So I was talking to my friend today about medicine and the potential health care reform in general, he's interested in both medicine and IB, but advised me not to go into medicine since salaries will significantly be lower and that wouldn't be nice with $200K debt from med school. I told him I'm still considering it anyway, since I can't really see myself doing anything other than medicine, and definitely not IB. I remembered a previous conversation with a family medicine doctor with a private practice I shadowed saying that he made $600K including billing costs, overhead taxes etc. by doing some elective dermatology procedures and endoscopy aswell as the occasional OB. Seeing as he's already a senior doctor I can see how this is possible but then I thought with the future health reform, this can't be possible right? Plastic surgeons/dermatologists should be unaffected to also? Edit: It seems people are getting confused. I am not asking how I can get over $500K if I pursue medicine. I was just wondering if those high-paying salaries days will be over, out of interest, a discussion rather. Not a question for my own benefit.