not a free market wrote:
Nobody decides what they are going to pay their doctor.
It's a complicated market, but I think mostly a free one.
Some people do pay cash for their doctor. You can call various doctors and ask them what their cash pricing is.
However, it is much more common to use insurance. I would argue with the increase in deductibles, it's still worth your time to shop around for a doctor, because if you're a relatively healthy person, you're still going to be paying cash for the majority of your doctor visits.
It is your responsibility to ask about pricing though. They don't just post it on the door.
However, let's take the case of insurance, because that seems to be what you're referring to when you say nobody decides what they are going to pay their doctor.
There is a market between insurance companies and doctors, where prices are negotiated. There is a market between insurance companies and employers and individuals where prices for insurance and benefits covered are negotiated. And there is is a market between employers and employees where benefits and costs are negotiated. So, in a very roundabout way, everyone does choose what they are going to pay their doctor.