You're probably right. The thing is, I think I get a skewed perspective. I train at an institution that is legendary for providing top-tier care to literally anyone... where it is common to transfer patients from the (world famous) public hospital to the private one, if they require an intervention or test that cannot be done at the public hospital site, without any expectation that anyone other than the institution, will be paying for this. Our institution basically coined the phrase "humanistic medicine". To me, the endless attack on the healthcare system that are everpresent throughout the internet, and permeate these boards, are nails-on-a-chalkboard, because the concept of turning someone away is alien to me. On the other hand, after spending ALL of my youth grinding away at my training (which graduates less than 400 people a year in the entire United States), I expect that I have earned the right to a higher-than-average salary. Of course, when the goal is to ensure that there is no way to EARN your way into the upper class, I am not going to be surprised if the MD salaries continue to drop.