Though protesters continue to shout at town hall meetings and supporters continue to plead their cases, those efforts won't impact insurance companies, who have already won the health care reform debate, Business Week reports this week.

"The carriers have succeeded in redefining the terms of the reform debate to such a degree that no matter what specifics emerge in the voluminous bill Congress may send to President Obama this fall, the insurance industry will emerge more profitable," the article declares, listing UnitedHealth Group, Aetna and Wellpoint as some of the big winners.

To get what they want out of health care reform -- like limiting or stopping a public option -- insurance companies focused on the moderate Democrats in the Blue Dog Coalition, a strategy that seems to have paid off as a strong public option now appears unlikely.

Blue Dog Reps. Mike Ross, D-Ark., and Jim Matheson, D-Utah, "have given strong voice to the industry's contention that such a public insurer would actually reduce competition by undercutting private plans on price and driving them out of business," the article reports.