Earlier quoted context omitted.
Cosmesis is elective. Neither of us is going to convince one another; you very evidently have strongly held opinions about how medicine should be practiced, whereas I know some things about how it is. That being so, I see no point in continuing this line of discussion any further. Should you feel otherwise, I hope you enjoy it.
The core reasons seems to be that you seem to keep misrepresenting my arguments. I'm not talking about "practicing medicine" at all, just about who pays for what.
The problem isn't that I'm misrepresenting your arguments, such as they are. The problem is that, instead of finding out how this stuff actually works and understanding why it works the way it does, you prefer to continue insisting on your opinions, which are as apparently uninformed as strongly held.
I don't see what you hope to achieve by this save wasting someone time, and my test suite just finished running, so it'll have to be someone else's time from here.