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One large problem with making preventative care a separate market is that people who are too poor to get preventative care and get sick usually end up in an ER, where the rest of society ends up footing the bill.

And a sick person in the ER can easily cost tens to hundreds of times as much as the preventative care would have been in the first place.

So making preventative care mandatory actually saves everyone a lot of money in the long run -- even if the preventative care is run extremely inefficiently and poorly, it would still be cheaper than what we have now, which is socialized medicine that only kicks in after people get incredibly sick and expensive to treat.