Incentives Needed for Docs to Engage Patients

I wonder why doctors need incentives to
engage patients. Many doctors don't communicate well with patients,
but give them incentives like more money – why? Their practices
will shortly become extinct as it is and this is because patients are
learning that they don't like being talked at, looked down on, or
ignored while the doctor rushes to complete his time with you and
move on to the next