Also lack of respect from the medical profession. Hanging out with pre-meds at elite universities, it was considered a bit of a disappointment to only get a GP

Also lack of respect from the medical profession. Hanging out with pre-meds at elite universities, it was considered a bit of a disappointment to only get a GP or internal medicine residency - good students try to get speciality residency. This is of course downstream of the lack of compensation from government or insurers - specialties earn more, unless you're willing to become a physician in a rural hospital.