In America we're free to choose our careers based on our ambitions and abilities. When the financial rewards are controlled by third-party payments instead of consumers, the system can go terribly out of balance.
That's what is happening in medicine today. Shortages are being created in many specialties because they earn less than fields where more high-profit procedures can be done per day. For example, in the coming decade America will probably lose 140 of the remaining 400 neuro-opthamologists, specialists trained to detect and treat visual problems connected to the brain. In the last 4 years only 20 medical students have chosen this field.
This trend contributes to the relentless increase in medical costs as both patients and doctors are driven into more expensive, procedure-driven medical treatments. Just one more part of a broken medical system in our country.