Gender Pay Gap

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Status
Not open for further replies.
Hello, I am currently a female Pre Med student, and reading about the pay gap in medicine is really getting me down. Is it really as bad as I am reading online? 30,000 - 100,000 yearly difference for females than men in the same field?

I think a lot of it is misleading to be honest but am open to the possibility I could be wrong. Many of the female physicians I know work fewer hours due to child care (even if they have a nanny) or for extended unpaid maternity leave (beyond the part that is paid). As such it might not be a disparity in pay rate so much as it is the inherently unfair and cruel nature of biology and family commitments limiting the number of hours.
 
I've seen fairly significant pay gaps anecdotally but can't give you a definite answer. However, the US is going to have socialized medicine by the time you and I are are out of pre med and into our careers and I'm sure we'll be making sub-180k, I noticed EU countries with UHS still have pay gaps but they're closer to 5-15k between male and female because the overall pay itself is much lower. Still an inexcusable problem though.
 
It’s literally illegal to pay women less for the same job. Women as a group make less because they work fewer hours (childcare), choose lower paying specialties (like Peds), and are less likely to negotiate.
 
It’s literally illegal to pay women less for the same job. Women as a group make less because they work fewer hours (childcare), choose lower paying specialties (like Peds), and are less likely to negotiate.
Just curious -- how does "less likely to negotiate" coexist with "literally illegal to pay women less for the same job"? If a practice is literally illegal, what does willingness or skill in negotiating have to do with anything??? 😎
 
Just curious -- how does "less likely to negotiate" coexist with "literally illegal to pay women less for the same job"? If a practice is literally illegal, what does willingness or skill in negotiating have to do with anything??? 😎
lol c'mon ya know what i meant. you can't pay someone less based on their gender. and anecdotally, speaking from personal experience in management in corporate america, women NEVER asked me for a raise while the guys would ask every performance review.
 
lol c'mon ya know what i meant. you can't pay someone less based on their gender. and anecdotally, speaking from personal experience in management in corporate america, women NEVER asked me for a raise while the guys would ask every performance review.
I know, just busting chops! 😎

My point, which you made with childcare and peds, is that there are always differences (like negotiating skill), so there is no such thing as "literally illegal" since the pay gap is well documented and applies to basically all types of positions all through the economy. Medicine is no different, so it hardly seems worth a thread, but what do I know???

Starting out we are all the same, depending on specialty, and everyone takes their own path after that. Some women will do much better than some men, but we all know what the averages are, and the various reasons for the gap!
 
I appreciate the feedback here. I am a fairly masculine, gay woman who is going to be the head of my household so it is important to me to make what I should be making for my position, and also get to do what I love. It is obviously different for me kids wise because my partner and I won’t be having children the typical way, and will most likely adopt. I wonder how this would effect things, if it would at all.
I was hoping to get some feedback from women who are currently doctors, and their experiences as well.
 
I've seen fairly significant pay gaps anecdotally but can't give you a definite answer. However, the US is going to have socialized medicine by the time you and I are are out of pre med and into our careers and I'm sure we'll be making sub-180k, I noticed EU countries with UHS still have pay gaps but they're closer to 5-15k between male and female because the overall pay itself is much lower. Still an inexcusable problem though.
Where did the idea of sub 180k salaries being the norm come from?
 
Where did the idea of sub 180k salaries being the norm come from?
Look at basically any EU country...UK, Switzerland, Germany, France, Sweden...all countries that are heavily compared to the US by propoents of UHS here. Specialist salaries rarely cross the 170k mark, and throw 50+% income tax on top (granted, I don't know their bracket laws in detail, 50+% is still significant). Also, I'm 19 and the vast majority of my age group (anecdotal, not stats so take with as many grains of salt as you like) is now voting age and prefers comparatively radical policies, I'm telling you I would NOT be surprised to see significant UHS policies and soon the entire system get overhauled into our careers in 10ish years.
 
