And there is more to that transacript. That response was directly after Letterman challenged Trump’s claim that there was waste and fraud in the system. Try reading it again in that context.
“That response was directly after Letterman challenged Trump’s claim that there was waste and fraud in the system.”
Most of the waste and fraud harms the Doctors and lowers their incomes due to government programs where the Doctor it hospital is left unpaid and have to cover it.