Every single one of your friends who went into business did it for the money. The reality is that there's no one on Wall Streeter who really wanted to help an old couple with their retirement plan. There are no real estate brokers who did it for the thrill of helping a young couple move into their first home. And there are very few lawyers left who will just waive their fee (or any percentage of it), because they feel all warm and fuzzy inside. Of course, I'm generalizing, but I'm not too far off from the truth.
You are the smartest of the smart, the hardest-working professionals out there. You provide a service to the community that is unmeasurable (all you have to do is listen to C-SPAN and witness the debauchery that makes up the "health outcomes" measures put forth by Congress). And, to generalize once again, YOU really did go into medicine to help others. Administrative costs of medicine (that means NOT YOU, the doctor) make up almost 1/3 of all the costs. You would be disgusted to learn what percentage of each health care dollar actually makes it into your pocket. And you are the one who is actually responsible for production in the health care industry. And you are the one who is sacrificing the most! The percentage return on investment for an MD is the worst when compared to a JD, or MBA. And this doesn't even account for opportunity cost, barriers to entry, and liability costs. And the KICKER to the whole compensation debate is that there ARE PEOPLE making money off of YOUR hard work, but they're not doctors or nurses (who get paid just fine, by the way) and they have big businesses whose sole purpose IS to profit off of healthcare.
You deserve to make money...and lots of it. And don't start comparing your salary to what doctors in other countries make--the ballgame is completely different in terms of length of training, access to and use of technology, severity of disease treated, work hours, AND LIABILITY (in England, for instance, patients have to fly to India to get their surgeries, because they are dieing on waiting lists). And there is a consisten influx of FMGs who practice here in the States, because this is the best place to be a doctor...and we should keep it that way.
The reality out there in the real world is not too harsh, but you MUST get informed about who is shaping your industry. The problem is that there are not enough doctors who are leading the path to healthcare reform, or getting politically involved. The ABA and the ATLA are giants and the AMA is no match for them, not to mention the insurance lobbyists. Medical students are opting for specialties that afford an easier lifestyle or good pay for the amount of work put in (i.e. dermatology, radiology), not because there has been a sudden explosion in interest in bullous impetigo. And, like it or not, the amount that you get paid is affecting patient care. You are human beings and deserve what is fair. The burden of the cost of your education has been put squarely on your shoulders. And the free market to make what you work for is being stripped away. And in the meantime, it is the patient's who suffer and we just blame it on "the system." You owe it to your patients to fight for yourselves.
Now, all that being said, good luck to seniors on match day next Thursday, and my best wishes to those unlucky ones who fell through the cracks on black Monday.