Supporters of the U.S. private-pay system fear a shift in power to Washington will cut down on the innovation and choice that comes with the free market.
It justifies its stagnation not only by reminding its members of the chaos of the 1970s but by claiming that the U.S. health system would not pay psychiatrists if they tried to know their patients the way that they could and should.
You can get an emergency copy of Harry Potter and Prisoner of Azkaban, for instance, and pay almost exactly what Amazon.com charges for a copy sent via the U.S. Postal System.