To make it short, where !=> mean "does not imply":
satisfaction != efficient
satisfaction !=> result
results !=> efficient
profit = efficiency => results => satisfaction
satisfaction != efficient
satisfaction !=> result
results !=> efficient
profit = efficiency => results => satisfaction
assert patients.satisfaction.relevance > efficiency.relevance
investment.efficiency => profit
investment.efficiency !=> patients.efficiency
investment.efficiency !=> patients.health
Long version:
I am living the consequences of this in my country itself; they make you wait months for one date, even if they suspect cancer; you know why they make you wait so much time? Because they want to make sure you health insurance payments are the ones pre-paying for the specialist service (or at least a good part of it) before you stop paying or before you die. There is people with cancer standing long hours in queues just because some guys through it was really smart to overprice common medical resources and lobby in the congress for laws that help them abuse their clients (aka patients) and government subsidies.
The medical market has far too much friction and rent seeking behaviour. I do not agree with the short version, but I agree with your long version.
I dream about the day when (if?) the medical market become a perfect market in the economical sense - price taking behaviour, pure and perfect competition, factors of production being paid at their marginal productivity
I believe that, among other things, the financial incentives are a step forward. We apparently have different ways, but a same goal.