Look at basically any EU country...UK, Switzerland, Germany, France, Sweden...all countries that are heavily compared to the US by propoents of UHS here. Specialist salaries rarely cross the 170k mark, and throw 50+% income tax on top (granted, I don't know their bracket laws in detail, 50+% is still significant). Also, I'm 19 and the vast majority of my age group (anecdotal, not stats so take with as many grains of salt as you like) is now voting age and prefers comparatively radical policies, I'm telling you I would NOT be surprised to see significant UHS policies and soon the entire system get overhauled into our careers in 10ish years.
This is probably more a sampling bias than an accurate representation of current American attitudes.

I can't say I would make the same 10 year bet
 
This is probably more a sampling bias than an accurate representation of current American attitudes.

I can't say I would make the same 10 year bet
Fair, but don't you think it's significant that we just elected someone who proposed major healthcare policies as part of his agenda as well as the fact that democrat control of the house (+plus 48 senate seats) are filled with strong propoents for socialized medicine? That's not to say I don't like their candidacy, I just think we'll see more and more such folks enter office to the point where it's an inevitable transition to UHS.
 
Fair, but don't you think it's significant that we just elected someone who proposed major healthcare policies as part of his agenda as well as the fact that democrat control of the house (+plus 48 senate seats) are filled with strong propoents for socialized medicine? That's not to say I don't like their candidacy, I just think we'll see more and more such folks enter office to the point where it's an inevitable transition to UHS.
Regardless of how you stand politically, the election was as much about voting against Trump as it was voting for Biden. Despite the presidential lead, Senate and House are shifting red, which indicates people probably aren't as keen about the radical policies.

There have been some recent reports of the Democrat Congressional candidates talking about how some of these more radical ideas are killing support for the party. So it seems like people aren't warm to those ideas at this time.

This is not to advocate one way or the other, but to simply say the current state of things makes me think socialized healthcare is unlikely right now.
 
Fair, but don't you think it's significant that we just elected someone who proposed major healthcare policies as part of his agenda as well as the fact that democrat control of the house (+plus 48 senate seats) are filled with strong propoents for socialized medicine? That's not to say I don't like their candidacy, I just think we'll see more and more such folks enter office to the point where it's an inevitable transition to UHS.
What's more likely to happen is having some kind of expanded public service while also having a private option. From there, physicians can chose what they want to cover/earn (obviously if they only see public option patients, reimbursements would probably be lower). Every college student is a super radical leftist, that's what being in college is all about. Fortunately/unfortunately, depending on how you believe, these numbers are never high enough to push to super left policy, and a lot of fiscal political opinions change as they get older (ESPECIALLY physicians who do not want to spend their entire 20's and early 30's not making any money in medicine + 400k loans to only make 150k per year). UHS definitely has some pro's to it, but also lots of cons, and a lot of kinks will need to be worked out in our very productive political system for it to feasible/palatable to enough voting Americans.
 
What's more likely to happen is having some kind of expanded public service while also having a private option. From there, physicians can chose what they want to cover/earn (obviously if they only see public option patients, reimbursements would probably be lower). Every college student is a super radical leftist, that's what being in college is all about. Fortunately/unfortunately, depending on how you believe, these numbers are never high enough to push to super left policy, and a lot of fiscal political opinions change as they get older (ESPECIALLY physicians who do not want to spend their entire 20's and early 30's not making any money in medicine + 400k loans to only make 150k per year).
That's exactly my fear. I get accused of being an imposter in medicine so often by peers when I mention my lack of interest in American socialized medicine..."how can you be a doctor if you don't support healthcare for all??". I definitely support healthcare for all but I don't think you can have 400k med school, whatever the heck residency is, and then salaries matched by successful landscapers and folks in technical fields. We'd have a huge shortage and I'd probably live my life paying loans. I don't know what the solution is, though. But I still think we'll soon see a huge transition before many realize it's not as glamorous as it seems.
 
That's exactly my fear. I get accused of being an imposter in medicine so often by peers when I mention my lack of interest in American socialized medicine..."how can you be a doctor if you don't support healthcare for all??". I definitely support healthcare for all but I don't think you can have 400k med school, whatever the heck residency is, and then salaries matched by successful landscapers and folks in technical fields. We'd have a huge shortage and I'd probably live my life paying loans. I don't know what the solution is, though. But I still think we'll soon see a huge transition before many realize it's not as glamorous as it seems.
Things in government happen a lot slower than you might think. It's not like they can just flip a switch and make it happen.

