Specialty doctors making a lot of money isn't the issue here. I have a family member with a terrible back who has had multiple neuro-spinal surgeries. There's

Specialty doctors making a lot of money isn't the issue here. I have a family member with a terrible back who has had multiple neuro-spinal surgeries. There's about ~250 doctors in the entire country trained on that family member's procedure and generally speaking, they're earning well over that arbitrary $600k that you have picked. There's no reason that they shouldn't. Quite a lot of the neurosurgeons etc. I interact with make well above that and they should. It's 4 years of medical school, plus sometimes over a decade of residency and fellowships to get to their level of expertise.