It's still an economy of scarcity either way. With free enterprise, the access to a limited resource is governed by price; with the government stepping in, no more is available, so the access is limited by other factors, such as a decision-maker looking at things like remaining life expectancy, location, affirmative action issues, and similar things. Either way a like number of people get hosed, and a like number of people benefit. With free enterprise, you don't have the additional freight of a giant government bureaucracy unlimited by cost, competition, service quality, or effectiveness larded onto the whole thing as overhead, though.