I agree, and don't believe your explanation is all that different from mine. Market driven medicine implicitly favors people who for whatever reason find themselves in the position to pay for care, and slowly but surely culls those who aren't.
People with the power to regulate health care "markets", to shape the incentive structures and make them less overtly biased in favor of wealthy people, sometimes they do this and sometimes they don't. Currently, at least in the US, in the midst of this unfolding crisis, the power balance seems skewed toward the "let's take a violent trek toward 'herd immunity' as soon as possible" decision makers, many of whom are more or less blatantly eugenic.
People with the power to regulate health care "markets", to shape the incentive structures and make them less overtly biased in favor of wealthy people, sometimes they do this and sometimes they don't. Currently, at least in the US, in the midst of this unfolding crisis, the power balance seems skewed toward the "let's take a violent trek toward 'herd immunity' as soon as possible" decision makers, many of whom are more or less blatantly eugenic.