What are you faffing on about? With no barriers, pure capitalism would consolidate healthcare into a full vertical and horizontal monopoly. This is basically what PE firms are doing, but indirectly.

Capital doesn't organize around any secondary metric but profit without being forced.

Employee satisfaction? Are you completely out of touch? Speak to any working professional in a PE owned hospital system. It's horrid, the worst, dystopian, soul diminishing.

Satisfaction only matters if there are other places you can go.

Patient satisfaction? It's already 'accept what we give you, pay what we demand, or you die' in rural areas or if you are poor/uninsured. People already avoid going to the doctor when they should because of this. What bizarre alternate world are you living in?