You'll find an assortment of opinions in medical school. Everything's black and white in college and early 20's, but reality has nuance.
 
That's exactly my fear. I get accused of being an imposter in medicine so often by peers when I mention my lack of interest in American socialized medicine..."how can you be a doctor if you don't support healthcare for all??". I definitely support healthcare for all but I don't think you can have 400k med school, whatever the heck residency is, and then salaries matched by successful landscapers and folks in technical fields. We'd have a huge shortage and I'd probably live my life paying loans. I don't know what the solution is, though. But I still think we'll soon see a huge transition before many realize it's not as glamorous as it seems.
College was a wonderful place but I do not miss the bolded. Those conversations really aren't worth having, given how immensely complex the problem is, and honestly if someone is approaching it like that, that's a red flag they wouldn't ever be willing to even honestly debate on it anyways. Conflating good doctor with MFA is definitely a feel-good thing to virtue signal in the PreMed Club of Wherever, but you're right, with loans, opportunity cost, etc, it just isn't that simple. Everyone who is going into a medicine, and I hope most physicians, realize that the system needs to change, but in what way and how remains to be seen. I don't think it will be MFA as its being advertised today. Realizing @athorcommens and I are saying the same things hahaha.
 
College was a wonderful place but I do not miss the bolded. Those conversations really aren't worth having, given how immensely complex the problem is, and honestly if someone is approaching it like that, that's a red flag they wouldn't ever be willing to even honestly debate on it anyways. Conflating good doctor with MFA is definitely a feel-good thing to virtue signal in the PreMed Club of Wherever, but you're right, with loans, opportunity cost, etc, it just isn't that simple. Everyone who is going into a medicine, and I hope most physicians, realize that the system needs to change, but in what way and how remains to be seen. I don't think it will be MFA as its being advertised today. Realizing @athorcommens and I are saying the same things hahaha.
Appreciate the tag team XD
 
College was a wonderful place but I do not miss the bolded. Those conversations really aren't worth having, given how immensely complex the problem is, and honestly if someone is approaching it like that, that's a red flag they wouldn't ever be willing to even honestly debate on it anyways. Conflating good doctor with MFA is definitely a feel-good thing to virtue signal in the PreMed Club of Wherever, but you're right, with loans, opportunity cost, etc, it just isn't that simple. Everyone who is going into a medicine, and I hope most physicians, realize that the system needs to change, but in what way and how remains to be seen. I don't think it will be MFA as its being advertised today. Realizing @athorcommens and I are saying the same things hahaha.
Things in government happen a lot slower than you might think. It's not like they can just flip a switch and make it happen.

You'll find an assortment of opinions in medical school. Everything's black and white in college and early 20's, but reality has nuance.
Good points. All I know is I plan to go into ID, already a ticket to massive loans, long education and a respectable but low-for-MD pay. The last thing I want is to lose whatever I do make to very high taxes with no loan reimbursement and see half my colleagues disappear because many do see medicine as a ticket to good pay. Guess I'll sit and see, just stresses me out because I'm nearing the time where I'll have to sign over a quarter million and my left kidney to get my degree


Edit- fat sorry to OP didn't mean to make your legitimate concerns a playground of political opinions lol
 
Good points. All I know is I plan to go into ID, already a ticket to massive loans, long education and a respectable but low-for-MD pay. The last thing I want is to lose whatever I do make to very high taxes with no loan reimbursement and see half my colleagues disappear because many do see medicine as a ticket to good pay. Guess I'll sit and see, just stresses me out because I'm nearing the time where I'll have to sign over a quarter million and my left kidney to get my degree


Edit- fat sorry to OP didn't mean to make your legitimate concerns a playground of political opinions lol
You're 19, don't worry about any of that right now. We'll probably have a new president by the time you are in medical school. I'd tell you not to worry about that other stuff, but you don't even need to think about any of that right now. And by the time you do, it probably won't be as scary. You'll know more and understand the state of things better. So just do well in college and do some cool extracurricular stuff.
 
