As long as there is a patent system, a medical board, a drugs prescription system or any other stuff that impede the free market, healthcare must be paid by the rich and the healthcare market must be highly regulated.
Yes, it's inefficient but it's better than having the current american system. If you defend the american system you are an american cuck who doesn't know how good universal healthcare can be in rich capitalists countries (it's really fucking good and shits on american healthcare all the time).
I want to make it clear: it's not the perfect solution, but it's the best solution when free market is impossible. It's a game of coercion and if you let the jew doctors run free, they'll ruin your health.
I say this as a person who has thousands of hours of ancap studies on his back, with Mises Institute, PFS, etc