I am not considering going into derm, but am wondering: So why do dermatologists make so much? I had always thought it was from cosmetic stuff - like acne, botox, fillers, etc, but I can't help but notice I am getting daily emails from listservs like Groupon advertising cosmetic things, and most of the docs advertising these procedures are NOT actually dermatologists (family medicine, IM moreso). So if other fields can and do the cosmetic things, why is derm a more "lucrative field"? How do dermatologists feel about other specialties doing cosmetic procedures traditionally done by derms? Is it even "legal"? I wonder where the skills to do these procedures come from if one has not done a derm or plastics residency. Second, I have heard rumors (on SDN mostly) that accepting medicare could one day be linked to licensing; how would this affect the future of derm, when many of the profitable things are elective?