&gt;The voters had very little recourse like they do in the free market where they can just go to a different healthcare provider, because they are forced to pay taxes for the VA hospitals either way.<p>The average voter does not have enough income to have an actual choice.  The way it goes is that you pick your GP from a list (so you have a little bit of choice there), and when you have a significant issue, your GP works with a specialist and your insurance company to decide if you qualify for any further care.  You can get it without the insurance helping you, but you are risking bankruptcy doing such.<p>As it stands, other countries spend less on health care with better outcomes.  So we can definitely improve the system.<p>That being said, I&#x27;ll support privatized healthcare if we can get the same done for police care and CPS.  If you don&#x27;t like the people protecting you, then you can get seek out new ones.