Yep. The requirements (and cost!) to become a physician are absolutely insane, and it's entirely intentional. As a society we seem to assume that people in certain trades are altruistic and moral, simply because of their job. For some reason, everyone assumes doctors wouldn't act self-interested. Teachers are often thought of the same way. I don't want to swing the pendulum to the other side and start thinking of them as selfish (though certainly some individuals are), but I do wish as a society we would remember that people are still people. Our systems need to be structured to overcome the natural and innate tendency of people to optimize for themselves or their groups. We don't let the cigarette companies do all the science and make all the laws/rules around tobacco sales, we probably shouldn't do that with medical stuff either. We don't need antagonistic people in charge, but they should be independent.