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In no particular order:
1. Huge debt-average medical student graduates with approx. $150,000.00 worth of debt
2. Long schooling-4 years of undergrad, 4 years of medical school, 3-8 more years of residency/fellowship
3. Declining salaries-physician salaries have declined approx. 7% in the past decade when you account for inflation
4. Long work hours, lack of a family life
5. Competitive admissions to medical school-60-90% attrition rate in premed at most colleges before application; among those that apply, 50%+ still don't get in anywhere
6. Rising malpractice premiums-malpractice has been increasing by around 10-15% a year for the past two decades
7. Loss of autonomy-the average physician today has less autonomy and patient trust than the physician 40 years ago; bureaucracy and fear of litigation has pretty much restricted the freedom a doctor has to practice
8. Mean, arrogant patients
9. Mean, arrogant colleagues
10. Mean, arrogant premeds
Outside of that, it's a lovely profession.
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