They get wealthy people to donate.

This seems to (at the moment, let’s see what changes) no longer be a thing https://www.hhs.gov/healthcare/about-the-aca/benefit-limits/index.html

You can hire someone in another country to drive remotely, so can find cheaper labor. They could also theoretically have them multitask driving multiple vehicles at once.

Edit to clarify, I don’t think this is good, but I think people trying to make money (eg Musk) will push for these kinds of things regardless of the safety.