Providers compete for patients, and patients shop for their prefered optimum of values in a provider (cost, service, quality, etc.).
A market does not exist until you have the following:
"Consumers and producers negotiating through price in order to best distribute a scarce resource (healthcare dollars in this case), that has alternate uses (alternate uses = if the funds aren't spent they can be saved and used for something else like retirement, or cosmetic surgery, alternative therapies, charity, etc.)."
A market is historically the ONLY way to achieve efficient use of resources; each consumer, deciding for their personal economy what is or is not a good value, and producers deciding for themselves how best to provide better value in order to compete for patients. One size never fits all. Markets, properly constituted, always provide optimum efficiency, by definition. Remove price signals, and choice, as we have today, and it cannot work.
Government waste and abuse is so pervasive as to be legendary everywhere, always!