[lisper]

What makes you think medicine is not becoming blue-collarized the same way web development is?

What I would recommend is that you try to grow your business to the point where you have more work than you can do yourself, then start hiring people. When people work for you, you can impose standards on them with respect to how they do their work and how they conduct themselves. If social contact and elevated behavior are what you really care about (and there's absolutely nothing wrong with that -- I care about those things myself) then the best way to advance that agenda is to be the boss, and the best way to get there is to leverage the skills you already have rather than start over in a totally new field.