This is the carrot. The stick is the debt for their 'education'.

They put them so far in debt they are forced to do their bidding. They withhold hospital privileges unless you comply, without which its almost impossible to make a living. Then they offer them big cash for being good little slaves so they can pay back their masters for the right to do their bidding.

It is wholly fucked up.

My parents are both in their mid 80s and I am watching the geriatric medical model keep them alive long enough to suck every last penny they have worked so hard to save. Procedure after procedure. Test after test. For what? They arent improving their quality of life. They arent even comfortable. Its frustrating as hell.

This is the carrot. The stick is the debt for their 'education'.