Indeed. The free market is only efficient if property rights exist and are enforced, transaction costs are low, and there are low barriers to entry. In the US w

Indeed. The free market is only efficient if property rights exist and are enforced, transaction costs are low, and there are low barriers to entry. In the US we had the property rights done fairly well, the transaction costs were manageable (outside of emergencies where every second counts)... it was the barriers to entry that were a major pain, and no reform in recent memory has done anything but make those worse. Unless and until it becomes easier to start new businesses, hospitals, practices and careers in the medical-care profession, no one should expect the market to be functional.