“First, the slippery slope isn’t flat even at the beginning. It all starts almost immediately. As social animals we humans learn quickly from our peers, colleagues, and friends. We learn very fast in response to the internal and external pressures to produce income. I recently counted nearly 6000 advertisements for primary care in the United States on a leading online clinician recruitment site.”
That is what physicians said about the early days in practicing. There are pressures within and outside of the health care system to produce profits. This is something that has been advised against since the 1960’s.