I work in medicine, and find that a lot of the limitations to what I am able to do for people are related to money. Everyone knows this, I am saying nothing ne

I work in medicine, and find that a lot of the limitations to what I am able to do for people are related to money. Everyone knows this, I am saying nothing new there. My component of that equation is my salary, or at least it will be upon the completion of my education (a late life decision to become a doctor). It seems reasonable to accept a reduced salary in order to free myself to properly care for people. Satisfaction is far more important than gross purchasing power. I do not however have any desire to by a martyr. I want to do a good job and show that outcomes can improved via new modeling that was otherwise cost-prohibitive to attempt, it can subsequently be expanded out and will not require others to accept the same sorts of pay cuts that I anticipate. Admittedly this is in the planning phase, but I was a visual artist for a long time before this and so the prospect of not having much money is not frightening. I proved long ago that I could live on a relatively minor amount of resources. It is, in a way, an investment of my own earning capacity into the development of new ideas. Determine the end goal, figure out how it is possible given everything that I have the power to modify, figure out how to compensate for the things I cannot modify myself, and then use that to show that it is a meaningful thing to do systemically. Sounds lovely. I'll let you know how it goes in real life and how I adjust as I proceed. I think it's not too hard to come up with ways to change things, it requires some rigor in the approach: how did they come to be, how have I been granted any role in that, and how can I change it.