I hadn't considered the economic tradeoff involved in health care (I'm canadian, didn't occur to me). Obviously doctors shouldn't control your spending. Or politicians, for that matter.

Doctors obviously shouldn't have access to your wallet, but they SHOULD tell you without pussy-footing around, this will save your life, that is stupid and unnecessary, that one over there will kill you.

If you want to buy drugs without a doctor interjecting good sense, it really is a pharmacist you need.

And since libertarian governments are forged from pure unobtainium anyways, they might as well be competent. I think it's a smaller jump from here to qualified politicians than it is from here to politicians who don't meddle in people's lives.