This actually more has to due with malpractice insurance.

Basically what it boils down to is a physician that is well liked by their clients, despite having poorer outcomes is less likely to get sued than physicians less well liked but yields better (relative) outcomes.

Therefore in our heavily litigious society, it behooves the practitioner to remain well liked.

Hell, with the current round of sensitivity training going around, you can’t even call someone clinically obese, you can only refer to them possessing excessive adipose. Because it hurts their feelings, nevermind the laundry list of health problems obesity causes.

When you work in healthcare you come to realize basically every person you see is 5 seconds and a no from turning into a screeching Karen.