I'd say that the majority of the people smart enough to get into medical school are smart enough to get into a T14 law school based on the soft skills that cross over. With Finance you typically need some kind of Business or Finance degree from a Top 10 school to be competitive with firms post college. Should you not have the pedigree or major, theoretically, you could work with a biology degree and get a top tier MBA after a couple years (Wharton, Harvard). All less time consuming than medicine with similar compensation. Also keep in mind the SDN mentality of going into medicine for any other reason than altruism. I think the reasoning of prestige, income, and a little bit of scientific curiosity is a lot more common than one may think, and not nearly as "miserable" should you choose the right specialty that allows ample time to live life outside of your job with that great compensation. After all, it is just a job. Again, I think the kind of people on these forums are inclined to work towards that top specialty of something like surgery, which may have horribly long hours, and if you don't enjoy your work and you are focused solely on time outside the OR, it could be painful.