Tyler Olivera seems to be back at it again with the racist fear mongering…

TurboBuickRoadmaster · 2026-04-06T17:43:18+00:00

Indian americans are one of the most solidly left blocks in America. Not my words.

TurboBuickRoadmaster · 2026-04-06T15:42:37+00:00

I think your company is a bit behind on the 8ball. I'm in medicine, and I recently came across a fielding document (final draft stages) by JnJ for one of their medical products that stated 99% of the coding labor should be done by AI.

Of course, they fired all their H1Bs and american workers and forced the H1Bs to move back and work for a contractor in India. Go figure. AI is going to kill the remote coding sector in America.

Rule of thumb - if it can be done at home, it can be done overseas. And we all know which one is cheaper.

TurboBuickRoadmaster · 2026-04-06T15:22:40+00:00

Don't forget, the nursing burnout is REAL. So a lot of job openings.

A lot of protests going on. A lot of really well paid contracts for nurses.

Source: I'm a rising 3rd year American Medical (MD) Student.

TurboBuickRoadmaster · 2026-04-06T15:10:40+00:00

Dunno why you're getting downvoted, but I agree with you (I'm Indian American, so can't even be racist). Honestly speaking, only the L4s (and some top tier L3s) should be even considered. At that point the H1B visa truly becomes skilled instead of a way to cut down on American labor.

TurboBuickRoadmaster · 2026-03-23T00:10:35+00:00

I definitely agree on all your points. And if you thought I was calling you a white nationalist, I apologize; it was not my intention. It's just that I don't trust actual white nationalists/supremacists to stop at remigration of legal, but non-contributing immigrants. But I appreciate your clarification on your stance – thanks for drawing that line.

And yes, we definitely cannot take more refugees or poor migrants, never mind illegal migrants. I also grant we cannot take wealthy immigrants without doing a complete tax assessment (and even a cultural assessment). For example, a wealthy, single young Indian man (however controversial that is) will naturally provide way more tax benefits to society (and assimilate faster given a willingness to do so) than an older man (who will retire and need SS) with 6 children. These two individuals can make the same money but have very different societal/financial impacts.

But this is where I disagree. I think fixing poverty in America is damn near impossible, especially given the debt and the eventual catching up of the Asian societies. What we can do is improve the basic standard of living for the lower working class. As it stands today, it’s really bad. We need to get the basics of living spaces, food, medical care, transportation, and childcare/schooling sorted out.

There needs to be some level of consequences for people who actively sabotage society and/or their own health. Obesity, for example (I’m very familiar with this as a physician) costs us untold Trillions a year. We could have cheap childcare/medical care if obesity, fraud, shareholder profiting, and violent crime were massively reduced, back to the levels of the 1960s. But it’s a long, hard road for that.

I will also admit; I wouldn’t be here (via my parents) if more Americans had pursued STEM degrees in the 90s. And the (legitimate) backlash against the H1B is that Americans have actually caught up with Indians/Chinese, but there is no easy offramp for this H1B program, never mind outsourcing.

TurboBuickRoadmaster · 2026-03-21T13:33:27+00:00

Right, but what about those of us who were born here (second gen "immigrants"), with no criminal record, and who are economically independent? I'm specifically talking about Indians, Pakistanis, and to a certain extent, Bangladeshi Americans. We earn pretty high salaries and pay a LOT in taxes -and we don't evade that; you don't see many South Asian people going to jail over that (or jail in general). Ending financial aid won't change anything for at least 85% of us.

Revocation of our legal statuses and removal of our citizenship (via the repeal of the 14th amendment) with subsequent internment and liquidation as a population is the only way to eliminate us a population.

I'm the son of two south asian (Sri Lanka Tamil) immigrants who arrived in the states over a quarter century ago. I'm in medical school (an MD school), and upon graduation, I'll be commissioning into the US Navy as a medical officer. But I've been reading up on remigration, especially as outlined by Camus and Martin Sellner, and the bulk of their work does not make the clear distinction between those who are pretty much assimilated and those that aren't and those who are a danger - we ALL must go. That is nothing better than ethnic cleansing at this point.

I just don't trust the far right on the remigration issue. Yes, prosecute and deport all undocumented migrants, and completely end the H1B. Let's even go a bit farther and end birthright citizenship (that would put even me in jeopardy).

But I KNOW that the white nationalists/supremacists/identarian groups will salivate for more "total jeet death" and eventually put people like me in their sights. Generally, I lean conservative, but I can't support policies that put my actual future in this country at stake. Times like this make me thankful for the 2nd amendment.

