This sounds like airlines saying they have a right to bump people who paid for a ticket because the airlines couldn't figure out a business model that earned them an acceptable amounts of money without doing it. UHC does that, except instead of denying you the seat you paid for, they deny you care you paid for, and you suffer and die.

The problem is the conclusion that we must allow this so that their business economics can be sound, so that they can continue to exist. We should instead conclude that being horrible to people is bad, and any business model that requires it should not exist.

Brian saw a company that he knew ahead of time was horrible to people, that he knew ahead of time decided that many of their customers must die, and indeed this was critical to the company's economics and business model, and thought, 'You know what? I want to be a part of that. I like that so much that I want to be the one in charge of it.'

Why that job, instead of the millions of others? Well, we can take a gue$$. He had to make his nut, no matter who he hurt along the way, right?

Meanwhile, as an arguably less-horrible person, I see a job posting for startups that use AI to scan terminal cancer patient records for timely funeral business leads in exchange for offering crypto credits that can be applied towards a coupon for palliative care AI chat or whatever, or makes drones and AI systems for tracking and identifying government critics for later persecution, and I have to click 'next' because my soul is worth more than the salary. What a fuckin' chump I am.

Airlines operate under completely different optimization (game) theory, which makes for an absolutely horrible choice in your analogy.