This isn't political or profit motivated, I'm not in the US. I'm thinking of doctors in the UK where profit and costs are generally not the primary concern.
I'm specifically thinking of a case a friend was talking about. A woman presented with a certain condition and said she didn't want surgery or drugs. The friend had to explain the options and that medically most effective interventions tend to fall into one of those categories but living with the condition was also an option.
I don't know what the woman decided but the "professional" course of action wasn't about efficacy or cure, it's about understanding that there are needs beyond those which are "technically" best.