[amluto]

I suspect that, after some point, making the qualifications stricter actually drives away many of the best candidates.

[throwaway2037]

I doubt it. They pay is high enough to attract more people than necessary. Most ultra high income jobs are the same.

[amluto]

Being a doctor is not a reliably ultra-high-income job, and many people don’t consider the slog of med school, an internship, a residency, and an eventual possible job at a hospital to be worth any amount of money.