medical care and lab work and unafordable health insurance and the high price of prescription meds is a way bigger killer than type 2 diabetes medication without a prescription.. the mark up in the drug stores are around 300% on some meds..
A planned economy is the economic system in which decisions regarding production and investment are embodied in a plan formulated by a central authority, usually by a public body such as a government agency. Thus it may be termed a  command economy .
The major defining characteristic of a market economy is that investment decisions, or the allocation of producer good, are primarily made through capital and financial markets. This is contrasted with a planned economy, where investment and production decisions are embodied in an integrated plan of production established by a state or other organizational body that controls the factors of production.