Drs used to be the most hard core "profession" and attract the best and brightest - Drs used to have to memorize everything to diagnose in a minute - now there's programs that can take the symptoms and for 95% (I am making up a number) ot ailments they can take the list of symptoms and tell you whats wrong and the treatment. So most primary care physicians are now relegated to gate keepers of the HMOs and prescriber of pills. Medical science has become bloated and inneficient in nearly all areas where it's paid for by the insurance company. Its funny in areas where there's little subsidy/insurance coverage the comeptition is fierce and prices have come down and efficiency gone up, as there's an incentive to cut the costs and make the procedures more affordable (laser eye surgery, cosmetics surgery etc)
>For example, there were at two rounds of decimation at Goldman Sachs <
Just to make my point clearer, I do not think there is any incentive to fire underperforming MDs absent large external pressures. Firing a few MDs because the hospital has to cut payroll by 25% is not the same thing as routinely assessing MDs (especially early career) and firing them for poor performance despite adequate finances.
And you'll have to excuse me if I'm not super impressed by Goldman laying some people off imminent to the sharpest recession in decades ;-)
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