On: Nobody cares

[xigency]

I think you missed a bit of nuance. Psychologically, people are more likely to pursue a malpractice case against an incompetent physician who has poor bedside manner rather than an incompetent physician who has excellent bedside manner. So that specific quadrant would be penalized the most.

[parpfish → xigency]

or doctors with bad bedside manner could move into non-patient-facing roles like research or pathology