28% of physicians say they don't earn enough for what their family needs. The lowest-paid specialty still makes $266,000.
Medscape's 2026 physician compensation report surveyed roughly 6,000 doctors across 29+ specialties, and the numbers tell a stranger story than "doctors are underpaid." Average pay rose 3%, barely clearing inflation, and nine specialties were flat or down. Jimmy and Justin unpack what the data says about physician pay, negotiation, and the 40% side-gig statistic.
What you'll learn:
Why primary care averaged $298K and specialists $417K — and which specialties outpaced inflation
What percentage of physicians negotiated their compensation, and how many just took what they were given
Why "we don't negotiate" pay models push high performers out
The paradox: 53% feel personally fairly paid, but 61% say the profession is underpaid
What the 40% side-gig number reveals about autonomy and moral injury
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