Both of these examples do rely on the non-existence of a local monopoly, which I would expect the government to enforce. I&#x27;m not advocating a government-free environment here; there would also presumably be rules about the minimum quality of education. It&#x27;s worth noting that charter schools have done very well in DC.<p>I think you&#x27;re underestimating the amount of work done in hospitals that can be scheduled ahead of time - there really is a ton of it, especially for older folks. Not all hospital visits are to the ER.<p>Also, single purpose hospitals would be a bad idea - what if you&#x27;re delivering a baby and the mother starts bleeding profusely? They&#x27;d all need to have their own ER (and the attendant facilities). You&#x27;d really just have specialized hospitals, which already exist.