It doesn't, really, tbh... One just feels that Doctors would offer the care that starts with "do no harm". And I say this as the child of two Doctors from deve

It doesn't, really, tbh... One just feels that Doctors would offer the care that starts with "do no harm". And I say this as the child of two Doctors from developing countries who spent their ~50 year working lives serving under-served communities, with little to no material benefit to themselves. IMHO the whole medical + healthcare industry in the US is so incredibly complex with so many misaligned incentives -- mostly away from the end user/consumer -- that the various attempts to reform the system have themselves have created their own set of perverse incentives. Not to say that medical care in the US isn't top-notch... It indeed is, its just that the comparative bang-for-the-buck in the US is much less than in other developed economies (e.g. western europe, canada, etc.). Which is why I when I see Doctors / labs / hospitals 'scamming' patients in various ways, it feels like every player is only optimizing (locally!) for themselves than for the end user. Just so utterly demoralizing...