It is indeed a truly bizarre mental illness
The film's unusual, to say the least, and has had mixed reviews..

http://www.cinematical.com/2008/01/21/sundance-review-quid-pro-quo/
http://movies.nytimes.com/2008/06/13/movies/13quid.html?ref=arts

By the way it was $250,000 offered to the doctor in the film..
(I've not seen it,I've just read that in the film description)

*curmudgeon*
"The best read illiterate in the country"