In a profession as seemingly as objective as medicine, gender-based discrimination is alive and well. Any physician, irrespective of specialty or gender can testify to the significant sacrifices required to be accepted to, navigate and finally graduate from medical school. The debt is nothing short of overwhelming. And if the newly minted physician had any graduate degrees prior to his/her admission to medical school, that debt remains and invariably complicates post-graduate financial existence.
This next statement may sound incredible but please persevere--Male and female medical students are charged the exact same amount/rate of tuition per year of medical school education. One's cost of tuition is, to my knowledge, not based on the presence or absence of certain gender-specific organs. That being said, why then has it become accepted throughout the world of physicians to pay women less than their male counterparts? Even after residency, loan repayment schedules are not based upon projected earnings for each gender. Financial expectations, as regards loan obligations, tuition obligations, etcetera, are constant across the board. There exists no uterus-friendly clause that offers a reduced rate of interest to female med school grads and residents.
However, before we all rush to implicate motherhood, two-income households, and this mysterious desire for part-time employment so many partially informed critics have assigned to us, as female physicians, let's examine the numbers.
The existence of gender-based pay-disparity is not a new or novel economic phenomenon. For more than a few decades, American society has compensated female employees at a rate of about 79 cents for every one dollar earned by a man. For female physicians and surgeons this disparity is closer to 62 cents for every one dollar earned by a male colleague. Recent surveys and several well-crafted studies have found that female physicians, irrespective of specialty, make on average $168,000/year; for male physicians, that figure is much closer to $200,000/year. When distilled further, mid-career female physicians, again irrespective of specialty, earn between $12,500 and $15,000/year less than their male counterparts; when these figures are extrapolated over a projected 30-year career--women, as physicians, earn $350,000 less than male physicians. This very significant gap does not account for all of the financial potential and opportunities lost which are irrefutably contained in a figure as formidable as $350,000.
At first blush, the aforementioned salaries for both male and female physicians may appear substantial enough to afford a certain immunity to internecine criticism; in that, the very weightiness of a physician's income, when compared to the yearly salary of the primary school teacher or factory worker neutralizes any call for equity among the genders. Many men and non-physician women have been overheard more than once to comment, "How much money does she need?" "She's a doctor, she'll always make enough money." "Her husband is probably a doctor too." The best and most simple response to this variety of commentary is by way of extant legislation, i.e. the Equal Pay Act of 1963, Title VII of the Civil Rights Act of 1964 and the Lilly Ledbetter Fair Pay Act of 2009. Equal pay for equal work is not a complicated issue--two workers that perform comparable job duties with comparable responsibility, having completed all requisite training, certification and licensure are to be paid the same hourly wage, receive the same percentage of reimbursement with comparable benefits and insurances.
This disparity will only be brought to an end within the field of medicine when female physicians-- academics and clinicians alike--find the strength and necessary courage to challenge and ultimately silence pay discrimination. I truly believe if we needed to accomplish something this seemingly Sisyphean for our patients, it would've happened years ago.
Please reference: eeoc.gov, mobile.nytimes.com, todayshospitalist.com
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