equation.
Capitalism is a system that works extremely well for someone who is highly motivated and very energetic, but it is not a great system for someone who is not interested in working hard or for someone who feels no need to contribute to the economic well-being of their community. People in the latter group frequently rationalize about their value to society and develop a sense of entitlement to the fruits of other people’s labors. In fairness, I should add that some people work extremely hard and make significant contributions to society, yet choose low-paying careers or give away most of theirresources to others. Such individuals form an important part of the capitalist model. For example, you are unlikely to meet any successful person who cannot point to a teacher who played a significant, positive role in their development. In some cases it is a minister, priest, rabbi, or other spiritual mentor. Many such individuals choose a life not overflowing with material things, because they receive incalculable non-tangible rewards through the work they choose.
However, the important word here is
choose
, since these people have a choice, understand the consequences of those choices, and are at peace with their decisions.
T HE F REEDOM OF C HOICE
I had to make a very critical choice toward the end of my neurosurgical residency, deciding whether to stay in academic medicine or go into private practice where I would earn substantially more money. Having grown up in poverty, I felt drawn toward private practice and the dream of financial independence. At the same time, I felt that I could make a contribution to medicine if I became a full-time academic neurosurgeon at Johns Hopkins. After prayerful consideration, I chose the academic route, but after one and a half years, I was beginning to think I had made the wrong choice, because I was working very hard, fourteen to sixteen hours every day, doing a tremendous number of very stressful neurosurgical procedures, involving myself in several research endeavors, and making only $75,000 a year. I understand that to many readers that will seem like an enormous amount of money, but it really is a relatively meager salary for a fully trained neurosurgeon, even in an academic practice, who still has to pay off high medical school loans.
So I decided to join a private neurosurgical practice in Texas, which was going to pay me six times more than I was making at Hopkins. When I submitted my letter of resignation, it was not accepted and the powers that be convinced me that I was being hasty in my decision. They said that all of my grievances could easily be remedied and that a new salary incentive program was being implemented. I poured out my heart to God before I made the decision, trying to justify my reasons for leaving. But I felt strongly that I should stay and believed that I would be treated fairly and properly compensated for my work.
Ultimately I did decide to stay, and it turned out I could never have had the career that I’ve had if I had gone into private practice. Shortly thereafter I gained a great amount of international notoriety, which led to the writing ofmy first book,
Gifted Hands
, which has sold more than one million copies. I became a popular and well-compensated public speaker, and I was invited to sit on Fortune 500 corporate boards. The salary incentive program at Hopkins worked very well too. All of this put me in a much stronger financial position than if I had gone into private practice.
Using my God-given talents, listening to my heart, and working very hard in a capitalistic economy certainly paid large dividends for me. My wife, Candy, and I were able to realize our dream of starting a national scholarship program for children of all backgrounds, with the goal of inspiring a new generation of incredibly bright, ethical leaders to take the reins of our nation. I make no apologies for the fact that I am considered one of the rich in this nation, but
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