1. Because you will not get to specialize in the military. More likely, you will be forced to spend a few years as a general practitioner before even going to residency. The Air Force does not let people match into derm coming out of medical school. I don't remember seeing any approved spots for plastic, either. I don't know if we even have any interventional radiologists (someone else should chime in).
2. You are correct in noting that
some specialties are seeing a decline in the amount of money they are making. But still, the military does not make a whole lot of financial sense for the specialties you listed. See
this webpage for a quick financial comparison.
Hmm...4400 appears to have deleted all of his posts. Too bad.
In the event anyone cares, or needs to be reminded that the military isn't a financial decision, the link in the quote above does not analyze the pay difference correctly. He assumes that a civilian would pay off his debt wholly. That's simply not true. The civilian would make monthly payments that amortize over the course of 30 years (and you should do so, as there's very little money that comes cheaper).
If you take a look at the CASHFLOWS to each respective candidate, the pictures becomes
significantly different. It's unreasonable to assume a civilian doctor would not see pay bumps after residency. I've figured a safe 6% annual raise.
Here's the military FP student's cashflows, cribbed right from the webpage above:
M1 $14,400
M2 $14,400
M3 $14,400
M4 $14,400
R1 $63,695
R2 $69,995
R3 $75,276
Year 8 $92,829
Year 9 $97,192
Year 10 $97,192
Year 11 $113,227
Year 12 $144,000
Year 13 $152,640
Year 14 $161,798
TOTAL $1,125,444
Now, what the link didn't take into account is that the civilian doesn't pay his entire salary to his school loans, he pays but ~$15K to them (6.5% interest rate, amortized over 30 years). Here's his series of cashflows look like:
Loan Payments Salary Take Home
M1 $- $-
M2 $- $-
M3 $- $-
M4 $- $-
R1 $(15,776) $45,000 $29,224
R2 $(15,776) $47,000 $31,224
R3 $(15,776) $49,000 $33,224
Year 8 $(15,776) $144,000 $128,224
Year 9 $(15,776) $152,640 $136,864
Year 10 $(15,776) $161,798 $146,022
Year 11 $(15,776) $171,506 $155,730
Year 12 $(15,776) $181,797 $166,020
Year 13 $(15,776) $192,704 $176,928
Year 14 $(15,776) $204,267 $188,490
TOTAL $1,191,948
for a difference of $66K 10 years out of school. And because he'll have been esconced in his practice for longer than the military student, he'll probably pull away further as time goes on.
The difference, of course, is further exagerrated where military folk make actual fractions of their civilian brethren. Thought I'd throw that in, because I've seen a lot of misdirected analysis over my time here.
EXECUTIVE SUMMARY:
Yes, being a civilian means taking on debt. No, that does not really affect your financial standing later in life. The majority of doctors do just fine financially, and most of them had student loan balances at graduation. You're talking about $15K a year, which is erased almost immediately upon completion of your residency.