not to justify murder in the street, but i'm fairly certain you'd be systematically prevented, logistically and businesswise, from building an alternative system.
Nope. You are free to establish an alternate system if you like. There are medical facilities that are flat rate and cash only, like the Surgery Center of Oklahoma, https://surgerycenterok.com/. There are also many cost sharing services, like this one https://altruahealthshare.org. Ultimately you also have the personal option of becoming a physician and setting any rate you choose for your services, including $0.
