I doubt any of the patients (or their loved one's) awaiting your arrival are pondering much at that time if you paid your 'fair' share of tax... or care an iota what you earn. Nor do they consider that it might be unfair you have to drop everything - kids concerts, sports, birthday parties - on a Saturday to attend to their gushing aortic dissection. It's only during the dreamy moments, when life seems limitless, that these pointless attempts at social engineering become significant.