[RicDan]

I live in Switzerland and my girlfriend has been working as a doctor (surgery), and it has mostly to do with the politics that come with hierarchy. As in nearly all companies, hierarchy allows politics and favourism to enter the playing field which will attract people that do not act in the primary interest a service should have: ergo, patients.

For example you have leading doctors who prefer not to look at patients, even tho they belong to them (from a specialization point of view), as they are "cumbersome" cases. That often leads to them "ignoring" it for some time until someone else takes over, or completely delegating it to non-fit persons.

It's a huge pain for me to heard this every day, because it literally sucks out any desire to work as a doctor from my girlfriend. At the same time, it's infuriating: we pay a lot each year, and with every year more, for services like this. If I was to ever win lottery, I'd use that money to make my own hospital without all of this crap.

[bumby]

From your perspective, what are some potential avenues to better align the incentives of doctors to see those "cumbersome" patients?