In reality, competition didn’t work well in a hospital setting. That wasn’t a secret: one of the most praised economists of the twentieth century, Kenneth Arrow, had concluded decades earlier that the magic of markets didn’t function for health care in the way it would for selling bread, cars, or plane tickets. Patients just didn’t have the information to intelligently price health-care services, and more often than not their priority was getting the best care as soon as possible, not finding the cheapest oncologist.