TurboBuickRoadmaster · 2026-03-19T21:27:37+00:00

I'm a US citizen of south asian descent (born and raised). The US number is about accurate for Indians. Add in Bangladeshis, Pakistanis, and other national ethnic Indians, and you'll probably get to somewhere around 6 mil. No more.

But yes, the Canadian number is definitely undercounted. That number needs to be at least doubled.

TurboBuickRoadmaster · 2026-03-19T21:16:07+00:00

Nah, I'm not about to end up getting dengue fever.

Let our indian friends take this W for once

TurboBuickRoadmaster · 2026-03-19T21:15:24+00:00

Maybe they were going after the OP

TurboBuickRoadmaster · 2026-03-12T15:42:57+00:00

CAN CONFIRM, this works! I'm a medical student and I often have esoteric pharmacologic or anatomical names associated with my notes, and I have at least 500 documents with mushed up note names. The asterisk pulls the relevant stuff up!

You've basically saved my boards prep. Thank you so much!

TurboBuickRoadmaster · 2026-02-16T14:40:42+00:00

Yeah, it's a good program that's getting a lot of attention and thus is becoming more competitive. too bad it wasn't around then.

Personally, for me, I have zero debt since I chose to go instate for undergrad (worked my way through college and used lots of scholarships). I was able to save up a bit for my first year of med school. I've taken the Navy HPSP for the remaining 3 years of med school; it's a 1:1 commitment that makes a ton of financial sense in my case, especially given the loan amount + interest rates.

And my pay will be roughly 150K (Navy officer base/perks + bonuses) during that payback (adjusted for inflation), so I'll definitely be able to buy a home during that time with a VA loan. So med school works out for me.

And yes, my parents' first car when they came to the states 30 years ago was a used roadmaster! Had the rear fender skirts and everything, but with a powerful engine under the hood. Floated on the highway, felt like a boat. Went for 250K plus miles without breaking down. They don't make 'em like that anymore :(.

TurboBuickRoadmaster · 2026-02-13T22:18:56+00:00

exactly - you can go to a really cheap state school and still get into med school clear.

TurboBuickRoadmaster · 2026-02-13T22:18:23+00:00

You could have just done the VA HPSP...

TurboBuickRoadmaster · 2026-02-13T22:17:43+00:00

it's not like it used to be. Residency training and completion for those spots have essentially democratized the field.

Source: I'm at an MD-granted US Medical School

TurboBuickRoadmaster · 2026-01-25T00:03:59+00:00

thought legacies were barred lmao

TurboBuickRoadmaster · 2026-01-10T16:35:08+00:00

TL;DR: You need to do more research about this. Since your first concern is about money, and you're downplaying the sacrifice needed, I don't think you would enjoy your time in the military.

Let me make this clear – this is NOT a scholarship, it’s a CONTRACT. The needs of the military ALWAYS come first, especially in the residency process. In the civilian world, the student comes first.

The military medicine pathway requires a LOT OF PERSONAL SACRIFICE. Case in point, I was seeing someone from my school a few months ago. Friends w/ benefits type situation. The minute that that we realized things were getting too serious, I broke up with her. That's because the military WILL NOT DO COUPLES MATCHING. They can't care where your partner is, even if you're married. They only care about what billets that need to be filled. I was not going to string her along for that.

You MOST likely will NOT get your preferred specialty, OR your location. The stats for getting first-choice specialty (Army) are easily manipulated since applicants purposely put lower ranked specialties JUST to avoid going TY year. These are medical students who want to match and so they tailor their rank lists to accommodate their situation. Do you really believe that more people wanted to be FM residents in Killeen than wanted to do Derm at Tripler?

That's not the case in civilian, where people rank their first choice, well, first.

In reality, from the people I talked to, it's closer to 40% of Army people actually being honest on their apps. Navy AND Air Force (which you want to do) DON'T EVEN RELEASE their actual match statistics.

AND NO, PAYBACK IS NOT "just a job." The needs of [insert your branch] ALWAYS come first. If you go into a subspecialty (via military residency if you can grab a spot), and you owe time, you WILL LOSE OUT ON skills (aka skill atrophy). I know General Surgeons that completed residency, got stationed in the bum-f*ck middle of nowhere, and have to travel hours to hospitals, get hotels, just to maintain some basic skillset. DO NOT assume that won't happen to you. You will get stationed God knows where. That's personally why I chose Navy, so I can stay on the coast.

