Are you comparing residents to specialists? They're not at all comparable. Residents in the US are typically within 3–7 years of graduating med school and are not able to practice independently. Specialists have typically finished 6–9 years of training after graduating medical school and are independent practitioners.

Source: am a US physician.

Sure it’s fine. It’s also a significant pay cut for almost every American doctor.

Normal specialists in the US out-earn chief physicians in Germany by hundreds of thousands of dollars. All the fringe benefits in the world aren’t gonna buy you a new boat.

US doctors earn that every 12 weeks.

"Seems fine?" isn't a very solid argument.

doctors in the US would strike if you tried to force these wages on them