In the health care sector, self-regulation has been developed and implemented to increase efficiency and improve operations. At what point, if any, does self-regulation become unethical for health care practitioners or health care leaders?

2 sources for each
Topic 1:In the health care sector, self-regulation has been developed and implemented to increase efficiency and improve operations. At what point, if any, does self-regulation become unethical for health care practitioners or health care leaders?
Topic 2:Can stringent self-regulation by health care leaders and practitioners prevent the imposition of additional and regulations laws on these leaders and practitioners? Why or why not?