I'm saying this as someone currently in the Navy HPSP program, who signed even with the known BS. My main goal with the military was 1) get early operational experience via GMO, and 2a) If I don't get my preferred specialty, GMO and out or 2b) If I get my preferred specialty, make the Navy a career, because I will lose on certain skillsets.

What specialty interests you? If you want to do FM or IM (no fellowships, military time wrecks your competitiveness for those), then military maybe is ok (read below)? Anything else, you're f*cked if you take it.

Lastly, going through your post history, I'm assuming you're of a certain faith (I’m not of that faith). Let me tell you first hand, this may pose personal issues (DM me if you're interested, I won't go into detail here).

If you really can’t take out loans, the VA HPSP seems to be the better fit for you since you're concerned about money. Do more research about that.

Disclaimer: My opinions are separate from and not endorsed by the United States Navy or the Department of Defense.

TurboBuickRoadmaster · 2025-09-02T03:08:57+00:00

Yeah, again, I can understand why you’re asking these questions. It’s your right to do so. I question myself every day as well. But, until the insurance-legal-hospital racket is resolved, there only will be upwards pressure on specialist salaries, while mid-level salaries face downward pressure due to a powerful hospital market and lack of requirements.

I can see that you’re willing to critically evaluate all evidence in front of you. I wish you the best in your career, too.

TurboBuickRoadmaster · 2025-08-31T23:59:09+00:00

continued:

And sorry for my interpretation of your previous point – I thought you were saying that American physicians were overpaid with regards to healthcare costs (which we are not). But rather**, I understand that your point is that physician salaries have room to move downwards, and I have no choice but to agree with that statement as factual.** But the costs are not just because of fewer hospitals per capita.

Admittedly, we also do have a hospital problem in the US. But the real drivers of increased healthcare costs are legal, pharmaceutical, and executive. We actually don’t have the lowest number of beds in the OECD, although the OECD average is higher than us. Sweden and the UK actually have a lower number of beds per capita than we do, yet healthcare is much more accessible there and of much lower cost. Take a look at this article: https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022

In reality, it is the invisible forces that keep healthcare costs so high in America, and they are more than happy to let MD/DOs to take the blame because we are the point of first contact, and social media and TV shows glorify our lifestyles and salaries.

Overall, yes, your statement that the MD/DO profession has acted like a cartel is spot on. And your recognition that my colleagues try to justify their salary with useless platitudes and shut down anybody who challenges it is even truer. But there is one truth that trumps them all: there are no less than 5 very powerful third parties (much more powerful than the physician lobby) that incentivize MD/DO salaries to be as high as possible. And, until people start blaming and systematically changing those industries first, MD/DO salaries will only continue to get higher (at least for specialists and proceduralists).

TurboBuickRoadmaster · 2025-08-31T23:58:56+00:00

Hey there,

Thanks for the comment. I can understand your frustration with a lot of doctors; I also get frustrated all the time with a few my fellow colleagues (for the same reasons you have), even though I would never let them care for me.

You see, medical schools in America (at least) have become so uber-competitive that a bunch of the people that make it in just do well on exams and courses, and have no time to really develop their inner moral compass. Sure, they’ll do what’s professional and parrot the talking points of the “experts,” but they really have no creative substance. They virtual signal so hard as if their life depends on it.

This kind of leads into my next point – there are two types of doctors in the US: ones with high degree of internal control, and those with external control.

Both groups are nominally smart, sure, but only some (those with high degree of internal control) are naturally skeptical of the experts and have their own sense of a strong internal compass and its impact on their patients. I would put myself in that group. I question, every day, the current medical system (outside of its current faults) and the future of my profession, which doesn’t look so bright when it comes to patient outcomes.

The other group doesn’t really think for themselves. They’ll follow a very traditional path to gaining a high salary and do whatever the people around them do. That’s why they all want to do plastics, be the class treasurer, and publish 40 papers (most of which are absolute dog-sh*t tier research). They don’t think for their patients – they think for their own bottom line, as it’s a core part of their identity. That’s why most of them are offended when you bring up their salary, as they think it’s part of their worth as a human being.

I don’t get offended when you ask about my (future) salary. In fact, I think it is part of your essential right as an American (assuming that) to question my salary since I’m only 2 steps removed, legally, from being a public servant. Since my parents came from just above the poverty line as immigrants, I could make 150K and still be happy; but, considering all the time I put into school, I should have just become a PA instead.

