"Halsted promoted several very important concepts and practices in residency training: graded responsibility, a variable and lengthy training period, a pyramidal system of promotion, a resident's ward service, and, most pertinent to this article, a restrictive lifestyle. This last concept of a restrictive lifestyle meant that residents truly resided in the hospital. They received little or no pay, were discouraged from marriage, and worked 24 hours a day, 7 days a week, 365 days a year. At first, the Halstedian model was more the exception than the rule but gradually became more common, especially after World War II when more surgeons wanted to be trained and certified for both the prestige and financial rewards."
https://jamanetwork.com/journals/jamasurgery/fullarticle/392...
The Halsted is William Halsted, a workaholic lifetime cocaine addict: https://en.wikipedia.org/wiki/William_Stewart_Halsted
Like 1 million malnourished people in Africa dying fast vs 1 million somewhat overweight software engineers with healthcare benefits?
So what happens when you factor in fit people (which the US is probably short of anyway)?
If both are valid possibilities, this suggests a selection bias regarding the arguments.