthcare savings from transparency represents money that was being spent; it doesn’t disappear, but redistributes to other uses.
For Pokemon card collectors, this suggests a market that continues to grow but with different characteristics. Speculation based on information edges becomes harder. Long-term collecting based on genuine appreciation””of art, nostalgia, gameplay, or community””remains viable. The hobby becomes more accessible as pricing information lowers barriers to entry, potentially expanding the collector base even as individual profit opportunities shrink. Whether you view this as progress depends on whether you were capturing or paying for those information rents.
Conclusion
Price transparency will reduce future windfalls and flatten growth in markets where opacity enabled outsized profits””this much is clear from healthcare’s $80.1 billion in projected savings and pharmaceutical list price cuts of 25-85%. But the effect is neither instant nor universal. Markets adapt. Participants who relied on information edges will find new strategies.
And transparency itself has limits: it requires engagement, can enable collusion, and doesn’t overcome structural market power. For Pokemon card collectors, the practical takeaway is to build skills that transparency can’t commoditize. Price data is a commodity; the judgment to interpret it isn’t. The windfall era may be fading, but that doesn’t mean opportunities disappear””they just require more expertise to capture. Markets reward value creation over information arbitrage in the long run, and that shift ultimately benefits participants who are in it for the right reasons.


