It’s primarily private insurance (at least in the US) that drives that. The doctor can prescribe something and then a “doctor” who works for the insurance company can take a 10 second look at it and deny it outright in favor of a more profitable treatment.
Most people don’t run into any issues with mods online. If you’re constantly running into “asshole” authority figures in online communities it might be you…
What are some modern bullshit jobs?
Jobs that either don’t contribute in any meaningful way or jobs where one would be better off if they were paid to be on call.