"Those who cheated (e.g. bribing the doc $50 to squirt it in the trash) are arguably in the worst situation of all. You branded your own chart by doing that and in today's world with EMR (electronic medical records) you can never undo it."

Huge mostly overlooked point and it gets to the heart of the matter. If your gut/conscience told you the shot was a bad idea, a decision to "fake" is a violation of your own being. It would gnaw at you the rest of your days no matter how it turned out for you on a financial/comfort basis.