No what we have are people self diagnosing themselves and going to the doctor to obtain the RX for conditions that they think they suffer from when they do not. If you don’t think that is an issue then you are not really talking to your wife about her work.
so the doctor has to write that script the patient ask for even if it isn't needed? as far as the self diagnosis why stop at pharma commercials when web md is out there among other web sites helping out with their diagnosis.
my wife talks about a number of things she deals with at work such as people our age on MULTIPLE scripts and the lack of self denial is very much an issue. for example the patients who are coming in for gastric sleeves who are back in a few weeks with leaky guts because as soon as they got out of the hospital they went right back to eating and living the same way before the "magic" procedure
another issue is the the failure to teach proper eating habits or self discipline to our children. my wife and i also talked about her work when she left the hospital for a bit to be a nurse at a high school in the school district our kids attended so her work schedule matched their school schedule.
i don't recall her talking to me about many kids in the situation you described but they had a good sized group of diabetic kids who refused to properly regulate their diets for a disease they are going to have the remainder of their life and has taken more people lives that i personally know than the covid.
doctors are an issue, pharma is an issue, and the medical system in america is at fault. thing is the average person does have a say and it starts with proper diet, basic exercise, and learning moderation but i guess the american way is blaming others first