Any market in which you, at the moment you need its goods or services, cannot reasonably be expected to evaluate multiple options, due to the urgency of the need, cannot be considered free.
Yes, obviously, we all need food, but I have some in my refrigerator now, and I ate breakfast this morning, so I have some time to decide whether to go to Price Chopper, Wegman's, or Hannaford to buy my next week's meals. Even in the most urgent circumstance (someone who is literally starving right now), the choice of which grocery store to go to to purchase the food that will save their life is a fairly small decision: most will have something that can serve that need for a vaguely reasonable price, and then that decision will be done, and they'll have the time to consider, "But do I want to go to that one for my next food purchase, or is one that's farther away a better option?"
Healthcare can sometimes be like that. We have some freedom to shop around and choose where to get elective surgeries, ongoing maintenance/preventative care, etc. But if I get hit by a bus tomorrow, even assuming I were conscious and coherent enough to make such a choice, I wouldn't be in a position to say, "No, I don't want to go to the closest hospital; I want to go to the one three counties over, because their trauma ward is better." If I waited that long, I'd die.
Furthermore, the vast majority of Americans don't have any meaningful choice in their health insurance provider. They get it through their employer, paying out of pocket would be prohibitively expensive, and the employer isn't just going to give you what they'd be paying for your plan so you can buy another. For those who have to pay out of pocket, there still aren't great options, because the vast majority of insurance plans that are remotely within reach of people who don't have the absurd luck to get six-to-seven-figure Silicon Valley-style salaries are high-deductible plans, meaning you're still going to be paying thousands upon thousands of dollars out of pocket for care if anything happens. And then there's the issues with figuring out what's in-network and what's not...
Put simply, the healthcare "market" in America is not merely un-free because it is fundamentally coercive, it is also deliberately obfuscatory in terms of what you get for your money, and even how much you'll have to pay in many cases—and remember, a free market absolutely relies on full information.
Any market in which you, at the moment you need its goods or services, cannot reasonably be expected to evaluate multiple options, due to the urgency of the need, cannot be considered free.
Yes, obviously, we all need food, but I have some in my refrigerator now, and I ate breakfast this morning, so I have some time to decide whether to go to Price Chopper, Wegman's, or Hannaford to buy my next week's meals. Even in the most urgent circumstance (someone who is literally starving right now), the choice of which grocery store to go to to purchase the food that will save their life is a fairly small decision: most will have something that can serve that need for a vaguely reasonable price, and then that decision will be done, and they'll have the time to consider, "But do I want to go to that one for my next food purchase, or is one that's farther away a better option?"
Healthcare can sometimes be like that. We have some freedom to shop around and choose where to get elective surgeries, ongoing maintenance/preventative care, etc. But if I get hit by a bus tomorrow, even assuming I were conscious and coherent enough to make such a choice, I wouldn't be in a position to say, "No, I don't want to go to the closest hospital; I want to go to the one three counties over, because their trauma ward is better." If I waited that long, I'd die.
Furthermore, the vast majority of Americans don't have any meaningful choice in their health insurance provider. They get it through their employer, paying out of pocket would be prohibitively expensive, and the employer isn't just going to give you what they'd be paying for your plan so you can buy another. For those who have to pay out of pocket, there still aren't great options, because the vast majority of insurance plans that are remotely within reach of people who don't have the absurd luck to get six-to-seven-figure Silicon Valley-style salaries are high-deductible plans, meaning you're still going to be paying thousands upon thousands of dollars out of pocket for care if anything happens. And then there's the issues with figuring out what's in-network and what's not...
Put simply, the healthcare "market" in America is not merely un-free because it is fundamentally coercive, it is also deliberately obfuscatory in terms of what you get for your money, and even how much you'll have to pay in many cases—and remember, a free market absolutely relies on full information.