> they're union members, they get paid overtime
Very few surgeons are union members. They frequently work for outside groups and are paid per procedure. The ones that do work for the hospital on salary don’t get overtime.
>status is equivalent to doctors
They are doctors. Both in title and in function. Most surgeons only operate a couple days a week. The rest of their time they see patients in clinic, and an outside observer couldn’t tell the difference between their work environment and a primary care physician’s.
You are onto something though. My wife is an ER doctor and her job is very similar to blue collar service jobs (if you consider service jobs blue collar).
She doesn’t make her own schedule. She works insane shifts (one day she could work 7a-4p, the next 10p-7a). She interacts with patients directly all day.
The pay is a lot better, but the hours are worse than any retail job I’ve ever heard of, and you can’t call in sick. Her coworker was sick and could barely get out of bed, but she came in early to have a nurse give her an IV so she could power through her shift—that kind of thing is very common.
Plus you have the ultimate responsibility for every patient that comes through the door. You have to make sure you don’t miss anything serious every time—while at the same time, making sure that you don’t spend too much time with each patient. And the ER you’re working in is full because the floor is too full to admit new patients but the ER can’t just shut the door, so patients are boarding in the halls.
Oh and if you mess up, you can literally lose your house when a jury awards someone more than your malpractice insurance will cover.