This is incredibly ironic, because really you're missing everyone else's point.
No one in this thread (IIRC) is saying anything about how making money is bad, or even that physicians don't deserve to be compensated adequately. What people are saying is: I value personal satisfaction in a job highly, and to me personal satisfaction has high worth to me in a career I am considering.
Maybe you should go look at the title of the thread again....it says something about physicians being squeezed; it's not "lets talk about personal job satisfaction thread"...try working on that reading comprehension. I understand what people are saying...they think that they love medicine so much, that they would do it for a reduced pay. That is the the type of attitude that bothers me. A thread that started out about physician's pay got a bunch of idealists to say that they would do this job for less money.
That's all fine and well, but every other profession out there (including other health care providers such as nurses) fights vehemently for their compensation. I don't see why physicians can't do the same. I'm not arguing against idealism, but I'm arguing against the attitude that it's taboo for a physician to be interested in their own financial future.
Again, you're talking about job satisfaction. What exactly does job satisfaction have to do with your pay? Are you trying to imply that since you are satisfied with your job, that you are willing to take less pay? I am arguing against that attitude. I want a job that will be both self satisfying and financially lucrative. I see nothing wrong with that.
Saying "I would be willing to work for So-and-so much" doesn't mean "My job is only worth me being paid So-and-so much."
Yes it does. That is exactly what it means. By taking less money, you are devauling yourself and in the process, others in your same field. I could care less what you do as an individual, but it is the attitude that physicians shouldn't care about money that is a partial factor in driving down pay.
I'm pretty sure if every physician said, "Hey, my skills are worth X amount of dollars, and I'm not going to take less" then they wouldn't be "squeezed" as the title of this post suggests. But that won't work if there are some nut jobs who will do the same job for pennies on the dollar.
Let me put it another way...when your employer says, I need you to take a paycut, and your general attitude is "Hey, it's ok, I love this and I would do it for less anyway!", how much do you think that employer is going to take from you? He's going to take as much as you allow him to. Not only that, then your employer is going to go to your other co-workers and say "Evergray is doing the same job as you guys for less pay, so since he is ok with it, the rest of you should be too!"
It's not about saying what med schools want to hear. It's common sense, for two reasons. (1) You are going into a field where you have some of the longest schooling and training, have the highest tuition debt, and will be working pretty extreme hours during residency. The time value of money looms large -- $100 earned today is worth a whole lot more than $100 earned a decade from now. It's the first rule of finance, and why all the MBA's have fancy calculators with Net Present Value buttons. Delayed earnings is worth a lot less than face value. Most other fields will get you out and earning disposable income a lot earlier. It may be lower face value, but if you get it sooner it may well be worth more. (2) There is more of a ceiling on income in medicine. In the business world, there is no upper limit to income -- a lot is dictated by investments, the economy, marketing skills, other talents. Medicine is fairly regimented, and earnings are largely dictated by reimbursements from the insurance industry, and so it's a rarity for someone to earn substantially more than the norm or outside of a very fixed range. There are advantages, because while there is a ceiling, there is also generally a floor in medicine. So you have job security and generally will earn some comfortable level of income. But the price you pay for this security is the upper limit. It's a good example of the risk vs reward balance.
If you go into med school you will see some former college classmates driving around in sports cars while you are toiling in residency. The smaller percentage of folks who come out of college and law school into decent jobs will start earning decent money long before you, and while your face value income may be greater in another decade, again, money later isn't worth as much. Most importantly, you will very likely miss the next economic boom in a few years because while you are taking out huge student loans, some non-physician friends will be able to squirrel away similar amounts of savings to invest.
So no, it's not about saying what med schools want to hear, or about some focus on altruism. People say it's a bad path to take for money because that's a fact. The folks who get really rich aren't usually doctors. If you want to maximize wealth this isn't the right path. If you are willing to work very long hours and experience very delayed gratification for a comfortable (but hardly maximized) income, then that's usually what medicine can provide. But only a financially naive person would think that this is one of the better paths for the money. This topic has been done to death on SDN, and sadly people keep coming onto pre-allo with wrong concepts of wealth maximization. The further out you have the wait for a payday the worse the investment is. Period. And when you top it off with having to borrow a quarter mill in the process, it's foolhardy. And then having to work 80 hour work weeks along the path to boot...
So they don't want to hear this because it's the party line. They want to hear it because it's the only logical conclusion a bright person with any financial common sense can come to, and they'd like to think they are recruiting bright people. If you want money, you take one of the riskier, shorter paths where money is the emphasis. If you take medicine, you have less risk, but it's such a long and expensive and ceiling heavy path that you will never maximize your wealth and are expected to understand this.
Wow. That was a very long rant to state that medicine isn't the fastest way to make money. Thank you Captian Obvious.
I never said medicine was about obtaining wealth.
I said it was about fair compensation. Not once did I talk about wealth or "getting rich." Just like you, I feel that future physicians should be very aware of the future climate surrounding medicine and pay. Instead of bending over and taking it though, physicians should take a stand and say "I'm not going to get squeezed"
About what med schools want to hear...I can't tell you how many interviews I've done where every applicant tells me about how they just want to help people, and how the big problem in medicine is that we don't have many primary care docs, and that they are totally planning to go into a lower paying speciality.....give me a freaking break. Everyone says this crap, and very few actually mean it. Every school out there preaches about the holy grail of primary care...don't act like this is some phenomenom that is just made up.
Want proof? What are the most competitive specialities? I'll give you a hint....it ain't primary care.
Now I wonder....what do the most competitive specialities have in common???