Many things to unpack here...

Do female, private-practice, full-time orthopedic surgeons make less than their male counterparts? I'm wondering if the pay gap is still there for an apple-to-apples comparison or if its more broad, i.e. more females in peds (is there?) so "female" pay is skewed down.

Regarding your concern about universal healthcare... as someone who is a strong supporter of it, I can just tell you it is not going to happen anytime soon. The closest chance there was would have been Bernie Sanders winning the primary, and how did that work out? He got absolutely schooled, and his message of "let's have universal healthcare" was not enough even during a pandemic, which caused people to lose their jobs, which were tied to their healthcare, which Bernie's opponents constantly heralded as the correct way to deliver healthcare. If the message can't win then, when will it? Also, even if everyone agrees with medicare for all, people will still vote against it, as was seen in exit polling where medicare for all had a majority of support and Biden still crushed. Young people want medicare for all and vote for "radicals" like Bernie Sanders, yes, but older people already enjoy these scary "socialist" programs, and are not particularly concerned with changing the status quo too much. They wanted to beat Trump and the mainstream media told them Biden was the one to do it - so they voted for Biden. This will probably always continue to happen as the republican candidates become more and more extreme and democratic voters flock to the "safe" option.

Regarding salaries... european docs make less, but also on average these countries have a way less income inequality anyway. Nurses there make less, bankers, tech workers, literally everyone makes less there, that's what Europe is. Lower salaries are not mandated in a single payer system, you could cut US physician reimbursements in half and drop healthcare spending by a whopping 6%. If you look at the Lancet article on financing a single payer system its obvious that you can raise physician reimbursements, cover everyone, and pay less as a country on healthcare.

Also, the most "radical" politicians are the only ones who want to cancel every penny of student debt, even for physicians. The "moderate" democrats and republicans are the ones who are trying to "stick it" to "rich physicians" and want to cap any broad cancellation or even PSLF payment, which is interesting when all I hear is that it's the "radical" politicians who hate rich people like doctors...

The reality is that there is literally billions of dollars hinging on the maintenance of the status quo. To address your concern, that status quo means no medicare for all; however, it also means skyrocketing tuition, the corporatization of medicine, decreasing reimbursements, more paperwork, more authorizations, and less autonomy, which in my opinion is much worse than guaranteeing healthcare.
 
I've seen fairly significant pay gaps anecdotally but can't give you a definite answer. However, the US is going to have socialized medicine by the time you and I are are out of pre med and into our careers and I'm sure we'll be making sub-180k, I noticed EU countries with UHS still have pay gaps but they're closer to 5-15k between male and female because the overall pay itself is much lower. Still an inexcusable problem though.

lmao who said it will be socialized? Ppl have been saying it should be socialized for decades lol. Plus the Supreme Court would probably rule against it and now it’s majority “conservative”

also, vast vast majority wouldn’t make less than 180, in fact some salaries may increase

some specialities *may* take a like 15% hit, but those guys are already pulling like 400+
 
It’s literally illegal to pay women less for the same job.

Pretty much this? Literally every time the Department of Labor looks into this issue the explanation to all of this is personal choices and decisions.
 
Many things to unpack here...

Do female, private-practice, full-time orthopedic surgeons make less than their male counterparts? I'm wondering if the pay gap is still there for an apple-to-apples comparison or if its more broad, i.e. more females in peds (is there?) so "female" pay is skewed down.

