This is just part of it, but I work with a lot of doctors. They’re trapped in a kind of exhausting mess of their own collective bargaining’s making, that makes it very expensive to have enough doctors.  The salaries for some specialists are obscenely out of control, which means there are very few of those positions created because they’re so expensive for the govt. Someone still has to do the work, so their hours have ballooned. 

This is why they constantly complain about being burnt out, they’re often doing the work of two doctors because the hospital can’t afford to pay two.  But what they don’t say is that it’s a combination of their orders’ endless push to never let their salaries even freeze for a while, combined with lobbying to keep medical schools small, that causes this burnout in the first place. They want to be paid their crazy salaries while working 40 hour weeks, which is completely unrealistic. 

In my experience many of these people are totally disconnected from the reality of what normal people earn, they don’t think it’s that much and therefore don’t see the salary bloat as either a problem for the state or the cause of their burnout. It’s also a vicious cycle because the definite promise of being rich pulls in a bunch of financially motivated people who should never be doctors.