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I'm sure Envision, USACS, etc. would love to talk to you about this...I'm a little late to the party but has anyone considered working just for charity? I have been incredibly blessed to be in the position I am in. I'm 40 years old currently and have considered downshifting in a way that every year from now on I donate the money from that shift to charities of my choice. I work about 10 clinical shifts a month now and have considered by Age 50, I will work 100% to donate everything. No stress about RVU or moving meat. Just work at my pace in a busier shop. If they pay me less then so be it. I can let the market do the lifting between now and then.