I'd say that it's more that we're caught in the middle. We can't get the advantages of a free market because there's too much regulation and a competition-host

I'd say that it's more that we're caught in the middle. We can't get the advantages of a free market because there's too much regulation and a competition-hostile legal framework. We can't get the advantages of socialized medicine because we lack the regulatory and legal framework. We're just kind of stuck in a local maximum in a poor area of the search space. In order to see a much better maximum, we'd have to move to an entirely different area of the search space.