Labor markets aren’t totally efficient, but they’re also way more efficient, transparent, and capitalist than the healthcare system in the U.S. Enough, at least

Labor markets aren’t totally efficient, but they’re also way more efficient, transparent, and capitalist than the healthcare system in the U.S. Enough, at least, for some of the “end run” around inefficient power structures you speak of, over a sufficiently long time frame. The most egregious counter examples are monopsony employers in small to medium sized towns with limited labor mobility - this is an edge case and not really germane to the subject.