Regarding your concern about universal healthcare... as someone who is a strong supporter of it, I can just tell you it is not going to happen anytime soon. The closest chance there was would have been Bernie Sanders winning the primary, and how did that work out? He got absolutely schooled, and his message of "let's have universal healthcare" was not enough even during a pandemic, which caused people to lose their jobs, which were tied to their healthcare, which Bernie's opponents constantly heralded as the correct way to deliver healthcare. If the message can't win then, when will it? Also, even if everyone agrees with medicare for all, people will still vote against it, as was seen in exit polling where medicare for all had a majority of support and Biden still crushed. Young people want medicare for all and vote for "radicals" like Bernie Sanders, yes, but older people already enjoy these scary "socialist" programs, and are not particularly concerned with changing the status quo too much. They wanted to beat Trump and the mainstream media told them Biden was the one to do it - so they voted for Biden. This will probably always continue to happen as the republican candidates become more and more extreme and democratic voters flock to the "safe" option.

Regarding salaries... european docs make less, but also on average these countries have a way less income inequality anyway. Nurses there make less, bankers, tech workers, literally everyone makes less there, that's what Europe is. Lower salaries are not mandated in a single payer system, you could cut US physician reimbursements in half and drop healthcare spending by a whopping 6%. If you look at the Lancet article on financing a single payer system its obvious that you can raise physician reimbursements, cover everyone, and pay less as a country on healthcare.

Also, the most "radical" politicians are the only ones who want to cancel every penny of student debt, even for physicians. The "moderate" democrats and republicans are the ones who are trying to "stick it" to "rich physicians" and want to cap any broad cancellation or even PSLF payment, which is interesting when all I hear is that it's the "radical" politicians who hate rich people like doctors...

The reality is that there is literally billions of dollars hinging on the maintenance of the status quo. To address your concern, that status quo means no medicare for all; however, it also means skyrocketing tuition, the corporatization of medicine, decreasing reimbursements, more paperwork, more authorizations, and less autonomy, which in my opinion is much worse than guaranteeing healthcare.
Can't say I agree with much of what you said. But to keep things on topic, there are a few other big obstacles for MFA in America.

1. America has a lot more unhealthy patients due to avoidable things like smoking and obesity.
2. Administrators making things difficult.

TBH, I don't want MFA because I don't want to pay for the 50 pack year 50 BMI person with htn, hld, and dm. I'll treat them, but I don't want to be forced to pay for them.
 
Can't say I agree with much of what you said. But to keep things on topic, there are a few other big obstacles for MFA in America.

1. America has a lot more unhealthy patients due to avoidable things like smoking and obesity.
2. Administrators making things difficult.

TBH, I don't want MFA because I don't want to pay for the 50 pack year 50 BMI person with htn, hld, and dm. I'll treat them, but I don't want to be forced to pay for them.

Don't forget that almost half of America just voted for Trump again. Policies like M4A have a much higher perceived support than actual support. And also the insurance lobbying would block anything from happening.
 
This will not happen any time in the next two decades if ever. If Biden's medicare plan manages to pass it will fix many of the problems the average American has with the healthcare system, and most of the support for medicare for all would dissipate.

Secondly, if any massive change were to occur, we would be going the direction of Canada, not the UK. Canadian physicians still make a very respectable income: Over $360,000 USD for surgical subspecialties and over $210,000 USD for primary care.

Even if we were to suddenly switch to medicare for all, physicians would be reimbursed around 20% less, not making sub 180k. Especially since the lower paying specialties would be hit less.


Edit: To bring this back on topic, it depends on what your practice setting is. Male and female physicians are reimbursed identically in private practice, but you could have sexist partners that refuse to pay you equally. I am in agreement that a portion of the pay gap exists because of differences in hours worked.
Oh true, I forgot what the actual original topic was lol
 
I appreciate the feedback here. I am a fairly masculine, gay woman who is going to be the head of my household so it is important to me to make what I should be making for my position, and also get to do what I love. It is obviously different for me kids wise because my partner and I won’t be having children the typical way, and will most likely adopt. I wonder how this would effect things, if it would at all.
I was hoping to get some feedback from women who are currently doctors, and their experiences as well.
I suspect that, as a female physician in a same-sex relationship, you would be less affected by the social pressures that account for at least part of the medical gender wage gap (eg the pressure on women to be the primary caretaker of children in a hetero marriage). I'm a male, though, so take that guess with a grain of salt. I'd love to hear about female physicians' experiences with this
 
Status
Not open for further replies.
Top