BS”D
Messing up should be a CRIMINAL offense for the doctor and civil for the hospital as many types of medical malpractice are in EY.
Recently an FSU trained anesthesiologist whom I would not even trust to trim my next steak got 6 years for ruining someone’s life and she was not on drugs or motivated by money. She is just your typical butcher who trained in the worst of the FSU and was able to buy her passing grades as the Soviet Union was collapsing. (However, the system that let her practice without proper retraining is very much to blame and she did get far too severe a punishment).
Then the worst doctors would weed themselves out and go into medical administration – or malpractice law!