Why we shouldn't expect a Nobel Prize in Medicine for the time being

Even if the top talents all flock to medical school, most of them only focus on high-paying clinical practices or dermatology to make money, right? They don't enter the fundamental fields of basic medicine, which are the true foundation.
It is ironic that even when the top elites enter medical school, it remains difficult to actually expect a Nobel Prize in Medicine...
Because our country is one that only pursues immediate profit without any intention of building a solid foundation.