Summary

Looking back, Kay begins Chapter 4, he announces that he can securely say that he was “profoundly underpaid” (86). As one progresses up the ranks, there is increased responsibility, but minimal pay raise. Additionally, doctors progress at a “regulation rate,” meaning there is no opportunity for promotion or impressing superiors (87). Although those in the medical field come to accept the lack of financial benefits, Kay argues that it is harder to accept the lack of praise. Patients, however, “tended to get it,” and often say thank you (89). Kay also tells the reader that he is currently looking for a house with H, which is not made any easier by his lack of a raise.

One morning Kay is going through his bank statements with his mortgage broker who quips, “You don’t...go out much, do you?” (91). Although he is happy...