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In a typical horizontal bribery scheme, a doctor or hospital may pay a specialist or another healthcare professional for each patient referred to them. This can create a perverse incentive for doctors to refer patients to certain specialists or hospitals, even if it is not in the best interest of the patient.

The Shameful Doctor Game and horizontal bribery scandals are just a few examples of the dark underbelly of the medical profession. Medical corruption is a serious issue that can have severe consequences for patients and the healthcare system as a whole. To combat these practices, increased transparency, stricter regulations, patient education, and whistleblower protections are necessary. Ultimately, it will require a sustained effort from healthcare professionals, policymakers, and patients to create a culture of integrity and ethics in the medical field. Only then can we restore trust in the healthcare system and ensure that patients receive the care they deserve.