Undoubtedly has something to do with the fact that patients and doctors are not free to make the best decisions for personal care.
You can actually do better in that regard in a German-style nationalized healthcare system than an American-style quasi-national corruptocracy.
But there is only one way to guarantee it completely and in principle: separation of state and medicine, just as we have separate of state and church and should have separation of state and economics.
> just as we have separate of state and church and should have separation of state and economics.
That's a nice series of words that doesn't really have coherent meaning: "politics" and "economics" are different names for essentially the same thing, the manner in which a society distributes power. You can't separate them -- state action is inherently economic.
That's simply not true. Under laissez-faire capitalism, the state is separated from economics except in that it must tax and spend to maintain a night-watchman state (military, courts, and police).
The only thing that state action inherently is, is coercive. (Though I'm not advocating anarchy; coersion can be moral.)
You can actually do better in that regard in a German-style nationalized healthcare system than an American-style quasi-national corruptocracy.
But there is only one way to guarantee it completely and in principle: separation of state and medicine, just as we have separate of state and church and should have separation of state and economics.