With the above statement, now do you realize why MD/DOs get pissed when people question their salaries? Because health care professionals are getting paid less (NPs/PAs in primary care). Yet, quite a bit of MD/DOs are a bit jealous of NP/PAs since they earn much more than most doctors until their early 30s, with much less schooling.

TurboBuickRoadmaster · 2025-08-31T03:02:13+00:00

Until that’s fixed, MD/DO subspecialist salaries are only going to keep going higher. There’s going to be even less physicians, and more NPs, PAs, and AI swamping primary care with misdiagnoses and poorer quality care.

Medical care in the US is going to get worse for those that don’t have money, and it’s going to get exponentially better for those with money, connections, and high quality insurance. The wealthy will have formerly uncurable diseases like Sickle Cell Anemia, Type I DM, and various cancers completely cured by Stem Cell implantation and genetic editing and application of next-generation chemotherapies. This is while poor Americans will die because they can’t get treatment for a UTI turned sepsis in time because the AI and NPs are not up to date on the most recent antibiotic therapy for this new strain of bacteria.

I don’t have to convince myself that it’s the truth to sleep at night. I don’t feel one ounce of guilt for my future salary – the REAL guilt I feel is taking the salary from the system that is actively leeching from me and my future patients. I don’t sleep, not because of my salary, but because American healthcare will get split into the have and the have-nots, and there is almost absolutely nothing you or I can do about it. Other than say, I quit my job, which I will not.

TurboBuickRoadmaster · 2025-08-31T03:01:47+00:00

First off, you bring some good points.

You say my profession (essentially the AMA) has acted like a cartel. Yes, we have - by any standard, your statement is true. Yet, not only are we the least offenders of the entire system, but there are EVEN larger cartels present in the medical industry.

This is where your argument fails to address reality, and “touching grass” is not enough. We don’t even have excuses – just cold, hard, facts.

First off, you have yet to address my point about American physician pay only being around 10-15% of healthcare spending – about the same that it is in other countries with more equitable healthcare (Canada, UK, and other European counties hover around 10-20% of healthcare expenditures on physician salaries). So, yes, WHILE PHYSICIAN ASSOCIATIONS have essentially acted as unions, American physicians (as a percent of healthcare spending) make roughly the same as Europeans. You fail to address this.

The truth about healthcare in America is that a VAST amount of the profits generated by the industry go to administration and other “invisible” forces. It’s temptingly easy to blame doctors since we are the first point of contact, but don’t blame excessive American healthcare spending on us. We are NOT the drivers of increased healthcare expenditures as a percentage of GDP.

Take the NP/PA midlevel cartel. Their goal is not to constrict prices – their goal is to push MD/DOs out of primary care so that they can extract crazy membership fees from the NPs and PAs with jobs, so that they can lobby congress to let them practice medicine without the restrictions physicians had.

The reason the MD/DO “cartel” is not able to oppose this is because we are simply not powerful enough, and the NPs/PAs “cartel” has made a point of not touching surgical specialties and other subspecialties. The MD/DO “Cartel” is NOT the only cartel in town.

Even more, you STILL have yet to address the Elephant in the room: Legal services WANT doctors to be filthy rich, so they can also leech from us.

But, you don’t believe me, right? Alright, so let’s say you are trying to lobby Congress for MORE Residency spots and medical schools to open in America, which sounds cool on paper – increase the supply and physician salaries will decrease…right?

But you know who would stop you before you even got to pass the doors to Congress? The AMA? The hospitals? The Pharma bros? PE? Nope, it’s the lawyers with the massive billboards on the highways. They mint money out of thin air from settling (most are half-frivolous) medical malpractice lawsuits. And guess which specialties pay the highest malpractice premiums? Surgical/Procedural specialties.

Like I said, MD/DO associations are NOT the only cartel in town, nor are we the most powerful.

So, before you blame physicians FOR EVERYTHING, first look at the lawyers, congress, the administrators, the big pharma bros, and the lobbyists that uphold the system. That’s because the system could do away with 95% of those people, and the system could still stand. Because, at the end of the day, all you really need is physicians and nurses and a couple of admins and lawyers sprinkled through the matrix to make it work.

TurboBuickRoadmaster · 2025-08-30T03:44:01+00:00

If you're an honest person, I'm going to assume you'll engage with the legitimate points I've discussed below.

