The laser-eye surgery industry is mostly insurance and government free and costs have declined many times since it was first introduced. A law enforcement officer who requires laser-eye surgery to perform her job pays a third or less for surgery now as 10-15 years ago. Appointments are easy to obtain and outcomes are quite good. Without government and insurance industry influence the laser-eye surgery industry is profitable, affordable and efficient. 

Now point out an US Federal government run healthcare system that has lowered costs or increased care? 

Medicare? No
VA? No
Medicaid? Nope.
Federal dialysis program? No.