Paul Shelton heads back to Tennessee, HS HC I have a daughter graduated UCLA med. First thing after medical school a five year residency at approximately $59,000 a year at a major midwestern university, a peer institution with Davis, but in a larger metropolitan area.
After residency which is where MDs learn their specialty they then can make significant income but they have spent four years in medical school racking up debt, and three to five years in residency making a token salary. But they have a large debt that isn’t tax deductible, and states like California tax them like they are the “rich” and they have no retirement vesting, probably no house equity, California has a large population of poor people which means doctors who serve a cross section of the population have a lot of patients with Medicaid which doesn’t pay well. The cost of living here is high, and medical salaries are not correspondingly high. So moving out of state might make sense.