That blue-sky theory most certainly does not work with medical devices (lens implants in this case). Show me one single product where it did anywhere in the last 30 years. Not just anyone can set up a medical device factory on every corner in every town (although Ayn would like to think so). You'll also find a pretty hard floor on the lower wage an ophthalmic surgeon with $300,000 in student loans is willing to earn.
The free market has not been allowed to exist since the time people stopped paying for their medical treatments directly.
Have you tracked what Lasic costs have done over the last 15 years?
Hint it’s gotten much cheaper, and yes most people pay cash.