Lets talk about risk.

This is what keeps physicians awake at night, causes constant stress, heart attack and many divorces. Its because the profession is fraught with risk, of a kind that may be difficult to understand from a purely business point of view.

When a physician performs a procedure or takes someone under her or his care, they take responsibility for a person's life, limb and well being. Every procedure has risk of morbidity and mortality. Death, stroke, paralysis, loss of a limb or vital function that is the kind of worry that keeps physicians sleepless and tense.

Why do they still take that risk? Because if the risk of stroke or death is 5% in the best of hands, they are still helping 95% people. You cannot even begin to imagine the kind of risk and the kind of stress physicians undergo when "the cost of doing business" means dealing with life threatening complications - or life itself.