Is it true about those that want to save the world?

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And may I add that money isn't a big deal to you if you've never earned any which is why many pre-meds can blithely give away their future salaries, professing that they will be happy with some fraction of what they will actually earn? In other words, money (at least Big Money like what I will make next year) is just an abstraction to you if you are a grungy but happily impoverished college student. Hey, we've all been there.

Or perhaps some people have lived their entire lives without being surrounded by excessive materialism. You mention your college time being broke but honestly who hasn't? It doesn't mean anything to be broke during college. Some people were actually broke long before college so professing to actually do without, while foreign to some it apparently seems, isn't that drastic a claim to make.

It's just money. Some things are more important.
 
Or perhaps some people have lived their entire lives without being surrounded by excessive materialism. You mention your college time being broke but honestly who hasn't? It doesn't mean anything to be broke during college. Some people were actually broke long before college so professing to actually do without, while foreign to some it apparently seems, isn't that drastic a claim to make.

It's just money. Some things are more important.

Har har. Wait and see.
 
It's just money. Some things are more important.

i've had SOOO many talks with my dad on this issue alone.
But i'll just throw in something i learned from studying Abraham Maslow (psychologist) which more or less states that after we have met our basic needs of survival, money drastically loses its importance on the hierarchy of needs.
another interesting study im sure you have heard of is that of following the happiness of lottery winners. I'm sure you know/remember how that one ended up.
 
Har har. Wait and see.

Well, I am all for realism and keeping it real. Being honest with yourself is one of the keys to happiness. Also, I agree that having plenty of money to do everything that you want is pretty important; at least it is to me. One has to meet practical needs. However, you forgot people like me who actually made a decent living before pursuing medicine and decided that money definitely isn't everything, that there are more important things than the almighty dollar, after having a greater than average salary. I certainly worked for my money, averaging sometimes 120 hrs a week, or more, as a computer professional. It wasn't worth the money that I made, because I pretty much hated what I was doing. Money didn't make my life better or more liveable, up to a certain point. It still sucked, despite the nice salary, because of other factors.

On the other hand, I've held bit jobs where I made next to nothing, but enjoyed them thoroughly and my life, despite having little to no money; it was an honest, albeit modest, living. Heck, there was even a time when I was essentially unemployed and broke. In these instances, there was a certain simplicity to my life that I liked, but ultimately, I didn't have enough money to do everything I wanted.

I've been through many parts of the money spectrum. My realization from all these experiences is that money doesn't drive happiness, but it certainly does contribute to it. It's not necessarily a dose-response relationship, however. More money doesn't continually add more happiness. I mean, having enough to live comfortably is good for some and it is certainly my minimum standard, having experienced a life without much, barely making ends meet. Money shouldn't be minimized, but it shouldn't be the end all, either. We all have individual definitions of what it means to be happy and how much money is plenty. At this point in my life, I want plenty of money to do everything I want and need to do. It isn't my objective to make loads of money, but it is one consequence of what I do and it helps me maintain my happiness. I try not to let money define me; it's a resource.

Anyway, I have no illusions about my life and where I am headed. I'm going to be a military physician. I'll have plenty of money, but I'm not going to be stinking rich, nor do I really want to be, as long as I can live comfortably. I think I'll be okay with what I am going to be making. If my needs and wants change, and more money is needed, I'll adjust accordingly. Besides that, I think despite the significant challenges that military physicians face, I'll be happy to wake up in the morning to it. I wouldn't have chosen this path, had I not felt this way. Money wasn't the driving force for my decision.

Life in pursuit of money seems awefully empty to me. I have no wish to reduce my life to that. There are definitely more worthy pursuits in my humble opinion. What these are tend to be highly individual. However, I also have no wish to live as a pauper. I've been there and done that. I want a life of comfort, where I have plenty of money to do the things I want and need, but I also don't want money to be my reason for living.
 
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i've had SOOO many talks with my dad on this issue alone.
But i'll just throw in something i learned from studying Abraham Maslow (psychologist) which more or less states that after we have met our basic needs of survival, money drastically loses its importance on the hierarchy of needs.
another interesting study im sure you have heard of is that of following the happiness of lottery winners. I'm sure you know/remember how that one ended up.

Well, I think that's true, at least for me. If I am on the verge of surviving, as I have been in the past, money tends to take on a more important component of my life, since it tends to contribute critically to survivability and in meeting my basic needs. It's hard to look beyond survival when you are deep in trying to meet your basic needs, when you are hungry, in need of shelter, etc. As future physicians, we will not ordinarily be in that position. The vast majority of us, whatever our chosen field, will at least live comfortably, and thus be able to look beyond our basic survival and into what it take to make us truly thrive.

Once I have plenty, I imagine being more able to extend beyond myself and into being of greater service to others. If my belly isn't full, I'm going to want to feed myself first. That's the nature of being human. It is difficult to meet my life's purpose on an empty stomach.

The thing is, though, a great many of us get stuck in survival mode, well beyond what is necessary; many simply don't ask the question, "How can I truly thrive?" This is something I have yet to fully understand.
 
