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Competition and information is another way to reduce costs, such as with lasik eye surgery.

Doesn't generally work with medical. Lasik is one of the few exceptions to that rule. However, you are generally at the mercy of which hospital your doctor has privileges (i.e. you can't choose your hospital), and if you have an emergency you are probably going to the closest hospital (again, not much choice). If you are incapacitated the ambulance WILL take you to the nearest hospital.

Etc.

It's not the same as shopping for a car. Or a laundry basket. Or a gallon of milk. Or whatever. It's a different reality so the dynamic of 'competition' doesn't really play a big role.

Single-payer would mean that none of that would matter anymore.
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