I'm not sure there ever was a "golden field" of medicine for most doctors depending on your definition of "golden." Most docs lack the business sense and personality it takes to make big money. But don't kid yourself--there are plenty of doctors pulling in millions in every specialty. For all the doom and gloom I read on these boards, I'm amazed at the number of colleagues I know personally making serious cash. These guys all share the same traits, though...very personable, good marketers, good business sense, constantly thinking of ways to expand their practices/monopolize areas, etc. (and, yeah, sadly, they aren't up on the latest journal articles and they probably won't waste 2 hours of their day in a tumor board). I almost never see these traits in rad oncs. You don't get rich arguing about the results of RTOG XYZ or catching up on the latest Red Journal issue. And, btw, I'm not saying it's a bad thing to be a good, up-to-date doc! Just pointing out the really successful guys use their time developing their practices.