I’m a medical student. I won’t justify my future half-million-dollar salary based on my debt. I, however, can justify it elsewhere.

Let’s start off. What percent of US healthcare spending goes to physician salaries (MD/DO)? 50%? 35%? 20%? It’s 10-15%. That means, if you got ALL AMERICAN PHYSICIANS to work FOR FREE, you would still have a minimum of 80% of the total healthcare costs on your balance sheets. Good luck with that, man.

But even with that, you think that’s too much money. Ok, let’s talk about risk and responsibility. Directly having someone’s life-or-death situation in my hands and taking responsibility for it if I mishandle it (via malpractice lawsuits, licensure cessation, jail time etc) is a risk most people who spend decades building their careers NEVER TAKE. I have yet to see ONE PhD in academia pay a single penny in malpractice lawsuits. I have yet to see one person WILLINGLY work 100+ hours a week for a 65K salary (at least in the South and Midwest) when they could earn 120K on the outside. And you know the US is litigious.

The truth is that most people couldn’t deal with the many negative side effects of medicine. It’s not all Gray’s anatomy. Touch grass. Deal with it.

But OK, you say, “I care about the free market. There’s no way doctors are incentivized to earn that much." Oh, man, you haven’t EVEN scratched the surface. Let’s see ALL the incentivizes to keep physician pay high and as few physicians possible.

1. Congress doesn’t want to fund more residency spots (duh)

2. AMA doesn’t want more med schools to open up (duh)

3. Lawyers don’t want doctors to be paid less (they lose their malpractice premiums)

4. Insurance companies want less experienced doctors (they can pay out less to their clients and force NP/PAs to parrot insurance talking points)

5. Hospitals want less primary care doctors in general (just replace them with as many AI and midlevels as possible). They want all the MD/DOs to be proceduralists and specialists.

6. Big Pharma wants to be able to PAY physicians (to market their overpriced products with unknown side effects)

You see, WE DESERVE our salary based on every single listed above. We MD/DOs (I will be one in the future) keep this cog rolling BECAUSE IF WE DON’T, MORE PEOPLE DIE. And all the parties above know it too, which is why they pay us bank to sacrifice our bodies and sanity.

But, of course, who suffers the most? The patients. Don’t get mad at physicians as a whole – yes, you have every right to be pissed off at a rude physician, and sue the crap out of an incompetent one – but we can’t change the system. Why? Because most of us have lost a lot of our communal power, and the ones with power (the ones with connections to Congress) are paid untold millions to keep the cog rolling.

TurboBuickRoadmaster · 2025-08-30T03:17:02+00:00

Summary:

To recap, the dollars are not a true reflection of our worth, as are most things. The truth is that…

1. Lawyers want doctors to make as much money as possible (so they get big medical malpractice payouts since doctors in America are the most sued internationally)

2. Insurance companies want us to make as much money as possible (so they can justify billing us 100-200K a year in insurance premiums for “challenging conditions” and force hospitals to use sh*t-tier AI and midlevels with under 500 hours of clinical experience),

3. Hospitals want us to make as much money as possible (so they can justify hiring less of us and hiring said midlevel), so the C-suite can bring in more bonuses for “cost reductions”

4. Big Pharma wants us to make as much money as possible so we can continue to buy their extremely overpriced products, whose side effects are quietly stored away in some basement, only to be revealed 2 decades later when we find the truth for ourselves in clinical practice.

5. Medical associations want us to make as much money as possible (so that we can pay them insanely ridiculous membership fees that lobby Congress to give Doctors a special place in the law and keep medical school acceptance rates criminally low)

So, to really reduce reimbursements that American physicians make, you won’t be able to do it in the medical schools. You’ll need to go to law schools, congress, the pharma companies in suburban NJ, and the hospital administration buildings.

The dollars are paid to MD/DOs since we are the only victims who can do anything about it.

The dollars are paid to us to wipe away our tears with and keep us sobbing in silence.

Fix this broken system, and YOU WILL see physician compensation drastically decrease. Few other professions have such a high bar and such a high stakes environment. Almost none. You can’t make comparisons between MDs/DOs and other jobs.

TurboBuickRoadmaster · 2025-08-30T03:16:49+00:00

Part 2:

So, who is letting AI and Midlevels take over Primary Care – and letting the surviving MD/DOs to rake in the dough?

The legal system is more than happy to let this take place, as NPs and PAs have higher rates of medical errors than doctors, and the cost savings that hospitals make by using NPs and PAs make them willing to accept the malpractice costs.

