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No Bueno, MD's avatar

Different systems benefit different people. It makes us uncomfortable to see inequality in our society, but I think it would be worse to feel like we, as individuals, were not properly compensated for our contributions to society. Can you imagine spending 30 years of your life training to be a doc and earning the same as a plumber (no disrespect to plumbers). My point is: for all its faults, there’s no better place than America for an ambitious, talented, and driven individual, and certainly no better place to be a physician.

JMirrer MD's avatar

To be a specialist in medicine - that’s for sure. But it’s not necessarily true for primary care. The healthcare system is just as extractive as many other industries. We just happen to extract value from chronic disease. This is the royal we which includes the network of hospital systems and insurance. But the need for many specialists is created by pressure of the system created by chronic disease. We’d certainly still have specialists like endocrinologists, cardiologists, and vascular surgeons. But there potentially would be fewer needed to manage diabetes, coronary artery disease, and limb amputations respectively with decreased chronic disease burden.

I am by no means an anti-capitalist and I love what I do (and definitely enjoy the fruits of my labor). But I still see the issues within the system and the risk distributed not only to the rest of the world, but also to citizens within the US. I know they say “don’t bite the hand that feeds you.” I’m certainly not trying to take a “bite” out of anything or anyone, but there are better ways of managing society that simultaneously benefits others. There’s no such thing as utopia, because man’s attempt at creating heaven on earth will inevitably lock us into hell. That’s how we got things like The Inquisition, Crusades, and Nazism.

All I’m saying is that we eventually mitigated the risk of the Robber Barons of the late 19th and early 20th Century. We should probably do the same now.