Perhaps, it just sounded like you thought these very intelligent (for the most part) doctors, were unaware of what they were accepting, which isn't the case.

It's very clear in the industry that it goes on, and anyone that partakes is a scumbag, in full knowledge of what they're doing.

This in an industry that is meant to heal people, not be part of the problem we're facing with rampant corporatism and out of control greed.