There are two types of market models, Google's and Apple's. Google, extreme competition,huge supply, razor thin profits. Apple, extreme demand, continuous introduction of newer products, high cost and profits. Throw in government mandated doctor shortages and regulations, and insurance company profits, it's enough to make NASA jealous.
If there was a Google Android medical system people could obtain medical care from any one who wished to provide it as long as it meet a reasonable standard. Imagine if the only cell phone available was an Apple iPhone with an AT&T two year contract. That is our medical system.