The further we move away from health care as essentially a doctor/patient relationship, with freedom of choice on all sides, and the more we allow central plans to replace on-the-ground clinical wisdom, the less it looks like quality health care and the less it contributes to public health. The Soviets already tried this path. It did not work. Health-care by modeling and data targeting: we tried it over the last three years with horrible results.

https://brownstone.org/articles/the-sovietization-of-medical-care/