In a normally functioning system, intelligent individuals should naturally have more bargaining power, because their skills are more in-demand. However, medical

In a normally functioning system, intelligent individuals should naturally have more bargaining power, because their skills are more in-demand. However, medical residency is set up in such a way that your bargaining power is delayed until after you finish, because if you leave you are basically blacklisted from the whole field. This benefits the people who have made it out the other side, who are also the people in a position to effect change