Doctor pay has almost nothing to do with the absurd medical costs. With 1.1m doctors in the US, and median pay at 180k, that's $200B. US healthcare spending is 3.2 trillion. Beyond that, I think they deserve that much when factoring in the cost of education, liability of the job, and decrease in years of employment.

Here's some math:

- median age of retirement: 63.

- median UPS salary over lifetime: $70k.

- UPS driver lifetime earnings = 70k * (63-18) = $3.15m

- Median doctor salary: They usually earn around 150k total during their residency, and the median is around 180k beyond that (typically age 30+)

- MD lifetime earnings = 150k + 180k*33 = 6.09m.

- MD education debt is typically around 500k, adjusting earnings to 5.59m. Accounting for hours worked, MD equivalent lifetime earnings are 3.72m.

I mean no disrespect to the work ethic of any blue collar job, but do you really believe the guy who cured you of cancer isn't worth the extra 600k over their lifetime compared to the guy who dropped off your replacement phone charger?

Some other data which tells a different story; I wonder how it all reconciles:

In the United States, the richest 1 percent have seen their share of national income roughly double since 1980, to 20 percent in 2014 from 11 percent. ...

No other nation in the 35-member Organization for Economic Cooperation and Development is as unequal among those with comparable tax data, and none have experienced such a sharp rise in inequality.

...

Almost all of the growth in top American earners has come from just three economic sectors: professional services, finance and insurance, and health care, groups that tend to benefit from regulatory barriers that shelter them from competition.

The groups that have contributed the most people to the 1 percent since 1980 are: physicians ...

The United States also stands out in terms of how much money its elite professionals earn relative to the median worker. Workers at the 90th percentile of the income distribution for professionals make 3.5 times the earnings of the typical (median) worker in all occupations in the United States. Only Mexico and Israel, which have very high inequality, compensate professionals so disproportionately.

https://www.nytimes.com/2017/11/17/upshot/income-inequality-...

Income is not the same as wealth, and income is irrelevant if it doesn't turn into wealth.

My father is a doctor and he finished paying off his education at 48. I make half what he made and finished paying mine off at 28. I'm drastically more wealthy now, and will be wealthier when I retire. This seems strange given the significant difference in income.

1980 is a very peculiar data point to mention. That year is pretty much exactly when minimum wage and tuition suddenly diverged. Between 1965 and 1980, A full time summer job at minimum wage could consistently pay for ~45% of your tuition. In the next 15 years, it dropped to around 20-25%. Running the numbers for 2017-2018, in-state tuition is 20%, out of state is 11%, and private is 8.6%.

The groups that have contributed the most people to the 1 percent since 1980 are: physicians ...

With all that in mind, this statement doesn't seem unreasonable to me. If education prices have skyrocketed, shouldn't the career that spends the most in education (both time and cost) be compensated accordingly?

Point being, income is only half of the equation to wealth. That article doesn't bother mentioning debt at all.

Relevant assumptions/data:

Summer job: 14 weeks @ 40hrs per week

Tuition costs 2017: https://trends.collegeboard.org/college-pricing/figures-tabl...

Older tuition costs: https://nces.ed.gov/fastfacts/display.asp?id=76

Minimum wage: https://www.dol.gov/whd/minwage/chart.htm

> isn't worth the extra 600k

Do you really think you should pay twice as much in the US compared to other countries with equal quality?

If what you're quoting is what you are actually responding to, you've missed the point. That quote is a comparison between a UPS driver and a Doctor, not a Doctor in the US and one in Norway. If you're trying to compare countries, you're not paying twice as much once you account for what goes into achieving that income.

Maybe I didn't get my point across, but what I was getting at: salaries really have to do with the extreme healthcare costs in the US.

https://www.politico.com/agenda/story/2017/10/25/doctors-sal...

(Also on HN today)

I've commented on that one as well. Feel free to read those.

Strict control over the number of training positions and medical school spots appears to keep salaries high.

Huzzah!!! Nailed it.