The behaviour of Avmed appears to encourage non reporting because there is a perception that Avmed will always act in its own interests at the expense of the pilot. This encourages what the ICAO safety management manual terms latent violations of safety principles. These are things that are loose in the environment that may one day result in an accident if other defences are overcome. As such it appears that Avmed is making us less safe.
My own DAME tells me his job is to keep me flying as long as possible.