In many Islamic justice systems, there is an option for the offender to pay money to the victim to reduce penalty. I think there are many cases where this could work in a non-Islamic culture, but many people are afraid that "rich people can buy their way out of trouble". There is some truth to it, but the victim may feel the outcome is better after payment.

Once a sufficient number of people have peed in the pool the strategy fails to work: this physician is incompetent and dug in, that physician is incompetent and dug in, another physician who is incompetent and refuses to own up, and here's one who is incompetent and pretends to be sorry.