I think the correct answer would be second opinions. Insurance companies would recommend their members to go for second opinions so as to make sure the operation is worth it for them to spend less and wisely. Hope this answers the question.
Answer: To Create Attention and Tension or Try To Seem Tough Usually When Partaking In Ego Boosting And Or Bad Attitudes Gangsters Usually Do So For Initiation And "Group Development" Which Leads To A Worldwide Emotions In Peoples Lives.