That's actually the same in education and healthcare. And probably the real root of the issues with both.
I don't pay for health care I pay for insurance. In fact I don't really pay for that. My company pays for it. I just have to throw some money in the money pit when my employer pays and when I go to get care.
I don't get to choose my healthcare, and I don't get to choose the procedures.
Hospitals pair up with insurance companies and stay with them. The hospitals work for the insurance companies.
When you pay for health insurance you are essentially paying a monthly fee to get healthcare from a specific company. The more they treat the more money they make, because if they over treat and they don't make enough money they just raise rates. You don't have a choice to switch to a new provider. Heck you can't even change your plan except once a year in November.
It's the same thing as stuff that's free. You aren't the customer you are the product.