It is troubling to read comments made about Obamacare that are completely false when it has resulted in more patients in the system receiving care. But I will avoid falling into a politically based debate.
The economic pressures are real because a lot of physician practices have been purchased by profit seeking management companies. Physicians working for these entities find themselves under pressure to maximize RVU productions sometimes under unsafe conditions. There is still a lot of money in medicine for those who pursue it strictly from an economic perspective. Orthopedic and spine surgeons earning $2 million+ per year, etc are not uncommon. At the same time as their physician employees or counterparts struggle to earn less than average.
I do think that aspiring physicians should learn as much as they can about the medical field including reading the book. Nevertheless, I am not sure how much good it would do when they can’t relate to the issues physicians face. But if there is one advice that I think is universal, spend as little as possible to obtain your education.