I don't mean to take sides on anything this just reminded me of an anecdote.
I had a roommate in college who was pre-med, and everywhere he worked or hung out, he somehow contrived to get himself the nickname "Dr." or "Doc." He'd wear a lab coat whenever he could, and dispense medical advice despite having no better source than a fascination with WebMD.
It made me absolutely furious, mostly because I'm totally punctilious in my use of honorific titles, going as far as to dig up people's CVs to figure out what pre-nominal title to use when writing them a letter. I figure that people work hard for their titles, and they deserve to have them used properly.
Fast forward to now, and he's still way behind on his med school schedule, scoring too low on his MCAT to apply and missing prereqs, so he's working as a graveyard shift flunky at the hospital while he tries to make that application competitive. I have no proof that it's karmic retribution for taking the honorific early that's delayed his ability to get it for real, but it'd be poetic justice if it was.