Ben kidnaps Jack specifically because he needs a spinal surgeon. Their dynamic is transactional from the start -- Ben offers information and freedom in exchange for surgery, and Jack turns the leverage back on him mid-operation. This sets the template for every interaction: Ben manipulates, Jack resists, and somehow they both end up doing what the other wanted. By Season 6, Ben is following Jack's lead genuinely for the first time. Their final dynamic -- Ben serving Hurley, who trusts Jack's judgment -- is the closest Ben gets to earning Jack's approval.