Because it was always heavily controlled by the feds and state governments. Thats why its never been transportable across statelines. If you could only by the services you need then those companies would lose money.
Nationalization of health care started in the late 60’s when Ted Kennedy pushed for European style HMOs. This was a way to whip up hatred of putting people other than your doctor in control of your medical care. They knew this would happen so they kept tweaking health care laws incrementally until we arrived where were currently are today.
The reason for skyrocketing malpractice also came from the 60’s when doctors would have free clinics to care for “inner-city” patients who didn’t have access to care. But then the liberal lawyers decided that level of care wasnt as good as their paying patients would get and began suing...
I've had teeth pulled, medication given to me and of course a free over all sitting in front of a doctor (I never abused the privilege) and it didn't cast me a dime
I never knew how they were funded, but Boston is LOADED (or WAS, anyway) with idealogues of all walks in life
The 60's were more terrific than drugged up crazy