Probably yes. Once the doctors realise that they can make extra money by simply doing what they are supposed to do, they would stop performing their duties without extra tip. Who would tip if doctors do their best anyway? Since not everybody can afford tips, those who tip the most get the best service and those who don't get no service. This is extremely unfair to those disadvantaged, esp considering health care is already very costly in China to the point of bringing many families to bankruptcy. This is exactly what happens in the education system here and goes strongly against the very point of health care and education, that is, to provide basic services insuring everyone has fair opportunities in a society.
