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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).

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.

A healthcare system is the organization by which an individual's health care is provided. From an economic perspective, healthcare may be viewed as just another product or service to be purchased by an individual, however, healthcare has many special characteristics that encourage government intervention to a greater or lesser extent: