> most health care expenditures (and almost all of the procey ones) are not governed by the free market
> As to why they aren’t implemented I dont know.
Well, if we continue voting for people who do not want or do not attempt, then you will continue seeing all expenditures not governed by the market… You can only see what is possible after you try. There are a number of industries that were presumed to be non-market that were successfully deregulated – air, phone, some of mail and utilities.
As an example of how corruption and self-dealing prevents easy solutions: at the beginning of the pandemic, I asked my local politician to immediately increase enrollment into existing online schools, while they were struggling re-inventing the wheel via Zoom. He first agreed that this is a good idea but later replied that the effort stalled “because of local opposition”. I presume same reason market solutions for medicine are not done.