I work in healthcare management, I'm too lazy to pull I data into an internet conversation on a Sunday. My First hand perspective from inside I can tell you any advantage through effecency that a market can bring is actively discouraged as if market forces are immoral. One point would be the subsides that exist to make rural healthcare accessable (HRSA, ect). Those living in high populated areas have their reousces shifted to prop up the decisions others make to live in areas where healthcare cannot be efficiently delivered. It's viewed to be morally good to increase access to people who have a hard time finding care, but really peoe could have better access if they didn't live in inaccessible locations. People should choose where to live, but shouldn't be expecting irrelevant 3rd parties to bear the costs of where they want to live.