&gt; Functionality of medical care doesn&#x27;t often depend on the actions of the patient.<p>Actually, the functionality of medical care <i>does</i> depend on the actions of the patient to do what the medical system instructs them to do. When a person doesn&#x27;t follow doctor&#x27;s orders, there is a high possibility that the person in need of medical care doesn&#x27;t actually get the results they expect.<p>&gt; All you are offered is the chance to learn, and no guarantees of graduating if you turn out to be incompetent at it.<p>While I agree with your sentiment and the principle of what you&#x27;re suggesting, most universities aren&#x27;t packaging it like this. When you see the ads and you read their propaganda... er, I mean their pretty glossy brochures, they are selling it as exactly that: &quot;Come to XU, get a degree in Y, our graduates have a 100% career placement success.&quot; &quot;Get a degree in X, the best value in the country, no other University offers our graduation statistics.&quot; They might as well be a play by play from the consumer manipulation handbook. So I can&#x27;t blame students for playing it both ways. I don&#x27;t think students are stupid at all, I&#x27;m sure many of them know that they&#x27;re not actually buying the degree, but they&#x27;re all too well versed in how the media is being used to manipulate things to their own ends, and the student playing dumb to that manipulation and using it to their own ends is a classic example of using the University&#x27;s own tactics against them.