It's not pessimistic - it's pragmatic. And to make a statement such as "Personally I don't give a hoot about anything but helping patients. As long as I succeed in doing that I could care less what anyone thinks or pays me" comes off as naive. We provide a service that has value and continue to be poorly reimbursed for that service. Attitudes like the previous quote don'tt help us change that. It also doesn't ackowledge the financial hardships some face when pursuing this profession.
My point was that the thread had gotten completely off topic. Ironically, the pessimism statement was also largely unrelated to the post I was quoting, but was meant to be in reference to an earlier post.