Comment by least
There are plenty of professions where it makes sense someone unpleasant still has a job because they're actually hyper competent (like software development) but why would physicians be filtered out of the profession for poor bedside manner? In what part of the world is there a surplus of supply of doctors that would allow for that?
I think you missed a bit of nuance. Psychologically, people are more likely to pursue a malpractice case against an incompetent physician who has poor bedside manner rather than an incompetent physician who has excellent bedside manner. So that specific quadrant would be penalized the most.