Apparently residents are actually saving hospitals mucha dinero http://www.aafp.org/online/en/home/...ident-student-focus/20090702acgme-tstmny.html Family Medicine Leaders Urge ACGME to Resist Call for More Limits on Residents' Duty Hours "The testimony from Epperly -- who also is program director and CEO of the Family Medicine Residency of Idaho -- and others came in response to recommendations contained in a report released by the Institute of Medicine, or IOM, in December 2008. In the report, the IOM recommended that continuous on-site duty periods for residents not exceed 16 hours unless a five-hour uninterrupted sleep period is provided between 10 p.m. and 8 a.m. Other recommendations in the IOM report, "Resident Duty Hours: Enhancing Sleep, Supervision and Safety," proposed reducing residents' workloads and increasing the number of days they would have off each month. The IOM estimated that the cost of shifting resident work to other clinicians to comply with the proposed changes would be $1.7 billion a year. A later report from the nonprofit research organization RAND Corp. and the University of California, Los Angeles, estimated those costs at $1.6 billion a year." If a slight work hour change like this is worth that much, I dont want to imagine how much the whole enchilada is bringing in. If I am not mistaken, the last time $$$ was used to justify inhumane treatment was during the fight to abolish slavery.