Comment by 0xB31B1B

3 months ago

I think you're simplifying the frame far too much here. My wife works in medicine as an ENT surgeon. There is an ENT surgeon position open in a rural hospital outside of fresno CA that pays 1.1M dollars/year, or about 2.5-3x the salary a large hospital in a major metro would pay for the work. The position has been unfilled for 4 years. As best I can tell, the two main reasons the job goes unfilled are a combination of (1) it has a stressful call schedule and (2) its in an remote and undesirable location. ATC jobs have a wide geographic distribution. You need ATC at the commercial airports in Klamath Falls OR and Elmira NY and these are places people are generally moving away from, not moving into because they are run down and have low opportunity and general prevalence of rural poverty. Paying more money doesn't automagically fill these roles, and there is an upper limit to how much you can pay someone and have it be a net benefit.

> There is an ENT surgeon position open in a rural hospital outside of fresno CA that pays 1.1M dollars/year

while 1.1m/yr sounds like a lot, it isn't the right number to consider. The right number is the difference between this job, and a similar job else where that has better facilities/amenities and comfort. If said surgeons who would qualify could've gotten a similar job in a major city for a similar amount of money, they might prefer it there (near family/friends, amenities etc).

So how much _over_ the typical pay is the 1.1m/yr salary offered?