I do think that at least part of the treatment in adequate worlds will be done via prediction-based medicine where a doctor gives the patient predictions about the outcome of various treatments or their absence and then gets his prediction track record evaluated.
In prediction-based medicine, you don't need centralized evaluation of medicine via the FDA or of doctor education via med school but can evaluate on the fly and thus have competition based on treatment outcomes instead of competition based on credentials.
I'm confused about Health Systems in general, the same way I was confused about the Education System until I read "The case against education". I don't have a good model of what are the different agents interacting in this system, nor the differences among different countries. Is there any reading you would recommend to be a bit less confused about this?