Is it BS if everyone with skill and imagination aspires to reach the highest level in a given field and is rewarded for their effort? Would you rather have suc

Is it BS if everyone with skill and imagination aspires to reach the highest level in a given field and is rewarded for their effort? Would you rather have such a doctor treat you if you were to say, go to a hospital, or would you rather put your life in the hands of someone who is there to fill some coined up quota?