There may be some of that, but I was looking at it from another point of view.
Any health care system that's controlled by a single entity is going to have cases where it fails badly. It may work for many common cases, but if you are in the group that it is failing badly for, you need to have the option of using a different system.
Government run systems are not exceptions to this. They work when people have the option to go elsewhere. If people do not have the option to go elsewhere, you end up with a black market in medical care (or with those with enough money flying to other countries to get care)
In the western world no government has tried to lock things down this tightly, but from stories I've heard In the communist countries things have tended to be far more locked down.