That's true. The tradeoffs are different. There will be procedures you can't readily get, and more complexity in getting others. Some of those are procedures you shouldn't be getting in the first place. You'll have far less control over your own care, but most people weren't taking advantage of that control in the first place.
I guess I misunderstood you? Because that's what I'm saying. That it would require substantial wealth to be able to have significant control over your own care.