Who would this attract to play med though? Comp players generally care way less about items. And those that do often have been playing long enough to have a decent inventory so a couple ref is worthless to them.
Maybe you'll have some low-open meds that care start adding up but then you're playing with low-open meds that only play because they can earn a couple ref every week. Only low value trader mains would care about something like that and trader mains are:
1) not very good at tf2
2) generally not enjoyable to be in mumble with
I'd rather play med once every 6 pugs and play whatever I want for the other 5 than play 6 pugs with shitty meds. Requires coordination with other puggers and gentlemen's rules that everyone plays med like once every 2 or 3 days but pugs would be 10x better that way than paying people just to have them care a little
Are there any serious examples of meds you'd enjoy pugging with that are not adding up because they care more about earning items than improving at the game?