They do have an incentive to tell you your house is on fire (I.G. prescription drugs, and the like), but they don't actively set houses on fire because they don't have 100% market capture to the patients.
But the slanted history point of view is that he started fires, so he can buy the distressed property. hospitals don't have an incentive to give you a heart attack.
The odds are very much in trumps favor... what kind of rock have you been living under?
[1]https://polymarket.com/event/presidential-election-winner-20...