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If you want to save the entire world, rather than just a life here or there, probably Warren Buffet, or even Bill Gates and his wife, are better role models. But sadly, not even Buffet or Gates, can save the entire world. If the ship goes down, we probably will all go down together, gasping for air, before we drown, but we all die alone, even when we die together.

lol how embarrasing for you
 
Well, I am all for realism and keeping it real. Being honest with yourself is one of the keys to happiness. Also, I agree that having plenty of money to do everything that you want is pretty important; at least it is to me. One has to meet practical needs. However, you forgot people like me who actually made a decent living before pursuing medicine and decided that money definitely isn't everything, that there are more important things than the almighty dollar, after having a greater than average salary. I certainly worked for my money, averaging sometimes 120 hrs a week, or more, as a computer professional. It wasn't worth the money that I made, because I pretty much hated what I was doing. Money didn't make my life better or more liveable, up to a certain point. It still sucked, despite the nice salary, because of other factors.

On the other hand, I've held bit jobs where I made next to nothing, but enjoyed them thoroughly and my life, despite having little to no money; it was an honest, albeit modest, living. Heck, there was even a time when I was essentially unemployed and broke. In these instances, there was a certain simplicity to my life that I liked, but ultimately, I didn't have enough money to do everything I wanted.

I've been through many parts of the money spectrum. My realization from all these experiences is that money doesn't drive happiness, but it certainly does contribute to it. It's not necessarily a dose-response relationship, however. More money doesn't continually add more happiness. I mean, having enough to live comfortably is good for some and it is certainly my minimum standard, having experienced a life without much, barely making ends meet. Money shouldn't be minimized, but it shouldn't be the end all, either. We all have individual definitions of what it means to be happy and how much money is plenty. At this point in my life, I want plenty of money to do everything I want and need to do. It isn't my objective to make loads of money, but it is one consequence of what I do and it helps me maintain my happiness. I try not to let money define me; it's a resource.

Anyway, I have no illusions about my life and where I am headed. I'm going to be a military physician. I'll have plenty of money, but I'm not going to be stinking rich, nor do I really want to be, as long as I can live comfortably. I think I'll be okay with what I am going to be making. If my needs and wants change, and more money is needed, I'll adjust accordingly. Besides that, I think despite the significant challenges that military physicians face, I'll be happy to wake up in the morning to it. I wouldn't have chosen this path, had I not felt this way. Money wasn't the driving force for my decision.

Life in pursuit of money seems awefully empty to me. I have no wish to reduce my life to that. There are definitely more worthy pursuits in my humble opinion. What these are tend to be highly individual. However, I also have no wish to live as a pauper. I've been there and done that. I want a life of comfort, where I have plenty of money to do the things I want and need, but I also don't want money to be my reason for living.

Ironically, however, it's a lot easier to live like money doesn't matter to you if you have a lot of money, somewhat like a lot of people I knew in Vermont (I did part of my undergrad at UVM) who live environmentally pure, clean, non-materialistic lives...in two million dollar eco-friendly houses in high tax, low-impact towns like Norwich (conveniently close to the usual materialistic shopping in White River Junction and Lebanon).
 
I also want to point out, again, that the only people in the world who posit that they will be happy with whatever they make as long as they are comfortable are pre-meds. I guarantee, however, that when The Man slides the piece of paper across the desk with his salary offer you will not scratch it out and write in a lower number because that's all you need to be comfortable.

It sounds to me like many of you are not ready to prowl in the economic jungle with the big cats and are preemptively turning belly up. This is because you have no marketable skills and still have nothing to offer in any way different from the nice folks assembling my Tacos. Your views will change ten years from now. The market will determine your value and you'll have to live with it but you won't be so eager to capitulate out of shame or whatever it is that makes you so meek.
 
Ironically, however, it's a lot easier to live like money doesn't matter to you if you have a lot of money, somewhat like a lot of people I knew in Vermont (I did part of my undergrad at UVM) who live environmentally pure, clean, non-materialistic lives...in two million dollar eco-friendly houses in high tax, low-impact towns like Norwich (conveniently close to the usual materialistic shopping in White River Junction and Lebanon).

Ha. I used to live right next to UVM... 😀 Seriously, I get what you are trying to say. As I mentioned already, I think money is important, just not the most important thing, at least in my life, and I am NOT a premedical student with no life experience. I've seen some of the high and low tides, Sir, and I can tell you that it is indeed possible to be happy in either place, but you are right that it is easier to diminish the importance of money when you have plenty. It's much more challenging to look beyond survival when you have an empty stomach. That's common sense.

You will notice that I stated that I wanted plenty of money to do everything I need and want. I know what it's like to not eat for many days and not have a place to live. Not very pleasant. I didn't say I was unhappy, but, yes, I prefer a place of greater comfort for sure, having experienced that. Actually, unexpectedly, having close to nothing made me realize the things that were truly important to me. Money was pretty far down the list and remains that way to this day. Again, I'm not saying that one should do without, just that I think there are more important things than accumulating financial wealth. There are many forms of weath and money is just one; that was one of the things I realized when I had nothing. It made me appreciate things I took for granted in the past, much of which, actually, had little to no financial value. In contrast, when I had a huge salary working computers, I was never more lonely and depressed. It was a living hell, to say the least.

