I think you are being intentionally combative, uncurious, and condescending. You are not engaging with the question posed, merely listing a number of cynicisms

I think you are being intentionally combative, uncurious, and condescending. You are not engaging with the question posed, merely listing a number of cynicisms tangential at best, or factually incorrect at worst. Independent practices generally cant operate licensed residency programs. Similarly, your model of hospital behavior ironically requires them to forgo money could make today to cash in on expensive interventions decades in the future - exactly what you claim they are incapable of doing. Last, you claim doctors are a dime a dozen, yet hospitals pay 4, 5, or 600k to employ them, and frequently close due to an inability to secure them at reasonable costs.