I appreciate your comment. But isn’t my conception of quality the only one that matters? If a doctor saves money for her employer by skipping some expensive test, and my health outcome is worse, her employer may be happy, but we don’t say that she is a good doctor.
here is proper doctor comparison: imagine you are a plastic surgeon and patients comes in with stack of cash and demands you make a surgery that is not medically necessary and is high risk for him - and you do it anyways and then the patient leaves happy.
if you refuse, the patient would just go to the doctor next door and pay him.
plastic surgeons usually perform procedures that are not medically necessary, but only improve appearance to boost patient's self-esteem (boob job, facelift, butt job, etc)
You moved the goalpost. You stipulated high risk in the comment I was replying to. And who cares what plastic surgeons “usually” do? A doctor who gives boob jobs to women who are already “normal” (not to reconstruct after a mastectomy, for example) is a scourge who is exploiting society’s bad attitudes and exploiting his patients. Not a good doctor. Or are you suggesting that if a lot of people do it, that makes it good?