Stossel makes the argument that a free market in which patients are in charge of negotiating directly with doctors over the cost of care is what’s needed to reform the system. I’m not sure how accurate that really is. Beck uses an example of a patients asking, “Hey, doc, do I really need that test?” And this is the problem: How do we, as patients, know what tests we need? I can’t even fact-check the auto mechanic or the technician who fixes my computers, let alone make a determination on what medical procedures I need.