No, you are right, I have never tried to lower the salaries offered to me, but I have turned down some jobs that paid well because by principle, I didn't agree with what I was getting myself into. I have chosen jobs that paid much, much less (or nothing at all) because I liked them more. I am more important than my salary and I don't think I will willing choose to compromise myself for money at this point in time, knowing what I know. Look at it this this way, money is clearly not the most important thing in my life, since I'm actually choosing to become a military physician. 😉

Maybe I'm a freak, but I refuse to make money my entire life. I've been around the block a few times and what's at the top of my list right now is to continue expanding into my life's purpose. I know that plenty of money will come my way as long as I am doing that.
 
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I also want to point out, again, that the only people in the world who posit that they will be happy with whatever they make as long as they are comfortable are pre-meds. I guarantee, however, that when The Man slides the piece of paper across the desk with his salary offer you will not scratch it out and write in a lower number because that's all you need to be comfortable.

It sounds to me like many of you are not ready to prowl in the economic jungle with the big cats and are preemptively turning belly up. This is because you have no marketable skills and still have nothing to offer in any way different from the nice folks assembling my Tacos. Your views will change ten years from now. The market will determine your value and you'll have to live with it but you won't be so eager to capitulate out of shame or whatever it is that makes you so meek.

Hahaha...Actually I have a 10+ page CV of marketable skills. 😉 It's just that medicine fits me the best and that's why I am choosing it. Fortunately for me, it is also a financially smart choice, too. However, I'm not going to up and quit the profession even if someday that were not the case. It's about doing what fits me the best and about expanding into my life purpose.
 
The market will determine your value and you'll have to live with it but you won't be so eager to capitulate out of shame or whatever it is that makes you so meek.

No, Sir, I am the final determinant of my value on the Earth. My financial portfolio is but a small portion of that. Perhaps with that attitude, I may never be what some consider to be financially wealthy, but at least I'll be happy in my own eyes.

Money can certainly help pave the way to happiness and it is necessary, in our society, for sustainance, leisure, and even to help others, to be of service. However, I do not subscribe to money as the final goal in my life. It is but a means to my ends; it's currency, to be used for needs and wants. Wealth goes a lot deeper than green paper or some number in a computer; there's not much joy for me in accumulating it. If people want to make Money their God, go for it. I don't care as long as those who choose that are happy with that choice. As for me, I prefer to view life and happiness as much broader. Happiness for me tends to have a component of attempting to do something greater than myself, greater than participating in the Rat Race. Striving for that and making a decent amount of money are not mutually exclusive, of course. However, I would say that it is more important to go for one's life purpose than focus excessively on the financial aspect of life, unless making loads of money happens to be your life purpose. It isn't mine.

Anyway, to each their own. I definitely don't feel that bleeding-heart martyrdom is for me (I won't turn down financial wealth, as long as it is earned honestly and fits with my goals), but I also think that allowing money to run my life would be a pity and a waste.
 
No, Sir, I am the final determinant of my value on the Earth. My financial portfolio is but a small portion of that. Perhaps with that attitude, I may never be what some consider to be financially wealthy, but at least I'll be happy in my own eyes.

I mean that the market will determine how much you are paid.
 
I also want to point out, again, that the only people in the world who posit that they will be happy with whatever they make as long as they are comfortable are pre-meds. I guarantee, however, that when The Man slides the piece of paper across the desk with his salary offer you will not scratch it out and write in a lower number because that's all you need to be comfortable.

It sounds to me like many of you are not ready to prowl in the economic jungle with the big cats and are preemptively turning belly up. This is because you have no marketable skills and still have nothing to offer in any way different from the nice folks assembling my Tacos. Your views will change ten years from now. The market will determine your value and you'll have to live with it but you won't be so eager to capitulate out of shame or whatever it is that makes you so meek.

That's blatantly wrong and I think you'll understand if I don't address that.

And comeon, let's be practical. None of the pre-meds gave the impression that they wished to sacrifice their salary...back to their employers. That's very against the nature of their sacrifice. Rather, they support giving broader more fair health treatment to others even if it means that their salary may take the hit. Big difference.

It perplexes me that you attribute self confidence to how much one is able to bring in from salary. Don't forget that the market serves you, not the other way around. There's nothing eye-opening and nerve-testing about making lots of money. On the contrary, rather than prowling in the jungle as you would indicate, I liken it more to laying in a comfortable home being fed fancy feast.

This isn't always some ideological altruistic babble. Some people seriously consider it unnecessary to be paid as much as they can. Pro bono work is evidence of that. Doctors that work in underprivileged areas attest to that.

I think part of the problem with American culture is that we worship materialism. I'll say it again, plenty of people have lived without money before and it's no big deal not to crave maximum compensation at the expense of others who were in their position at one point.
 
Rather, they support giving broader more fair health treatment to others even if it means that their salary may take the hit. Big difference.

And even the extent of that is questionable for many of us.
 
Panda Bear posts so much and it is so opinionated it seems inevitable that he would post a lot of rubbish
 
And even the extent of that is questionable for many of us.

That may very well be so but that still doesn't invalidate that there are genuine premeds out there.

muppet show said:
Panda Bear posts so much and it is so opinionated it seems inevitable that he would post a lot of rubbish

I wouldn't say that I think a lot of people probably agree. I think it's more an issue of exposure.
 
That's blatantly wrong and I think you'll understand if I don't address that.

And comeon, let's be practical. None of the pre-meds gave the impression that they wished to sacrifice their salary...back to their employers. That's very against the nature of their sacrifice. Rather, they support giving broader more fair health treatment to others even if it means that their salary may take the hit. Big difference.

