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Illustration: Aïda Amer/Axios

Given all the antitrust scrutiny being aimed at the tech giants, it can be surprising to see other monopolies operating — and even growing via acquisition — with few if any regulatory consequences.

Monopoly 1: EssilorLuxottica is a $50 billion eyewear giant that incorporates everything from lens manufacturers to dozens of brands such as Oakley, Ray-Ban, Varilux, LensCrafters and Pearle Vision. If your frames are from Chanel or Prada or Versace, they are EssilorLuxottica products.

  • The latest giant to be swept up into the EssilorLuxottica monopoly: GrandVision, a chain with more than 7,200 stores globally.
  • European antitrust regulators might force some divestments in France and Belgium, but either way, this deal will only serve to consolidate EssilorLuxottica's global monopoly.
  • Curiously, this $7.9 billion deal is being done while EssilorLuxottica is still searching for a new CEO.
"If the deal goes through, it would strengthen EssilorLuxottica’s ability to charge markups of as much as 1,000% for frames and lenses -- market power that comes from controlling all aspects of production, owning the country’s largest chain of glasses stores and operating a major insurance plan."
David Lazarus, LA Times

Monopoly 2: Surescripts manages about 80% of all prescriptions in America. It's owned by industry giants CVS and Express Scripts, and if your prescription is filled electronically, it's almost certainly filled by Surescripts. In the words of Amazon, Surescripts is "the sole clearinghouse for medication history in the United States."

  • Driving the news: CVS and Express Scripts are facing competition from PillPack, which is owned by Amazon. Now Surescripts won't give PillPack the information it needs to find out what medicines its customers have been prescribed.
  • The FTC is taking legal action against Surescripts, accusing it of forcing pharmacies to use its services. But that doesn't seem to be helping Amazon, whose PillPack product is a masterpiece of design that — by sending your pills in presorted packets that tell you when to ingest them — significantly increases the probability that patients will take all their pills as prescribed.

The bottom line: The world is full of anticompetitive monopolies, many of which operate in plain sight.

Go deeper: The monopolization of patient drug data

Go deeper

Updated 2 hours ago - World

In photos: Pope Francis spreads message of peace on first trip to Iraq

Pope Francis waving as he arrives near the ruins of the Syriac Catholic Church of the Immaculate Conception (al-Tahira-l-Kubra), in the old city of Iraq's northern Mosul on March 7. Photo: Vincenzo Pinto/AFP via Getty Images

Pope Francis was on Sunday visiting areas of northern Iraq once held by Islamic State militants.

Why it matters: This is the first-ever papal trip to Iraq. The purpose of Francis' four-day visit is largely intended to reassure the country's Christian minority, who were violently persecuted by ISIS, which controlled the region from 2014-2017.

Cuomo faces fresh misconduct allegations from former aides

New York Gov. Andrew Cuomo during a February press conference in New York City. Photo: Seth Wenig/Pool/AFP via Getty Images

The office of New York Gov. Andrew Cuomo (D) was on Saturday facing fresh accusations of misconduct against his staff, including further allegations of inappropriate behavior against two more women. His office denies the claims.

Driving the news: The Washington Post reported Cuomo allegedly embraced an aide when he led the U.S. Department of Housing and Urban Development and that two male staffers who worked for him in the governor's office accused him of routinely berating them "with explicit language."

In photos: Protesters rally for George Floyd ahead of Derek Chauvin's trial

Chaz Neal, a Redwing community activist, outside the Minnesota Governor's residence during a protest in support of George Floyd in St.Paul, Minnesota, on March 6. Photo: Kerem Yucel/AFP via Getty Images

Dozens of protesters were rallying outside the Minnesota governor's mansion in St Paul Saturday, urging justice for George Floyd ahead of former Minneapolis police officer Derek Chauvin's trial over the 46-year-old's death.

The big picture: Chauvin faces charges for second-degree murder and manslaughter over Floyd's death last May, which ignited massive nationwide and global protests against racism and for police reform. His trial is due to start this Monday, with jury selection procedures.

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