People tend to turn everything into a routine and walking in a circle, if it feeds, rather than looking for new ways and solutions. Because the search for the new, the unknown and the attendant risks is even more energy-consuming and dangerous for prosperity than the search for other people's errors in the code in a circle.
This is not only "medicine", which has finally lost its touch of "sacredness" since 2020, but in general any sphere of human activity where, instead of results and moving forward, you can walk in a circle (or a very slowly, controlled spiral in the interests of the beneficiaries of this market niche) . Where the process is more important than the result. But again, who are the judges? And judges are consumers, I.e. customers of goods and services. If they allow themselves to be fooled over and over again, passing off as the "result" of walking in circles, or the growth of efficiency and progress many times slower than it could be, then who is to blame? Again, customers who allow themselves to be fooled.
The growth of the population and, at the same time, the ever-increasing decrease in the really productive layer of civilization, leads to the fact that the remaining, much larger part (more than 3/4 of the population today) diligently depicts violent activity in running on the spot from the point of view of the development of civilization and scientific and technical progress. In a personal attempt to survive and constantly deducing his own formula for success - minimum effort for maximum pay.
Because of this, today even "big" science has become a collection of imitators of scientific activity (about which there are already thousands of articles written by conscientious scientists), who have reached a sufficient intellectual level to deceive venture capital and the government as a provider of grants, I.e. their clients and auditors.