It perplexes me that you attribute self confidence to how much one is able to bring in from salary. Don't forget that the market serves you, not the other way around. There's nothing eye-opening and nerve-testing about making lots of money. On the contrary, rather than prowling in the jungle as you would indicate, I liken it more to laying in a comfortable home being fed fancy feast.

This isn't always some ideological altruistic babble. Some people seriously consider it unnecessary to be paid as much as they can. Pro bono work is evidence of that. Doctors that work in underprivileged areas attest to that.

I think part of the problem with American culture is that we worship materialism. I'll say it again, plenty of people have lived without money before and it's no big deal not to crave maximum compensation at the expense of others who were in their position at one point.


Only pre-meds are willing to take a salary hit to support the nebulous needs of people they have never met. You will never hear an engineering student say, "Hey, I'll be happy with a smaller salary so state can afford to spend more on highway and bridge construction."

The other thing is that nobody else in the medical industry is willing to take a pay cut to help the Holy Underserved. Have you ever heard nurses, without a doubt equally if not more important to patient care than doctors, opine that they don't mind working for less if it means that poor will get better access?

Heck no. When nurses are threatened with a pay cut they go on strike and make their hospital suffer. Nurses know their value and are not going to let The Man score brownie points with the Underserved (PBUTHN) at their expense.
 
That may very well be so but that still doesn't invalidate that there are genuine premeds out there.

Perhaps, but it's a bit idealistic and maybe misguided. You can see where I stand relative to money in my previous posts, but it's a little hard to judge the profession before fully stepping into it. Many of you simply don't know what you are dealing with. Keep an open mind. In reality, if you want to help a lot of people, it's good to have plenty of money. Sacrificing yourself financially isn't really the key in my opinion. You can have plenty of cash for everything you want and also serve others to the best of your ability. There's no need to resort to a dichotomy here. Indeed, I would argue that having vast financial resources would aid in your altruistic endeavors. I'm not convinced that cutting physician reimbursment would result in the kind of change we are wanting anyway. The system is busted and we need to address the roots of the problem. Cutting physician pay would just make the profession bleed more in my opinion. If you were going to do that, you'd probably need to make medical education less costly, or free, which is not going to happen.

Anyway, physicians work hard to get to where they are and often accumulate vast amounts of debt. There is a lot of sacrifice involved in becoming a physician. I think there is nothing wrong with being compensated for that effort and to help pay off our debts, which as I already mentioned, are considerable, sometimes up to half-a-million dollars worth.

Being of maximal service doesn't mean we need to get paid less. I think that's my bottomline. There's no need to be a martyr here, unless you find a commitment to suffering important to helping others.
 
Heck no. When nurses are threatened with a pay cut they go on strike and make their hospital suffer. Nurses know their value and are not going to let The Man score brownie points with the Underserved (PBUTHN) at their expense.

And I assure you the vast majority of physicians feel the same. However, just because the majority of physicians feel this way does not mean that others also are unwilling to sacrifice for others.

And ok, you seem keen on pushing this "premed only" thing. Architects do plenty of free designing for charitable organizations, countless computer and web designers design websites and softwae free of charge or for much less than they could obtain, some writers write for **** wages (though this isn't usually as altruistic).

Nurses know their value and are not going to let The Man score brownie points with the Underserved (PBUTHN) at their expense.

You are still so fixated on compensation even if it is only brownie points. Some people aren't about the recognition or the compensation. It's for the love of the profession. Truly the concentration of people professing how much they are willing to give is highly concentrated in early premeds but that doesn't discount that a good portion of them are sincere.

It's really hard to expect others professions to compare to a physician's dedication to others. Our entire career is built on helping others. Engineers, architects, entertainers, their careers are mainly focused on conveniencing others. Simply by the nature of our field I'd expect others to start with high goals and ideals. Sure many will be systematically torn down but don't try to pretend others don't remain after the dust is clear.
 
Perhaps, but it's a bit idealistic and maybe misguided. You can see where I stand relative to money in my previous posts, but it's a little hard to judge the profession before fully stepping into it. Many of you simply don't know what you are dealing with. Keep an open mind. In reality, if you want to help a lot of people, it's good to have plenty of money. Sacrificing yourself financially isn't really the key in my opinion. You can have plenty of cash for everything you want and also serve others to the best of your ability. There's no need to resort to a dichotomy here. Indeed, I would argue that having vast financial resources would aid in your altruistic endeavors. I'm not convinced that cutting physician reimbursment would result in the kind of change we are wanting anyway. The system is busted and we need to address the roots of the problem. Cutting physician pay would just make the profession bleed more in my opinion. If you were going to do that, you'd probably need to make medical education less costly, or free, which is not going to happen.

Anyway, physicians work hard to get to where they are and often accumulate vast amounts of debt. There is a lot of sacrifice involved in becoming a physician. I think there is nothing wrong with being compensated for that effort and to help pay off our debts, which as I already mentioned, are considerable, sometimes up to half-a-million dollars worth.

Being of maximal service doesn't mean we need to get paid less. I think that's my bottomline. There's no need to be a martyr here, unless you find a commitment to suffering important to helping others.

i agree with this sentiment. when i was a peace corps volunteer, i didn't give away every penny i had because everyone i met was worse off than me. you need to take care of yourself before you can take care of others.
 
