And I'd instantly not trust it because providing the service for a nominal fee would be so much less of a money printing scheme than providing the service for a

And I'd instantly not trust it because providing the service for a nominal fee would be so much less of a money printing scheme than providing the service for a nominal fee, but then once the fee had established trust using that transaction as a sales vector for all kinds of snake oil that's supposedly exactly what you need according to the results. Unfortunately there are many good reasons to burden the medical economy with all these stifling regulations. The quest for the least bad system is a permanent struggle.