[RandomLensman]

You said you have a hospital selected you trust (by whatever your metric is). Hospitals tend not be all equal for all things, so trust should probably be differential - how do you assess yourself as a patient then to decide on where to go? And if you do not differentiate the trust any further than to a single hospital regardless of what the issue is: why is that sufficient?

I think it is fine to have some preferences for a hospital, but not sure how much benefit that confers outside of some narrow situations.

[whatshisface]

Sinply replace hospital with any other service, take your own answers and then translate it back. In economic terms I researched medical facilities until the expected marginal benefit of the information fell below the marginal cost. There are a lot of reasons to reform the US healthcare system but you can't argue that consumer choice is too complex to be realized.

[RandomLensman]

I don't know the US system well enough to say much about it.