It is only distorted because there is no regulation to prevent HMO's running the system for massive profits. As for thinking that free enterprise will make things cheaper.... I cant name many industries where that is actually true, since there is very few industries where there is free enterprise, especially in the US. Maybe the car industry, but then again that is back stopped by the US government. Maybe food sales, but then again here bulk is king and it has concentrated on few big sellers.. hardly good for free enterprise.As well, HMO's have distorted the cost of medical treatment as has over the top insurance claims. If there was actually free enterprise in the Untied States health care costs would fall dramatically, just as it works in other areas..