Capitalism as it exists today in the US (and other parts of the world) is a paperclip optimizer. The pressure is for those with power to leverage that power toward their maximum short term financial benefit. One consequence of this is that health care has essentially been parasitized by profit seekers who extract money from the system as if it were a strip mine. You can easily see the impact of this in the gross statistics in the form of the extremely high spending on health care in the US vs. comparatively poor return on that spending in terms of overall health outcomes. This is a corrupt system which today produces health care only as a side effect of its main purpose of wealth extraction. That is a natural consequence of our culture, economic incentives, etc. combined with the vast power imbalances between health care "providers" (hospitals, drug makers, device makers, etc.), insurance companies, employers, and individuals. There's no such thing as a patients or insurance holder union, the imbalance is enormous and there's very very little to tip it back from being dominated by the interests of the powerful.