Your local Works Council will make sure that everyone in the region gets the same quality care.
Why shouldn't I get the same standard of care that the guy in the next region over gets? Is he better than me?
Why do you assume that you won't?
I find it interesting that you and Professor are the ones fighting the notion that the Federal Government and thousands of tons of red tape are an absolute necessity.
In this case we are talking about a society free of class distinction. With hospitals set up as co-operatives (or a similar organisational structure) there is absolutely no reason for information to not be shared. The hording of information on organisational, management, medical, and scientific breakthroughs would be a thing of the past. There's no need for it. If a hospital in one region has a better way of doing things, then others would go and learn and see if it is useful in their respective regions.
Without class distinction and without the hording of information for profit, there is no need for some massive central government to regulate everything. Standards will balance of their own accord.
Why do you assume people will do the "right" thing? What is in it for them?
In a cooperative hospital, there might not need any reason why information cannot be shared, but how do you know that one of these supposedly honest individuals won't sell leading medical information to other cooperatives for profit, thereby class distinctions are now present and accounted for?
And, Ami makes a good point that there will have to be some mechaism to assure everyone, regardless of class, gets the best care available. A cooperatives "word" for it will simply not suffice. And wouldn't that require more paperwork, auditing personnel, information sharing infrastructures and people to maintain and update them and on and on and,,,well, you get the drift. Also, how will medical breakthroughs get communicated from cooperative to cooperative without this overhead? After all, wouldn't it be beneficial to all that this information get shared, therefore you simply must provide this far-ranging capability, right?
"Standards will balance of their own accord." Sounds like free market economics to me. Friedman would be proud...