According to the free enterprise advocates Friedrich Hayek, Milton Friedman, Ayn Rand and Alan Greenspan and conservative economists, the public good is best served by vigorous competition among private entrepreneurs free from government regulation. This is exactly what Highmark and UPMC are doing now.
So why do we complain when the public is being forced to make a choice between Highmark and UPMC doctors and facilities? Could it be that unfettered free enterprise really does not serve the best interests of the public when it comes to medical care?
If we had Medicare for all, I believe we would achieve high quality, less costly care without the confusion and exclusions of the present non-system. I would rather have a comprehensive system of "socialized" medicine that includes all doctors and hospitals than the patchwork non-system of "anti-social" medicine that we now have.