In fact John when the NHS was founded here after WW2 the doctors were in exactly the position you have described above.

Despite many early misgivings, its founding principle — all citizens should enjoy good medical and health care free at the time of need and irrespective of their ability to pay — caught the public imagination and the professional idealism of many doctors.

John I think everyone knows that perfectly legitimate terms can, and are, frequently used perjoratively. I think it's easy to recocognize when this is the case too.