Anyway, physicians work hard to get to where they are and often accumulate vast amounts of debt. There is a lot of sacrifice involved in becoming a physician. I think there is nothing wrong with being compensated for that effort and to help pay off our debts, which as I already mentioned, are considerable, sometimes up to half-a-million dollars worth.

Being of maximal service doesn't mean we need to get paid less. I think that's my bottomline. There's no need to be a martyr here, unless you find a commitment to suffering important to helping others.

The debt we accumulate is not a sacrifice. It's calculated payment. Show me the medical profession where you'll be in danger of not paying your debts back while still living well, in fact, better than many can ever hope for.

Don't misunderstand me. I'm not stating any necessities. We don't need to do anything. Some people simply are willing to give more than what's expected. What's so difficult about that my goodness? If that's what they want to do bid them good well and let them stand by their words.
 
as a homeless student, money is not that important to me. the biggest drawback is that you don't get a standard mailbox, or a place to sleep where the police doesn't wake you.

as a doctor, i will be happy that i will find a place to live. that is good enough for my humble existence.
 
The debt we accumulate is not a sacrifice. It's calculated payment. Show me the medical profession where you'll be in danger of not paying your debts back while still living well, in fact, better than many can ever hope for.

That is a very idealistic view; your view isn't from personal experience, but theoretical. You won't feel the sacrifice until you start accumulating that debt and living the craziness. Show me another profession that requires as much from it's people from the get go. It's absolutely a sacrifice. You can euphemize it any way you want, but debt hurts and a lot of it hurts a lot. It's a weight you carry with you wherever you go. Trust me. It won't feel good when you are out there making a primary care physician's salary trying to pay off your $500K worth of debt, plus the upkeep of your family, your car, and your home, or as a piss-poor resident who didn't qualify for hardship trying to make ends meet. Your take-home amount isn't going to be as much as you imagine. Given our debt-load, a larger than average salary is necessary. Yes, you will most likely be comfortable as is, but don't fool yourself; the margin is a lot slimmer than you think.

Don't misunderstand me. I'm not stating any necessities. We don't need to do anything. Some people simply are willing to give more than what's expected. What's so difficult about that my goodness? If that's what they want to do bid them good well and let them stand by their words.

There's nothing wrong with wanting to be of service. However, realize that reality can most certainly present interesting and difficult challenges to that. What I mean to say is that there's no reason to be a martyr; you may see this when you step into the field for real. It's not as simple, or as glamorous as you imagine. I applaud those who choose service. I am all for it; amen. I just want to temper youthful enthusiasm with reality. In reality, being a martyr only really hurts you.
 
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It's really hard to expect others professions to compare to a physician's dedication to others. Our entire career is built on helping others. Engineers, architects, entertainers, their careers are mainly focused on conveniencing others. Simply by the nature of our field I'd expect others to start with high goals and ideals. Sure many will be systematically torn down but don't try to pretend others don't remain after the dust is clear.


Whoa. Let's not lump engineers in with entertainers. Engineers are a lot more important to society than doctors, generally speaking I mean. Most people can go sixty years or more without requiring any medical care but everybody needs water to come out of the tap and a road to drive on.

"Helping" is another one of those vague words that means everything and nothing.
 
I also want to point out that despite your disdain for it, money drives medicine in every respect, here and everywhere, because "medicine" is a service provided by people, most of whom are not physicians, and all of whom expect to be compensated for their efforts. If you swim through the medical sea oblivious too and indifferent to money you are going to be chum for the bigger and more aggressive fishes.

By this I mean that at every stage in your career, starting as a resident, the money guys are going to be trying to make you work for less, not because they care about your partients but because they are answering to either their stockholders or their constituents, the approval of either group being important to the continuation of their high salaries and lifestyles. Why make it easy for them? Your altruism and self-sacrifice does not translate into goodness and light for the Holy Underserved, it just means that you will be working longer hours for less money.
 
Well, I try to look at it this way:

I cannot save the world. Paul Farmer might be able to save a lot of people in Hati and Peru, but I'm just some joe from some little town from Kansas.

...Kansas...

Now it would be great if we could all be like Paul Farmer. But the problem is, we have student loans...hundreds and thousands of dollars in student loans. And then, the very process of going through school eats away at you. By the time your Step 1 comes along, unless you were one of those people who were incredibly gifted and smart (Paul Farmer was) you are going to be burned out and tired. Considering that it will take years to pay off your student loans, and after residency you might very well be inclined to relax a bit and try to start a life again - by now the whole idea of "I'm doing this to save the world" might be something far from your mind.

I sort of knew this so I tried to put things very modestly. Rather than the motto "I'm doing this to save the world" I said to myself:

"Maybe if I could leave this world just a little better than the way I found it, perhaps that's something worthy in and of itself"
 
ITT:

Premeds argue with a doctor about what true love for the profession is all about.
:laugh:
 
"Saving the world," is an incredibly romatic and idealistic point of view; it's often born naively. How about starting with yourself and letting it expand from there? I think that's far more realistic for most of us.
 
All I have to say is that every doctor I've met in my life lives very comfortably. Some people will always try to tell you that "such and such is not all its cracked up to be." I would take anything that they say with a grain of salt. If you realize what you are getting into before you take the plunge, you will not be extremely bitter. As for saving the world, that's an impractical delusion.
 
