To be fair, it's a doctors declared goal, to reduce the need for themselves. From a system stand point, down regulation in moderately quiet times promotes peopl

To be fair, it's a doctors declared goal, to reduce the need for themselves. From a system stand point, down regulation in moderately quiet times promotes people to be well healthy by their own. It's symmetric if its not just doctors monotonically maximizing their income, but also patients and doctors competing with each other and one another for prosperity. So the doctors who earn most, should in principle dampen their own optimal payout.