Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

To put patients’ interests first, we have to put our own aside

Allan Joseph
Policy
November 23, 2013
Share
Tweet
Share

I first read Dr. Matthew Moeller’s piece from this past March for the first time this week after a classmate of mine passed it on to me. I’m a first-year medical student — bright-eyed but sleep-deprived, trailing the smell of the cadaver lab everywhere. I entered medicine fully aware of the long, arduous road ahead, almost exactly as Dr. Moeller described it; with many of my classmates in my undergraduate economics major entering lucrative jobs in finance, investment banking, and consulting, I knew I’d spend years falling behind them financially. I’m inspired by his continued commitment to treating patients, as that’s why I decided to go on this path too — and I’m glad to see that the rough times ahead of me don’t stamp out that desire.

But I have to say, I was a little disappointed with the piece after reading it, especially considering how much attention it continues to receive. Don’t get me wrong, I think we absolutely need to do something about the way we finance medical education in this country — it gives physicians and hospitals a set of incentives that run counter to the things we want.

But to say that physicians aren’t rich is misleading. Yes, we have debt in bunches. We also have an unemployment rate under 1%. Take Dr. Moeller for example, who’s now a practicing gastroenterologist. According to data provided to medical students by the Association of American Medical Colleges, gastroenterologists in the beginning of their career make an average of $390,000. The average gastroenterologist regardless of experience makes over $520,000 a year. That puts the average physician in your specialty in the top 1% of earners. By any reasonable definition, that makes the average gastroenterologist rich. Quite rich, in fact.

I’m not saying this to deny Dr. Moeller’s story, or to say there aren’t real problems to address. My point is that, in the end, we’ll do just fine. The beginning of our career is incredibly difficult, yes. But it pans out — which it often doesn’t do for some of our poorest, sickest patients. I appreciate that as a profession, we want to ensure lawmakers know what it’s like to become a doctor. But we don’t have problems recruiting people to apply to medical school; in fact, more people want to be physicians than ever before.

If we’re a profession that really, truly, wants to put patients first — and let’s be clear, that involves placing our own interests second — then we’ll spend more time telling lawmakers about the patients bankrupted by hospital costs, the patients on food stamps so stingy they only buy horribly unhealthy food, or the poor elderly suffering from dementia but with no place to turn.

If we’re to care for these people — by providing insurance, or better access to nutrition, or universal long-term care — then we’ll need money. If we want to make it more attractive for physicians to enter primary care, we’ll have to pay them more. The money has to come from somewhere. Some of it will come from specialists, and wealthy physicians. Make no mistake. Specialists are by and large rich, and they’ve become so on the backs of a system designed to make them so.

If we’re in this for the best of intentions, to sacrifice our own good for the good of our patients, then we need to put them first. And that includes in how we talk about our jobs, our pay, and our priorities — especially when we talk to lawmakers.

Thank you to Dr. Moeller and so many other doctors for setting a wonderful example of patient-centered healthcare. Years from now, I hope I’ll be able to say that I, too, put patients first for 24 hours a day. Let’s hope all of our colleagues do so too.

Allan Joseph is a medical student who blogs at Project Millennial can be followed on Twitter @allanmjoseph.

Prev

3 tips to keep our patients happy

November 23, 2013 Kevin 2
…
Next

Bringing low income patients into the health care conversation

November 23, 2013 Kevin 2
…

Tagged as: Medical school, Primary Care, Specialist

< Previous Post
3 tips to keep our patients happy
Next Post >
Bringing low income patients into the health care conversation

ADVERTISEMENT

More by Allan Joseph

  • a desk with keyboard and ipad with the kevinmd logo

    It’s never too early to talk about cost-conscious care

    Allan Joseph

More in Policy

  • Health insurance coverage loss threatens sick children

    Mansi Kotwal, MD, MPH
  • Independent physicians are missing from health care policy

    Scott Tzorfas, MD
  • How gold cards can drive California pain management reform

    Kayvan Haddadan, MD
  • Medical malpractice risks persist even after saving a life

    Chinmeri Nwuba
  • A Medicare for All alternative that keeps insurers in

    Ken Terry
  • Bridging the health equity gap with artificial intelligence

    Judith Eguzoikpe, MD, MPH
  • Most Popular

  • Past Week

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Physician retirement is a myth for the ripening doctor

      Farid Sabet-Sharghi, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • AI chatbots and patient safety need physician design

      Tod Stillson, MD | Tech
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Why nature-based medicine is the future of health care

      John La Puma, MD | Education
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
  • Recent Posts

    • AI chatbots and patient safety need physician design

      Tod Stillson, MD | Tech
    • Reclaiming the lost art of the physical exam

      Ann Lebeck, MD | Physician
    • Primary aldosteronism hides behind high blood pressure

      Sanjay B. Dixit, MD | Conditions
    • Cognitive overload in cardiac arrest is a human problem

      Michael Peck, MD | Conditions
    • Artificial intelligence can prevent a delayed diagnosis

      Uday Rajaram | Tech
    • Health insurance coverage loss threatens sick children

      Mansi Kotwal, MD, MPH | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 23 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Physician retirement is a myth for the ripening doctor

      Farid Sabet-Sharghi, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • AI chatbots and patient safety need physician design

      Tod Stillson, MD | Tech
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Why nature-based medicine is the future of health care

      John La Puma, MD | Education
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
  • Recent Posts

    • AI chatbots and patient safety need physician design

      Tod Stillson, MD | Tech
    • Reclaiming the lost art of the physical exam

      Ann Lebeck, MD | Physician
    • Primary aldosteronism hides behind high blood pressure

      Sanjay B. Dixit, MD | Conditions
    • Cognitive overload in cardiac arrest is a human problem

      Michael Peck, MD | Conditions
    • Artificial intelligence can prevent a delayed diagnosis

      Uday Rajaram | Tech
    • Health insurance coverage loss threatens sick children

      Mansi Kotwal, MD, MPH | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

To put patients’ interests first, we have to put our own aside
23 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...