Saving the world? look man. I'm into medicine for three reasons.

1)Its good money.

2)It has good economic security.

3)I like science.

No other career can satisfy those requirements like medicine can.


Plus, ideology is useless. Some of the most helpful people in the world are the most selfish.
 
Plus, ideology is useless. Some of the most helpful people in the world are the most selfish.
oh ok thanks for letting us know how you feel

just kidding im laughin at you for posting this like your smrt
 
Banned after one insult? I really am omnipotent.
 
Well, communism is selfless and capitalism is selfish. And at the turn of the 21st century, communism failed whereas capitalism succeeded. Just one example. there are many more, such as business tycoons powering up our economy( thus lifting many out of poverty)
 
That is a very idealistic view; your view isn't from personal experience, but theoretical. You won't feel the sacrifice until you start accumulating that debt and living the craziness. Show me another profession that requires as much from it's people from the get go. It's absolutely a sacrifice. You can euphemize it any way you want, but debt hurts and a lot of it hurts a lot. It's a weight you carry with you wherever you go. Trust me. It won't feel good when you are out there making a primary care physician's salary trying to pay off your $500K worth of debt,


What I mean to say is that there's no reason to be a martyr; you may see this when you step into the field for real. It's not as simple, or as glamorous as you imagine. I applaud those who choose service. I am all for it; amen. I just want to temper youthful enthusiasm with reality. In reality, being a martyr only really hurts you.

Don't even try to pull that. Vets have probably one of the hardest professionals schools to get into because of their limited number across the nation, they learn intense amounts of information, and they are paid ****. The bills? Just as high.

Of course being a martyr hurts that's why you are labeled a martyr. However, you all try to make it appear as if some try to give their kidneys away when in fact they're taking a prick in the finger. Unncessary, yes, but if it helps multiple others I can see why some give it value.

I think it's amusing that you're trying to temper enthusiasm with reality. The reality is there are thousands of people dying every day, thosuands of people being injured every day, and the ones who profess to dedicate their lives and careers to service really care little at the end of the day but getting what's due to them after the hell they're put through. That's the reality. Also, don't assume that the views I'm defending are mine. I look forward to compensation. If you look at all of my posts I never state these views as my own. I am simply defending the legitimacy of others who do tout these views as their own. I respect them for being willing to take the real steps towards helping society that others, sometimes including myself, aren't so ready to take.

Finally (sorry this post is so long) this view isn't idealism for everyone. That's all I'm trying to say. I've seen my share of people who don't really know what they're talking about but what you need to accept is that there are people in this country who have dealt with **** in their lives and are willing to show some good faith to those people in their position once they've made it. It's amazing to me that I even have to debate this.
 
Well, communism is selfless and capitalism is selfish. And at the turn of the 21st century, communism failed whereas capitalism succeeded. Just one example. there are many more, such as business tycoons powering up our economy( thus lifting many out of poverty)

This would make a great 12th grade humanities theme paper at Silicon Valley High School, but most grown-ups would probably disagree with the gross generalizations made here. I'll spare you the vast historical counterpoint to your argument, but to illustrate briefly a major flaw, take a look at what Bill Gates is up to, i.e. the richest, evilest and most capitalistic of capitalists:meanie:. He just quit Microsoft to run the world's largest charity. Why? Who knows for sure, but we can safely assume he does NOT feel that Microsoft is doing enough good that he can rest on his laurels, so he's giving hundreds of millions of dollars of his money and the money of other capitalists away. Other examples of tycoons who felt unfulfilled by merely "lifting many out of poverty" on the rising tide of capitalism and threw (throw) billions at the poor to assuage their guilty hearts and collect massive tax benefits: Getty, Rockefeller, Buffett, and even the very progeny of satan himself, the Waltons:scared:.

All kidding aside, live a little more, read a little less and get back to us in 10 years about the beauty and perfection of greed.
 
ITT:

Premeds argue with a doctor about what true love for the profession is all about.
:laugh:

Don't even try that bs with me! If you aren't going to read the entire post then don't compare me to some other idiot. I'm not arguing with them about the love of medicine, I argued about the love of the profession that many people share, including architects, engineers, software engineers, and vets, that goes beyond how much they want to get paid. And, forgive me, how does being a resident or a medical student have any bearing on what someone may feasibly do with their money? I'm sick of you all trying to put words in my mouth.

I don't profess to know more about medicine than a resident and a medical student. I am arguing about the viability of someone being ready to take pay reduction for the good of others which countless other professions have already proven they are ready to do.

I don't think there are any physicians that "have it bad" in this country. Once again, show me someone that's actually suffered from their "sacrifice" of paying tuition. It's nothing but a fat investment that has an extremely high probablity of paying back in full. So don't pretend that it's such a stretch for a premed to be willing to take pay reduction.

Once again...It's just money.
 
I agree with whoever said the thing about spending time with like minded people, ie: those who also want to make a difference. There are a lot of Richards out there, dont let them bring you down(ignore them). If you are a truly compassionate person, then you can and will make a difference, and probably are already. If you are a selfish pessimistic MD who hates the homeless, then you were probably a selfish pessimistic premed who yelled at fastfood employees.

