It is accepted procedure to pay commissions. Surely your doctor will take his cut. The coronary industry has spent a fortune promoting business for its drugs and surgery. Drug companies also pay prescribing doctors kick-backs. Doctors who push the right drugs get expensive dinners, paid speaking engagements, trips to the South Seas, gifts - even cash.
Drug companies start selling in medical school.
All the big-money coronary procedures pose serious threats to your arterial system. You need your arteries - all of them.