It’s a business.
They try to maximize their profit margin.
Sure, a lot of the practitioners would like to save lives and do good in the world. But the system see those things as secondary goals. The system is in place to make money. Preventive Care doesn’t have to get results. It brings in money.
And, of course, the Death Panels help cut losses when the ROI in sick patients isn’t pleasing.
Exactly what you said. Beyond a fairly low bar, so much of “preventive care” turns into referral to one after another “specialist” just to check things, which evolves into many thousands of dollars worth of tests and treatments, which may not have been needed in the first place.