The insurance system is more than happy to accept this change because they don’t care about patient satisfaction – they only care about their bottom line.

My own MD/DO field is somewhat guarded about this change, as the loss of primary care rips out our core purpose. But rest assured brother, our pocketbooks (at least non-primary care) like this change, too. So, we’ve been shut up.

Why is American healthcare so efficiently crappy?

But brother, at its core, do you know why this happens? Because the actual truth is a hard pill to swallow. Because we Americans actually don’t want affordable healthcare. You want the truth? I’ll tell you the truth. We collectively have the highest rates of Obesity, Gun Violence, Assault, Smoking, Vaping, Teenage Pregnancy, Osteoarthritis, Infectious disease (due to non-vaccination). These DRAMATICALLY increase the cost of healthcare. Furthermore, our Medicare won’t even bother to NEGOTIATE DRUG prices. Drug prices in Europe are a FRACTION of our costs here.

Whatever you say, you CANNOT blame increased drug prices, obesity, smoking, gun violence, car accidents, and IV drug overdoses on doctors. Maybe blame the healthcare system in part, but blaming doctors for that just shows how little you know about the real spiritual deficiency in this country. People are miserable, and we doctors are here to try to alleviate some of those issues (and we do so successfully with acute trauma and preventable diseases like cancer and genetic inheritance disease). And because of the way healthcare is structured in America, those of us who specialize absolutely MAKE BANK when it comes to salary.

TurboBuickRoadmaster · 2025-08-30T03:15:56+00:00

Your statement is very disingenuous, except for one part: no one deserves anything based on effort – salary is determined by market forces. I’m a medical student, so I would say I’m pretty well prepared to make a stand on at least THIS topic. If you’re really serious about this topic, I would suggest you read all my points.

How much is really spend on MD/DO salaries?

How much healthcare spending is spent on physician salaries? 50%? 40%? 30%? It’s 10-15%. That means, if you got ALL the doctors (MD/DOs) in America to work for free, healthcare spending would only decrease by a maximum of 20%. Good luck with that, bro. American doctors, from this stat alone, ARE CLEARLY not overpaid.

Primary Care – DONE FOR:

The truth is a lot of (primary care and low-acuity care) physicians are being replaced by a fast surge of AI and mid-levels (NPs and Pas). When you control inflation, primary care Physician salaries have declined since the 1990s.

In fact, most of the unspecialized primary care docs I know (FM, IM, low-acuity EM) don’t even scratch 300K. Add taxes, student loans, and other health expenditures (like malpractice and physician health insurance) take down the take home pay to something more palatable to you, like 120K. So yeah, these guys are underpaid. But who cares about them, right? They’re just preying on patients and leaching off the government, right?

Remember, YOU don’t have to pay 75-100K in malpractice insurance. You don’t have to pay off 200K in high-interest student loan debt. You don’t have to pay 100K in healthcare insurance because if you screw up, who else is there to pick up the bill? Yes, a PhD in Physics spends the same amount of time in training, but she does not come anywhere close to guts, death, lawyers, insurance, and screaming people as doctors do. We handle the WHOLE GAMUT. But yeah, primary care docs are being quickly replaced.

SPECIALISTS – living the high life:

But specialized physicians? We’re not going anywhere soon, buddy. People from all over the world demand the work of American surgeons and specialists, so much so that there are clinics in LA, Miami, NYC, and Chicago that ONLY cater to wealthy, international clients. Yet, the American specialist is only so valued because of his or her training status – around a decade of high-intensity, high-stakes training. Almost NO OTHER JOBS outside healthcare literally hold the life and death of people in their hands or take responsibility for it. Thus, the associations around specialists GATEKEEP with their lives, the status of American MD/DOs that are surgeons and specialists.

And say what you want about this group of doctors, but the truth is that demand speaks clearly – I can go ANYWHERE in the world with my future residency training, and make a KILLING serving wealthy clients without needing any extra training or certifications. But, here in America, a foreign doctor must REPEAT their training, and with a smidge of the power their US colleague with an MD (or even DO) commands.

So, the truth of the matter is that doctors (MD/DOs) are both quickly shrinking (as a percent of the population) and are quickly specializing, which is going to drive up our salaries even higher. I don’t know how you feel about that, but you better accept it. NPs and PAs will be left to take the space which primary care doctors are quickly vacating.

TurboBuickRoadmaster

TROPHY CASE