As I understand it, it starts early with the extremely long shifts (that result in diminishing returns due to fatigue) and the institutionalised hazing and abuse by supervising physicians that are integral parts of medical residency in North America.
I understand the need for extreme rigour when it comes to training doctors, but a lot of these elements strike me as gratuitously cruel and unhealthy even within that context.
That’s happened for a reason. Those who strive to excel in this crappy system quickly become complicit in perpetuating it, and in the process spread the myths about meritocracy that are belied by the realities faced by themselves and by the non-elites.
It’s not the the wealthy in general who are miserable, it’s the working wealthy (the top 10-20% in terms of earnings) who spend 50+ hours/week in their miserable, unfulfilling, soul-draining, often BS jobs because they see no outcome to getting off the treadmill beyond falling into poverty (a mindset exacerbated by growing inequality). If some of them are starting to see that the entire system is unsustainable, that’s a good thing for everyone (except perhaps for the 1%).
