Quote from Cutten:
How was he being smug? He was explaining his opinion of the economics behind high pay for the medical profession.
How much a profession gets paid is down to supply & demand, and has nothing intrinsically to do with how "valuable" the work is. Water is even more important to me than doctors or nurses, yet I can get it free. Rothko paintings are worthless to me, provide no benefit at all, yet it would cost me tens of millions for one.
Restrict the supply and the price (wage) goes up, other things being equal. Increase demand and you get the same. That's why uneducated 20somethings who can bounce a ball very well get paid tens of millions, nurses/doctors only make tens or hundreds of thousands, and soldiers make fuck all. Clearly soldiers are the most important job in society, without them we would all die or be enslaved, they are also the most at risk in wartime, yet they get paid almost nothing. The only reason is because lots of people are willing to do it, and it doesn't take much unique skill - just be in shape, and go to boot camp, almost any 16-30 year old can do that. Whereas bouncing a ball and landing it in a hoop versus the top 100 other competitors in the world is a very rare skill, even though it is risk-free and completely useless outside of its scarcity & entertainment value.
Hence importance and contribution to other people's genuine welfare has almost nothing to do with wage levels. It's purely supply & demand.