Well i base my claims on the observation that recent years have seen more and more administrative processes that have been introduced in an effort to emulate fr

Well i base my claims on the observation that recent years have seen more and more administrative processes that have been introduced in an effort to emulate free market pressures on public health services. This based on the idea that free markets are better at operating efficiently. Thing is that the ultimate goal of any enterprise is wealth extraction. The most direct such extraction is via racketeering. But baring that the next best option is to offer a tangible product or service others are willing to pay for. But note that the goal is not to offer good product or service, it is wealth extraction. Thus one will aim to offer the most minimal product or service one can get away with at the highest price. So no, i don't think there is any reason why they should fear that the US system is being gamed to introduce public health services. It is being gamed to maximize wealth extraction by everyone involved. On the other hand, ruining existing public health services to make private equivalent look good would directly lead to increased wealth extraction by those involved with the private health services.