First of all, this is a lack of education system, not a moral issue. As a kind of degree certificate, influenced by the exam-oriented education in China, the thesis has strict normative requirements, from the format and font of words to punctuation spaces. The graduation thesis is not so much a proof of ability as a forced and worthless show.
Secondly, the qualification evaluation of various research industries needs to be based on the number of published papers. Doctors are a profession, and what they need more is the ability to cure diseases and save lives. People engaged in academic research need to produce academic achievements, not publish some meaningless words.
The reason why China fell into the misunderstanding of the thesis is that there is no systematic and efficient qualification evaluation system, and a large number of inhuman mandatory standards are mixed in various existing systems. We assess a doctor's ability not by how many patients he can treat, but by how many papers he has. A quack who can write a paper can be a director, and a doctor who can't write a paper can't even be an attending doctor. Under the pressure of life, doctors have to make fake papers. Of course, there are also many doctors who lack medical ethics to gain more benefits through false papers.
When we see a doctor, we can't just judge by medical ethics. Medical ethics is a moral requirement that people subjectively attach to the profession of doctors. In fact, this requirement often seems unreasonable. There is a kind of psychology that makes people ask doctors to treat diseases and save lives and make selfless dedication. This phenomenon of combining leniency with severity is widespread. Doctors are human beings, and they also need to support their families and have higher aspirations. We can't force doctors to do something with a vague moral standard.