That's describing two different services, preventative care, and reactive care. Your only choice for reactive care is generally only the closest place, and you

That's describing two different services, preventative care, and reactive care. Your only choice for reactive care is generally only the closest place, and you may not even get a choice on the provider because you were unconscious when it was chosen. Once you're there hooked up to a machine, how are you changing provider now that you know their services aren't right for you?