In health care, patients are primarily concerned about their health, while everyone else is primarily concerned about their careers.
It's hardly surprising that patient health doesn't drive the system, when the only people primarily motivated by patient health have been systematically disempowered by regulatory law.
See also Pournelle's Iron Law of Bureaucracy http://www.jerrypournelle.com/reports/jerryp/iron.html
This seems to me like you missed the point of the whole story. Patients want to become healthy, but they don't know what exactly should they do. They rely on various signals... and there is an arms race between finding better signals and gaming the existing ones.
If you could magically remove all the bureaucracy, there would still remain the situation with companies saying "our products will cure you", some experts saying "no they won't", other experts saying "yes they will", and then the two groups of experts accusing each oth...
John Ioannidis has written a very insightful and entertaining article about the current state of the movement which calls itself "Evidence-Based Medicine". The paper is available ahead of print at http://www.jclinepi.com/article/S0895-4356(16)00147-5/pdf.
As far as I can tell there is currently no paywall, that may change later, send me an e-mail if you are unable to access it.
Retractionwatch interviews John about the paper here: http://retractionwatch.com/2016/03/16/evidence-based-medicine-has-been-hijacked-a-confession-from-john-ioannidis/
(Full disclosure: John Ioannidis is a co-director of the Meta-Research Innovation Center at Stanford (METRICS), where I am an employee. I am posting this not in an effort to promote METRICS, but because I believe the links will be of interest to the community)