I am guessing from the way this is written that the sentence began as "a doctor whose primary interest is to fill out insurance forms" and then grew to be about "a doctor whose important interests include X, Y, and Z". The reason I point this out is to say that it looks like you overwhelmed a bad cached thought pattern with subject-specific good thinking. The bad thought pattern is to assume that if there isn't a good predominant intention, there must be a predominant intention that isn't good. The primary, strongest intention of the doctor could be to heal the patient with that being a very small part of his or her total motivation. It is also important to note that intentions are less aligned with consequences than we tend to think. As Tolkien probably never said: not all purposes that wander are lost. There is a relationship between e.g. quality health care and low legal risk; information is lost at each instrumental value waystation from actions to terminal values, but humans are deft enough to usually not let it dissipate into nothingness.

Reading between the lines, my impression of the story (as given by 'google', but at least integrated over a few sources) is that his disease was typically slow-developing and it was expected there was some time. Jobs wanted to try the "diet approach". (There is a lot of information out there about links between diet and cancer; I don't know what to make of it but it's not pseudoscience, just highly 'organic' and non-linear). I have a strong sense that Job's plan was to try the non-invasive/wholistic approach until the cancer progressed. Perhaps he even felt like he was brave -- he wasn't rushing to have surgery but had the mind-over-fear frame of mind to explore alternative options. In parallel cases, it is sometimes overly dramatic to remove organs for fear of relapse when other treatments are nearly as effective. Consistent with this hypothesis, Jobs had the surgery as soon as it was determined the cancer was growing rather than shrinking It was still a textbook case -- got cancer, had surgery, now in remission, and Jobs gave a thank-goodness-that's-over speech. However, unfortunately, in the end the cancer was growing even more aggressively than anticipated. Perhaps a cancer doctor can tell us what portion of the bell curve Job's cancer would be found in, that it was more aggressive than expected. If Job's approach would have 'won' most times according to his own utility function (given a random cancer, by selecting non-invasive approaches over surgery) then he could be more rational than appears in this particular Everett branch. My motivation here is that I tend to credit consistently successful people with being rational, or at least good at winning, even if their methods seem strange or there is an element of gambling to their successes. (I was downvoted just a point so far -- I hope to hear the reason for the disagreement, I suspect it is with my philosophy rather than with my assigned probabilities.)