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I’m really sick of the doom and gloom scenarios. My father is a physician, and I can remember his friend telling me around 1993 that anesthesiology was a “dying field”. I was in grade school at the time.
Well guess what, it’s 25 years later and anesthesiology is still one of the highest paying fields of medicine. I live in a beach town, and if anything we have a SHORTAGE of both anesthesiologists AND CRNAs. This is true in large portions of the country as baby boomers retire. Both MDs and CRNAs continue to command exceptionally high salaries.
The negative outlook is a classic case of “grass is always greener” combined with response bias.
I would be willing to bet anyone on this board $10,000 that in 15 years, the median anesthesiologist salary will be HIGHER than it is today, even adjusting for inflation.
To give you some perspective if you’re a medical student still choosing, I make 33-45% more than my brother who is a very well compensated ophthalmologist.
So all these people can speak of doom and gloom, but it’s reminiscent of the Middle Ages, when scores of false prophets claim the end times were near, only for life to go on.
It’s like that old Seinfeld routine about them constantly making new cars but not making new parking spaces. The US population is expanding at a good clip, but residency class sizes are flat. The population is also aging (making them more surgery prone). Surgery is also the cash cow of all hospitals. Without it, many would go under. Guess what, MDs will always be needed in everything but tiny rural hospitals.
So is the future bright? Does a starting salary of 300-400k sound good? Do you think you can live on that? Are there any major changes coming to healthcare landscape to justify the doom and gloom? Not lately. I’d say if you went into medical school today, over a career of 30 years you will gross pretax $10-15 million. Invest wisely and you’ll have a healthy nest egg by 45.
Don’t let anyone talk you out of anesthesia. It’s the best job there is. It’s very well compensated. Even if it became slightly less compensated it would still be VERY well compensated. No overhead, no advertising, no follow up, only medicine. And then drive home in your Porsche to a wife who is more likely than not absolutely gorgeous. Enjoy getting out of work the same time your kids are getting home from school, so you see them grow up. Your kids will be rich, intelligent, and likely physically attractive given the wife. That’s a recipe for being popular. I was the worlds biggest nerd in high school. My daughter was just selected the Prom Queen.
Anesthesiology is the career most consistent with the American Dream. Just avoid the booze, don’t somehow get addicted to drugs, and don’t have affairs. Those are the only things that will make it fall apart.
I am not sure if you are trolling or just overly optimistic but it's not that simple. you have to look past just the words dying field, and ask yourself why is it a dying field. it's like how we had a very sick patient and everytime we bought him to the OR we thought he'd die, but he kept surviving thru it, until he didnt. just because you survived the previous doom/gloom doens't mean you will survive this one. We are producing far too many CRNAs and anesthesiologists and CRNAs are getting too much independence and these changes will have long term effects. It's not about if it will crash, but when. we lived in a bull market for a decade now, our compensation can easily tank (cause we are 99% employees), when the market crashes and the government goes bankrupt.
It's also stupid to just look at salary. How many hours are you working? How hard are you working/how many rooms are you covering? Making 300k working 40 hrs a week covering 1 room is not the same as making 400k working 60 hrs a week covering 4 rooms. Sure your salary went up, but other things went up as well. Sure you may get home at 3pm at the same time as your kids, but this isn't the norm. Many doctors can do that too especially if they open their own clinic. Optho is a lifestyle specialty with minimal emergencies.
There'll be good jobs in every field, but to the med students entering the field, i wouldnt bet on getting those jobs.