Centralized power has a problem: the individual. Every person is a potential disrupter of The Plan, and disruption must be forbidden. Otherwise, why have a central plan? This applies regardless of whether the planning is economy-wide or for particular sectors, such as medical services. (See F. A. Hayek’s The Road to Serfdom.)
Here’s an Idea
If you can't tell the difference between 2024 America and 1930s Germany, let's not have a conversation, okay?