@chippydoo We have that in the USA, it's called an HMO. They get paid a flat fee per patient for care so have an incentive to write a quick prescription and send you home with a 6-month check-in. Medicare Advantage is the same with payment per patient scaled based on risk. That is why UHC was charged with Medicare fraud for inflating patient conditions (and their fee). UHC would send nurses to do home visits to document any conditions that were not in the record to inflate the government payment. The more documented conditions and the less treatment the more profit for the insurer. For prostate cancer, the insurer wants you to get the biopsy but then is ok with active (or inactive) surveillance since it is a lifetime condition. The pay is the same.