Does it matter?

A fat doctor smoking a cigarettes is still right when he tells you to lose weight and quit smoking

But for the record I make about 50-60k a year and have high deductible insurance. I could potentially make substantially more but I don’t because I have a large number of sliding scale slots to subsidize the care of people who have financial need, at my expense, because the system is bullshit

I have colleagues who do not do this and work the same amount of hours as me and easily clear 70-80k thanks to a combination of no sliding scale and much more draconian no show penalties assuring they always get paid even when someone doesn’t attend (some charge as much as $100 for missed appointments)

Some colleagues curate the insurance panels they’re on so they maximize payment amounts. Some eschew insurance altogether and only take out of pocket payments, usually far more than what any insurance would pay (over $150 an hour). These tend to make over six figures

But even if I was in the latter categories that wouldn’t change that it was correct (although it would make a hypocrite tbf ig). Insurance is a collectivist concept for the greater good and cannot work without someone subsidizing someone else, typically the young subsidizing the old. The only way you escape the need is being healthy forever (unlikely) or being obscenely wealthy (far more unlikely)