<<You don't seem to consider that the person may have gone to school( borrowing many thousands of dollars to pay for it). They may donate money or time to some worthy cause. They may in fact not be greedy bastards at all.>>
Those schools, and particularly the medical schools, get by on endowments and government grants. Tuition is a drop in the bucket. You might be interested to know that in the U.S.S.R., as in Cuba, as in Saddam Hussein's Iraq, education from JK through grad school is paid for by the state, and at least in the U.S.S.R., and perhaps in other socialist countries as well, university students were paid a salary to go to school and learn.
The obvious difference in underlying philosophy is that in a socialist country, it is realized that society as a whole has an interest in producing the best educated population that it can, whereas in the capitalist world, education is something that a smart, selfish & greedy bastard will buy for himself because it gives him a leg up in the race for the biggest bucks and the most material rewards.
I would rather live in a world where doctors' incomes are limited by taxation or government planning to a reasonably comfortable amount, so that the medical schools will attract more of the kind of students who are genuinely interested in healing and less of the selfish greedy bastards who are primarily interested in $$$$$$$$$$$ka-ching!
Before-tax income of $250K looks pretty good to me, and if a heftier tax bite than what's presently exacted will force some out of the profession, then I would say, Good riddance! The medical profession does not need more doctors like that, it needs more doctors who would be content to live on $250K before-tax income regardless of what the tax ultimately is. (So long as it's within reason.) The problem with capitalism is (1) everyone's greedy and (2) everyone gets to set his or her own level of compensation. A mature, adult society cannot operate on such infantile, self-interested principles. The end result is widespread misery for the masses, and material satisfaction only for the very few at the top.
<<You also don't even flinch about those in need and how they came to be such. They could be crack heads... alcoholics that put every dime they make into making themselves numb. They may in fact choose not to take care of themselves.>>
Crackheads, alcoholics etc. these are people who fell through the numerous cracks of a system that never gave a shit about its most vulnerable people. Most of the crackheads come from crackhead neigbourhoods and are the children and grandchildren of similar unfortunates. They never had a chance. You don't see many crackheads from Grosse Pointe, do you? We can practically predict, given the parentage, the neighbourhood, the school and the family income, who is at a 50% or higher risk of turning into a crackhead and who is at a 1% or less risk. We have NEVER (and I include Canada in this) never spent the capital necessary to make even the smallest dent in the social problems that plague North America, yet the pittance we HAVE spent is constantly derided by the crypto-fascist right as "throwing money at the problem." A truly laughable and ridiculous mischaracterization.
In order to truly give disadvantaged children an equal opportunity in life, there is no alternative to spending massively on their social entitlements, and there is no other place to get the funds necessary for than than to TAX THE RICH. How much more obvious can that be? A guy earning a B4 tax income of $250 should not be in a position to ask for one penny more. Fuck him if he can't pay the present tax on that income and fuck him twice if he can't pay Obama's tax on it. I am sick and tired of these guys who can stand by and watch children turn into crackheads for lack of funding of aggressive social engineering and yet bitch if he can't afford his luxury automobile, his private plane or his speedboat. This kind of whining in the old Soviet Union would have earned the guy a place up against the wall, but all that is going to happen to him here is that his exorbitant life-style will have to be trimmed down a bit till it matches more with everyone else's - - teachers, nurses, cops, firemen - - people who really perform some kind of TRULY VALUABLE SERVICE to the community, unlike Mr. $250K.