No offense Dr. Pete - that's not much of a case log over 6 yrs and, cynically, most docs don't pull the hours or fill their block time because they love to help people. Follow the money - where did all of the CT surgeons go?

This is an interesting topic, privilege and wealth. As someone who grew-up in the middle class and now has enough money to afford most material goods it is a nice position to be in - but rarely does anything have to do with "what someone deserves". I'm sure there are laborers that will forever toil and there are great minds that will never see a dime for their ideas.

Anyway, I just want to post that there is something obscene about opulence. Can I afford a 5K, 10K, 20K... bicycle - sure, but at some point it is obscene when the gap is so vast to an average person. We may not be able to come-up with a definition and the level varies from person to person but at some point it is ridiculous. (art vs porn defn)

Can Bill Gates afford a gold bicycle, sure. Is he free to buy one, sure. Is he an idiot if he buys one, definitely. If he pulled up next to me, and I was of minimal means, would I consider mugging him? - class warfare.

Another aside, of reported income in the US, the 100 highest salaries averaged ~>140 million/year and their tax burden was ~43 cents per dollar. The ultra wealthy don't support the tax load. The upper middle class do - those with money but not enough for a tax shelter.