lol, the implication from this thread and past ones like it is that medicine as a whole is being sold away piece by piece. I can only feel sorry for those high schoolers starting premed. There really will be nothing left by then.
I took a history/econ course once in college---mainly to hit on this girl. When I realized she wanted nothing to do with me (and maybe after the threat of a light restraining order, hey it was the 90s!)---I stopped pursuing her and paid more attention in class. As it turns out: American history is full of examples where a highly skilled individual is first glorified and paid lots of money to do a job (in a particular industry), but then the industry realizes it's paying too much for this individual, and finds an alternative. If/when the alternative works just as well, it becomes the standard.
When automobiles first came out, only a PhD/MS mechanical engineer was allowed to fix one if it broke. When they realized there weren't enough of them (and they were too costly), and a belt could be changed by a 'common man', hence the birth of your local mechanic.
In a creepy way, medicine is now following this pattern (it only took a 100 years to catch up to the automotive industry).
Don't take my word for it. Ask your favorite local econ/history professor, this is classic.
The ultimate blame for this should still rest with the hematologist, who is doing their part in selling out medicine to midlevels. They could instead try to hire an actual heme onc doctor to help cover the consult load..
Yeah, you could pay a Heme/Onc $400K a year to do this, or a mid-level $150k/year. Economically, the choice is clear. What's crazy is: Heme/Onc was one of the specialties that vehemently vowed to never allow mid-level encroachment. (And I don't mean to pick on Heme/Onc, they're not the worst offenders. Don't get me started on Neurology!)