There are different approaches to medicine. Soviet: free doctor for a small salary. Luckily - got a good, unluckily - bad. American: a doctor is one of the richest professions, insurance is expensive, treatment is expensive, self-medication is impossible - you can't buy anything cooler than aspirin without a prescription, detailed standards, doctors don't drive, there are paramedics, their task is to get to the hospital, but they have it quickly. But if this super doctor with a super salary violated the standard and did not do the required analysis - million fines and compensations.
We make a hybrid version: a doctor with a mini-salary, neither watt nor bandages, nor tools, but insurance, checks, and attempts from the salary of 10 pieces to strain a million penalty...
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I got everything, the same! The worst!