Mate it really is. The system is the best we have right now, and most docs are better than doing your own thing, even with supply shortages.

Much of effective medicine is unavailable from insurance and licensing politics. Docs essentially all ignore this so they can succeed in their reputations, except if they cross the cartel, any investigation can take down any physician not supporting the group. I saw a study a while ago revealing almost every woman who became a physician experience (actually serious) sexual harassment. You essentially must please the authorities like in communist countries to make it, as anyone not keeping their mouth shut is destroyed.