Vow of poverty: Wreaks of privilidge= it is easy to take a vow of poverty if you have always had money and can easily get back into it.

Vow of wealth: Wreaks of bitterness= not sure as to why a particular person becomes bitter. Probably different for everyone. Think Tolstoy.

In my reading of history, people who talk like those opposing alltruism here talk, ussually dont make any kind of difference that is not entirely self serving(and supply side alltruism is a slippery and silly slope). And those who talk like naive idealist, often do make a lot of difference. Living amongst the poor is much closer to reality, and thus farther away from naivety, than living in a gated community bordering a golf course.IMHO.

And dont kid yourself into thinking that you are the next Milton Friedman because you dont like poor people.
 
Negrodamus.png



Negrodamus says:

White people like to save the world because it makes them look like they don't hate black people.

Those who go into medicine with the intent to save the world, end up going into ROADS, and those who maintain their passion to save the world never make it into/through medicine --- either that or they become a Mother Teresa wannabe.
 
Don't even try to pull that. Vets have probably one of the hardest professionals schools to get into because of their limited number across the nation, they learn intense amounts of information, and they are paid ****. The bills? Just as high.

Yeah, I get that; vet's don't get compensated as much. In 2007, the median salary for a DVM was about $75,230, with the 75th and 95th percentile being $98,450 and $134,920, respectively (1).

If you include residency and potentially fellowship, where physicians are most certainly made to work for peanuts, I still think that physicians have a longer road, but I get your point. Vet's have a similar amount of debt, but get paid less on average.

Of course being a martyr hurts that's why you are labeled a martyr. However, you all try to make it appear as if some try to give their kidneys away when in fact they're taking a prick in the finger. Unncessary, yes, but if it helps multiple others I can see why some give it value.

Well, there was a time where I once thought needless sacrifice was cool and worthy, but now, I don't believe in it is necessary and think it's just a form of self-importance. I rarely think self-flagellation results in long-term benefits. It's optional, at best. We've all had such a long-standing commitment to suffering. Really, we need to get to the root of the issue and address the problem there. Can you imagine that it is possible to be of benefit without hurting ourselves? I can.

If you want to be of benefit, see what is going to be the most transformational. I am not convinced that cutting physician salaries is going to do much to solve our overwhelming healthcare issues. It looks nice and gives the appearance that we are doing something beneficial, but at the end, I think it's just moving deck chairs around on the Titanic. One significant issue is that the fat, middlemen feasting off of physicians and their patients, are driving the industry, making it more expensive and difficult for doctors to do their jobs and for patients to get the care that they need. These middlemen don't care too much about patients, just their bottomline. Another is a question of access to healthcare. People are paying a lot more and getting a lot less, or nothing at all.

If I were to think of something that would help a lot, at least on a community level, I would think about entering primary care and practicing in the worst medically underserved area that I could think of, whether rural or city, and work in a community health center, or other non-profit health group, or if I had the capability, to help open one up. Some of these community clinics, etc., don't pay very much, at least compared to the median, the area may not be the most ideal place to live, and you may not see the kind of cool stuff you would at an advanced hospital elsewhere, but you'll be helping the community and patients, one at a time. I think doing this would be much better than cutting our salaries. Heck, if you want to get more global, how about figuring out a way to get more physicians to go into primary care and help out in medically-underserved areas?

I think it's amusing that you're trying to temper enthusiasm with reality. The reality is there are thousands of people dying every day, thosuands of people being injured every day, and the ones who profess to dedicate their lives and careers to service really care little at the end of the day but getting what's due to them after the hell they're put through. That's the reality. Also, don't assume that the views I'm defending are mine. I look forward to compensation. If you look at all of my posts I never state these views as my own. I am simply defending the legitimacy of others who do tout these views as their own. I respect them for being willing to take the real steps towards helping society that others, sometimes including myself, aren't so ready to take.

Yeah, I really don't care if people want to be idealistic, ethusiastic, or otherwise. That's their prerogative. I'm not going to squash anyone. However, while great things start from ideas, it's the actions that people take that ultimately change things, so you'll forgive me if I don't place a whole lot of weight on idealistic thoughts. Let's see what people actually do. I outlined above what I thought would be a pretty concrete way to benefit patients as a physician at a community level, given our current healthcare environment.


Finally (sorry this post is so long) this view isn't idealism for everyone. That's all I'm trying to say. I've seen my share of people who don't really know what they're talking about but what you need to accept is that there are people in this country who have dealt with **** in their lives and are willing to show some good faith to those people in their position once they've made it. It's amazing to me that I even have to debate this.

I understand that. I just don't see how a pay-cut is going to be transformational toward that end. I'd like to hear more about how you think this would lead to a better healthcare system or fill the great needs we have in healthcare.
 
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Well, there was a time where I once thought needless sacrifice was cool and worthy, but now, I don't believe in it is necessary and think it's just a form of self-importance. I rarely think self-flagellation results in long-term benefits. It's optional, at best. We've all had such a long-standing commitment to suffering. Really, we need to get to the root of the issue and address the problem there. Can you imagine that it is possible to be of benefit without hurting ourselves? I can.

I strongly agree with this. I do agree with what you're saying. My only qualms is with some of the blanket statements being made that premeds plan to just senselessly sacrifice their wages because they don't really know anything. Yeah, sometimes it is about self-importance but do we condemn good actions though wrongly motivated? I also wouldn't say the sacrifices are needless, something does need to be done. I think that some people do genuinely feel willing to take a little less, all bs aside.

