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Notes -
I think this is part of what I mean about it being mandatory. It's not just that the government forces you and/or employers to buy some sort of insurance, but also that insurance has to have certain properties, which if applied universally across all of them prevents competition by undercutting.
So perhaps the analogy would be if all foods sold must contain at least 2% caviar by weight. The store is going to sell potatoes for $10 per pound because they have to in order to cover the costs of the caviar that comes with it, and they can't be undercut because all the other stores have similar prices for the same reason. Maybe I decide to forgo potatoes and buy carrots instead, but those come with caviar too. It's only 2% of your diet, but it ends up being a much larger percent of your budget.
I do agree with your other points about things contributing to the cause. Lack of price transparency is also an issue (although the latter is tied to the role insurance companies paid, since they're the ones paying rather than customers, leading to principal agent problems). But if it was normal for the majority of people to not have health insurance then there would be strong pressures for more transparent prices and I think that issue would resolve itself.
Regulations requiring overly limited medical degrees is also an issue that this would not resolve. Although is similarly the government's fault.
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