will work for love

All the trials and tribulations of getting into medical school, along with all the crazy stories of being in medical school, should be enough justification to be able to get paid the big bucks when you get out right?  Most people think that the specialists are the ones who are gonna get paid the most, and most of the time have the sweetest schedules.  Now who doesnt want to get the cash, have the easy career, and have enough time to go home and play golf, tennis, or rock band?  Sure it all sounds good, but lets think of it again.  Where are you getting all of your patients?  Who is referring all these patients to specialists?  Of course there are gonna be some people who get into the ER and have to be rushed to certain specialists, but otherwise, isnt the primary care physician in charge of who goes where?  Arent they the ones who tell the patients where theyre going to go?  Who's looking over the pcp's back 24/7?  The big guys with the big money, the medical groups, the insurance companies, the hospitals.  So youre saying the specialists get paid more right?  However im sure that these big dudes dont want to pay the specialists the big money if they dont have to, I'm sure that theyd want the cheaper PCP to handle all the cases they can without having to refer the patients out, or else up goes the amount that theyre going to have to pay for that patient.  

Let's just say that your mom is buying you a new Playstation 3 for your birthday.  You tell her how much it costs, and oh its going to be awesome!  She says ok, just because she wants you to be happy, and she loves you.  So you get to Best Buy, and you grab the first PS3 that you see in the electronics section.  Your mom turns around and starts walking towards the register in the front of the store.  But then you think... I don't even have a game to play yet, I need extra controllers for my friends, I'm going to need an HDMI cord to connect if I want to play in hi-def, and I'm going to need a headset cause I'm gonna be a nerd and play online too!  So you tell your mom what's on your mind and she sighs, but she only agrees to buy the game and the extra controllers because she decides that those are the only things that needs to be purchased, and she needs to save money because the family is also on a budget.  So its a no go on the HDMI cord and headset.  

Now think of this:  You are the primary care physician, your mom is the big insurance company, the PS3 is the primary care patient, and the accessories are the specialists.  Your mom is always going to be in charge of deciding what goes through and what doesnt, and these extra PS3 accessories are only going to be bought if the PS3 really needs it.  Now wouldnt it be much easier if the PS3 already came with all those things already?  If the PCP was able to handle everything him/herself, then it would save your mom (the big companies) money, so specialists are no longer in control of their own destiny.

The future looks less promising for specialists, because these days the big guys are trying to get the PCP to do as much as possible without having to refer out.  It wouldnt make sense for everyone to want to go out and buy controllers, games, and other accessories without even having a game console, right?