I think this is similar to the idea of Health Justice that I've heard Tim Faust talk about. The reason the hospital will take the deal is simple, it's the only deal by law and the private insurance payers will be eliminated.
We don't live in a dictatorship and there's no way politically to force them to take that deal. Major changes won't be made to the healthcare system without at least rough consensus from the wealthiest and most powerful stakeholders, including major hospital chains. Even under single payer systems, hospitals are funded at least partially based on the actual amount of care delivered.
As you can see with the tax plan being rammed through, the minority of the wealthiest can ram through whatever they damn well please. We can do the same to them. We outnumber them.
Any yes, we can rationally allocate resources to ensure care is adequately delivered.
