It would come down to the law to dictate who has the final say in sending someone to a hospital. Or else the people making the decision they shouldn't be making

It would come down to the law to dictate who has the final say in sending someone to a hospital. Or else the people making the decision they shouldn't be making open themselves up to being subject to legal punishment. (Which opens up another question of who can afford to...?) The free market could incentivize bad faith operators even more because of the greater potential of the profit motive. Free market doesn't necessarily mean greater transparency or ethics.