The article failed to mention the high cost of medical school, high interest rates for loans, and being phased out of interest deductions from earnings (which are capped quite low IMO to being with). My wife attended a Big 10 university medical school, costing around 50K/year, graduating with around 200K of debt, added to her 50K of undergrad debt, deferred through most of training, making 50-60K as a resident and fellow, looking at a 2000+/month expense for P&I on those loans. We've re-financed it, but the rates are still quite high relative to car loans, home mortgage etc., so of course this reality of essentially carrying a second mortgage of debt, was a factor in her choosing to go into a specialty, with additional training (fellowship), and moving to a lower cost, higher demand (higher wage) area. We pay 15K+ INTEREST annually on those loans and we are phased out from deducting any of that. If undergrad was less expensive, or free as it is in other countries, if med school was less expensive, doctors could enjoy the same quality of life with less salary.