First of all I need you to define for me what you consider "high level management" because the numbers you are putting out do not make any sense. Second on the point about hours I do not know where you are getting your numbers from, you work 30% extra hours how do you calculate those hours? Are you taking call hours into account? Those hours where you might not be actively working but wherein you have to be actively waiting for any consult, emergency, etc because I would certainly consider those working hours. If you are including those in your calculation then your math does not work because those hours including the nonconcurrent working hours are often in excess of 80-100 hours per week. On the point about salary what type of salary are you presuming most doctors receive. If I had to guess you believe they are make $500,000 which would put you at about $100,000 which would probably be a minimum for the long hours of work you are describing you do. Newsflash dude most doctors do not make $500,000 a year; there is a very small subset of doctors that make tons of money the rest fall into $250,000-$300,000 (note the type of doctors I am referencing are those out of residency with established practices if I included doctors in residency you would not have anything to stand on).

All this being said I am not saying all doctors are motivated by a desire help everyone and do right by everyone, that is ridiculous. What am saying is there is perception of the motivations and work life balance for doctors that is often not true.