I suspect most MDs will never take the lead versus a programmer making FAANG level money. Just the health toll and lower quality of life alone from the studying and work requirements in residency, as well as having to work off hours and nights and whatnot put them behind. But also compounded returns on investment from income in 20s would require a lot of income to makeup for in 30s. Which doctors do make, but in the recent past, not enough to surpass top programmers.

Also, doctors have to deal with the byzantine paperwork nonsense in the health field, and work with the general public as well as in places that have infectious diseases floating around. And can't work from home as easily. I wouldn't trade not having to work with the general public for a couple hundred thousand.