In the long run yes, I am worried, only because of politics.
Look at the headlines of coming negative political changes and threats to overall reimbursement. Bernie Sanders, Kamala Harris, AOC. Changing to medicare for all or something similar will slash physician compensation in all fields, not just hospitalists.
Look at the NHS, where attending docs make ~110k USD. (
General internal medicine jobs in Consultant).
See Canada, where hospitalists are making garbage rates of ~$900 USD for a single day shift (I have made $1800-2000 for a day shift at a prior moonlighting hospitalist gig...literally more than double the Canadian).
Hospitalist | Canadian Society of Hospital Medicine
Or look at Japan, where they make ~130 USD for working even MORE average hours of work a week than in the UK (
Hospital doctors feeling the strain | The Japan Times).
Not to mention all these countries have higher taxes, which will also increase for us if our politicians implement similar healthcare systems.