But yes, rather than making sacrifices of varying degrees on the physicians' part I do feel we should actually devote our efforts to improving the system. I do agree with what you're saying.

Narmerguy, that phrase excerpted from your post gave me my biggest laugh today. Thanks. 🙂

/thread hijack
Glad I could spread some joy 😀
 
Those who go into medicine with the intent to save the world, end up going into ROADS, and those who maintain their passion to save the world never make it into/through medicine --- either that or they become a Mother Teresa wannabe.

Huh?!? What are you trying to say here? What is ROADS?
 
I also want to point out that despite your disdain for it, money drives medicine in every respect, here and everywhere, because "medicine" is a service provided by people, most of whom are not physicians, and all of whom expect to be compensated for their efforts. If you swim through the medical sea oblivious too and indifferent to money you are going to be chum for the bigger and more aggressive fishes.

By this I mean that at every stage in your career, starting as a resident, the money guys are going to be trying to make you work for less, not because they care about your partients but because they are answering to either their stockholders or their constituents, the approval of either group being important to the continuation of their high salaries and lifestyles. Why make it easy for them? Your altruism and self-sacrifice does not translate into goodness and light for the Holy Underserved, it just means that you will be working longer hours for less money.

Few points...

1. Money is the blood pumping through the veins of the healthcare system. If you don't know this now you will learn it.

2. I have met exactly one (1) medical student who was serious about this whole, "I don't care how much I make as long as I get to help people." This guy lives in a ****hole apartment and saves his money so that he can go on serious international health missions. I'm not talking about the ones where you go to Africa for a month and spend half of it hiking and taking digital pictures of cute children who may very well be dead of cholera next year. This dude is currently on hiatus from medical school while he is working 8-10 hours/day for free in a hospital in Central America.

3. It's a truly admirable position to be do altruistic but most people who say that mean that they want a great house, cool clothes, awesome trips, trendy meals etc and they also want to delude themselves into thinking that they are part of the solution. Social justice wearing trending clothes is the norm.

4. The idealism and lack of concern for money will likely wane as you graduate from med school and transition into residency. I'm not just talking about debt -- I'm sick of being a student. Don't get me wrong -- I had plenty of fun and my parents would never have let me slip into poverty. But I am sick of living on student loans, sick of not being able to afford nice dinners, sick of feeling terrible after I spent too much at the bar, sick of not being able to go on vacations, and sick of credit card debt. Just as you are graduating medical school your non-medical friends are usually settling into their first jobs, it gets VERY old to see the difference between your life and theirs. I'm not complaining -- I'm proud to be a doctor. But I will tell you that the student life gets old.

5. Panda makes the excellent point that the Underserved are not a population to be revered. Working with them may be noble in the largest sense but the day-to-day reality of it is stressful and tiring.

6. If you are really unconcerned with money than don't argue about it on internet forums -- put your money where your mouth is. There are thousands upon thousands of charities that will LOVE to have whatever percentage of your salary you consider superfluous to your happiness. Many of them will put it to excellent use.
 
To those arguing that working towards altruism is a farce and that money runs the health care system: There are actually quite a few very honest and well thought out responses coming from this camp. The only problem I have with the arguments is that they fail to consider alternate health care models. I agree that working for a hospital/many FQHC/HMO/... and giving up your salary is probably not going to result in better patient care (especially for the indigent). But helping to develop a nonprofit clinic that is rooted in the community (where your salary may be less) can have such a result. True, some of the people posting are niave about the reality of simply "giving up salary", but assuming that they will all assimilate to the predominate culture of American medicine also seems a bit niave. Further, there is a lot of talk about how future debt will ultimately govern many of the practice choices you make. Most physicians working primarily for the underserved are eligible for various loan repayment programs, scholarships, or grants.
As for the "holy underserved" comments, working for the poor is central to many faith traditions. It bothers me when educated persons discriminate or have prejudice against the poor and then try to pass such personal opinions off as truths/wisdom...(generally based on the fact that they have experience with such populations and thus know better).
 
...(generally based on the fact that they have experience with such populations and thus know better).

As if no one else does. Apparently life experience starts in residency. Even for the nontrads.
 
It's pretty easy demonstrating you compassion by giving away money you haven't earned yet. If you really believe all of that crap wrapped up in the words "underprivileged" and "underserved" how about you decline your medical school acceptances so somebody less well-served and less well-privileged can have a shot at a good career, a career that you don't deserve but only lucked into because you were born privileged.

I mean, it's only fair. Obviously merit means nothing and the only way to distribute things of value is by applying a complicated calculus of grievance and oppression to determine the worth of an individual.
 
Huh?!? What are you trying to say here? What is ROADS?

ROAD = an acronym for the so-called lifestyle specialties with the best pay/hours combo. radiology, ophtho, anesthesia, derm. as in "the ROAD to happiness"
 
an acronym for the so-called lifestyle specialties with the best pay/hours combo. radiology, ophtho, anesthesia, derm.

Sometimes edited into "E-ROAD" or "ADORE" - "E" being for emergency medicine.

Uncle Panda may care to differ with that designation, but I do see it here from time to time.
 
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