There's not a market for healthcare in America though, at least not accessible to the average person. There is a market for Companies and insurance providers, insurance providers and doctors, but essentially nothing for a person and a doctor. It's practically impossible to actually shop for most medical procedures, by price, service quality, outcome, or any other potential metric. It's a little better for prescription drugs as different companies offer different sets of discounted drugs, but consolidation has hurt that too. Using prescription coverage, the patient is once again far removed from any actual market.