Alex K - you speak from a unique perspective. 1. I don't expect you to divulge the details of your salary but how ?120k/y for 40y? A newly qualified Dr starts at ?22k and the NHS consultant salary peaks at ?94k after 7years. Are you including private work? As you know, only consultants do private work and this is optional, so if it feels like the public is being 'fleeced' then don't do any private work. You can always volunteer some of your time in countries that are not as well off as the UK/USA. 2. If people are going into the UK medical profession for money then they are fools. Yes the money is good in the end but the slog is long and you give a lot of your personal time. If it's money they want then they are better off becoming lawyers or accountant, who work very hard too but are renumerated far better and sooner. Also the government (past, present and no doubt future) are not continually messing with them and eroding morale. 3. Interesting suggestion re: starter package and capped salary. However, you may end up with a form of conscription to ensure there are enough people entering and staying within the profession. 4. Agree, various specialities have no long term committment to the patient. However,if every Dr/nurse wanting long continuity of care the no-one would want to become anaesthetists, intensivists, radiologists etc and then where would we be? They care for their patients in the immediacy of the situation. Agree, sympathy is not necessary. 5. Everyone that does something to help others, whether it is professionally or as a volunteer, does it because they get a 'rush' or 'gratification'. If it always felt crap then no-one would do it.