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Consumers, often lack the information or understanding to be able to rationally choose between alternative healthcare providers when they need treatment, particularly in urgent treatment.

Purely private enterprise healthcare systems are comparatively rare. Where they exist, it is usually for a comparatively well-off subpopulation in a poorer country with a poorer standard of healthcare - for instance, private clinics for a small expatriate population in an otherwise poor country. But there are countries with a majority private healthcare system (liberal healthcare system) with residual public service (see Medicare, Medicaid).

Healthcare professionals are obligated by their oaths of service to provide lifesaving treatment.