f**ked up is what it is - the Hippocratic Oath means nothing to most of these guys, sadly.
They take a modified version nowadays, not the classic one. For those in private practice, I would suggest further modification, starting with: i swear i will see my patients as $$$ and nothing but $$$. I will cheat and lie if that means making more $$$.
At least in this way you know who you are dealing with.
Seriously, when dealing with any other business you know they have only one goal, profit. We have to learn to think the same way about doctors in private practice. And they should be required to release a profit and loss statement, balance sheet etc. publicly every financial year. If i am buying a service from them, i have better rights, especially in court, as a customer. I paid for this, you did not deliver. Here is the evidence. I want a refund. Period. This is the only way to make them more honest, upfront and force them to do the right thing by either delivering or sending you away on time. If your house falls, you take your builder to court. Of course it wouldbe different for doctors in the public system. But you want to make millions in private practice, you will act and have the same accountability as a business.