Of course doctors are often committed to the wellness of their patients, but I'd argue that the point of their extensive training is to help them align "best he

Of course doctors are often committed to the wellness of their patients, but I'd argue that the point of their extensive training is to help them align "best health outcomes while minimizing their own risks" with very specific institutional understandings of what that looks like. And that's what their pay is ultimately based on. They need to make the correct decisions, per the AMA/government/etc, about very expensive things and with minimal supervision. And it needs to authentically feel like it's for a good reason. But when it comes to the broad swath of everyday ills, someone with far less alignment training and who therefore hasn't been entrusted with the "MRI approved" stamp can often do a perfectly comparable job of taking care of people. That's what most practical medical care demands and it's what US doctors are now too overqualified and overpaid to provided.