The pressure to schedule an induction up to a week or so early is also very strong. The sales pitch is "we can schedule at a convenient time for you and ensure that you'll have a bed". Implying that you're being super irresponsible by letting nature decide when the baby's ready. It all just feels like the OB/GYN is worried about their schedule more than the baby's or mother's well-being.
And c-sections are definitely subtly encouraged even if there's not a real need.
Could many of those C-sections be at the request of the mother? I know quite a few professional women who have scheduled C-sections (or just induced births) so they can "manage" the delivery better. Seems crazy to me, but not my body, child, or career.
Unless there's a medical need it's not ethical to give a c-section as it creates greater risk of complication (including and especially death), more long-term effects, worse effects on the child, and just so happens to make the hospital more money. Of course if there is a medical need then they should be done, but it's not like tonsilectomy.
And c-sections are definitely subtly encouraged even if there's not a real need.