Again, as I keep explaining, if companies were free to compete then even 911 is not going to redirect you to a 13k ambulance service. Why would they unless they are getting payoffs. It doesn't cost anywhere near that to transport you.
True, but again, if people were free to compete why would the hospital go with a 13k option. If people had any choice in the matter, which many times they don't due to regulations, then they would pick a cheaper option.