Not sure how this is disagreeable it’s just relaying an easily verifiable fact. In the US any decent academic affiliated institution or well funded private one will have institutional memberships to one or more of these products. I’ve never paid out of pocket for either UpToDate or Dynamed, for instance, but obviously not everyone has that benefit, especially on a global level.
> The institution’s wealth doesn’t trickle down to the docs
As a general statement that’s just nonsense. Richer institutions provide better equipment for one, and will often pay for personal equipment memberships like POCUS (and that tends to be more segmented to the top institutions), training, and of course expenses for conferences.
