did you miss the part about how a person in need of dire medical help doesn't really have the power to negotiate the terms of service with his doctor? It's just the nature of medicine.
as for free market solutions... really? tell me how that works in an emergency situation... are you really going to sit down and talk with the ER doc, and say well i know i'm having a heart attack, but if i go 2 hours down the highway i think i can get a better deal.
ya right.
as for how a government option limits your choice, let's take a moment and think about this. Let's compare what is now, and what could be.
right now with managed care, there is a highly fragmented system. I'm not sure what you're experience is with the health system, but I'll paint you a personal experience picture, (although i've always ragged on you for using them, you obviously haven't ever thought them to be a problem.)
So anyways, to my anecdote, (to skip this look for next bold) I'm from the east coast, and I was covered under my parents health insurance. Now when I went to school out in Colorado my HMO does not have coverage in this area, it's called out of network. When I call my health care provider, to request to see an out of network specialist, I have to go through a lengthy approval period. I have to have my physician in CT, who hasn't seen me, recommend to my HMO that I go see a doctor in CO, and then this recommendation get's reviewed by some other doctor who works for my HMO.
At this point, we're on the cusp of 3 weeks of back and forth trying to get approval for me to just go to the doctor, just for this one instance.
as a note, i'm dealing with a chronic condition, and when symptoms strike up again, and i want to get shit done as fast as possible I try a new process to see a specialist. First, to appease my HMO, i have to go to the ER, ($100 co-pay for me) and as I suspected, the ER can't do anything for me except offer a prescription for pain pills and give me an ace bandage. Now at the time, being in school, I am also provided with insurance through the university. While the medical center on campus isn't great, I do get a recommendation from them to go get an MRI to check out my knee, (where the problem is) . I pay for the MRI, and my HMO denies coverage. Because my school doctors are out of network as well, their recommendation has no weight with my HMO.
Now my insurance is pissed, although I understood what i needed to do, what was good treatment for me, and what was unnecessary, I had had to follow protocol. Even still, following protocol isn't as easy as it sounds, i thought I was doing the right thing, using my school doctors to get me recommendation for treatment, but it doesn't count. And I can't have my physician from back date a recommendation. So now I'm stuck with the bill for the MRI, and i've got to fight against my insurance, telling them that I tried to do the right thing, following what they wanted me to do. However to make things worse, the insurance companies don't ever let you talk directly to the person working on your case. You've got to go through nurses that will discuss the situation with the doctors. Somehow in the middle of the process I got blamed for not seeking treatment from doctors in CT.
In the end, after long perseverance, and a whole lot of work from my physicians office, we get the insurance company to pay the bill, but this is far from a good system, with a lot of choice.
with a single payer system, I'd have been free to see a doctor anywhere. no geographical limitations, It wouldn't matter where i was, and where i was from. that's the freedom you're talking about.
as a tangent to your smart ass wal*mart comment, i'll just say industries aren't outsourcing to Asia because they like the general tso's chicken. low standards of living means the population doesn't have much power to bargain for better wadges. given that big business may provide for better options than what else is available to the locals, i don't think it changes the fact what is being done is exploitative.