Hospital taxes doctors for keeping patients healthy.
To care for patients in the hospital, docs have to be on staff and pay yearly dues. I was paying $300/year. Then I got a bill for $700. Why? I only had one patient in the hospital last year. Docs admitting more than 25 patients/year still paid $300. I got fined because my patients were too healthy.
Same thing with my friend in his residency program. He helped his patients quit smoking, lose weight, reverse their diabetes. His program director called him into his office. He thought he was getting an award. Instead he was reprimanded for not generating enough money for the hospital with cardiac caths and other expensive tests. He got punished for keeping patients healthy.