I think they're kept in line through the specter of lawsuits.

I don't know if I am more aware or if it's just me getting older, but doctors as recent as 20 years ago seemed to be a bit better when it comes to treating patients, but people older than myself tend to think the decline has been going on for a while.

Like everything the communists/deep state ruins, they do so using that "slow boil" approach. They start by applying their bullshit laws that seem beneficial at first. However, after thousands of such laws, they're crippled. The end result of such a plan are doctors that are only able to "do" and not "think". Thinking could land you in a lawsuit.

Moreover, due to the cost of malpractice insurance, most doctors cannot afford private practice unless it is more for things like elective surgery (i.e. plastic surgery and other cosmetic nonsense the vanity obsessed idiots seek out). Doctors pretty much have to work for HMOs and the like ... and those in turn always seem to be run by those that seem to want single payer healthcare. Their rules are even worse.

I'm sure, at first anyway, many doctors were sickened by this approach to medicine. However, over the course of decades, centralized guidelines became "normal" to doctors entering the field. The end result is what we see today ... pill pushing and strict adherence to "guidelines" vs treatment. This is why most doctors will just "obey". They're all but trained to be aware of guidelines.

This is the most insidious thing about the DS ... the drones they have out there aren't even aware that they're being used, and the ones that are aware seem to be only happy to have single payer / Communist run healthcare. Any doctors that wake up and see through the bullshit seem to be destroyed via lawsuit or by the hyenas in the media should they speak out.