BTW, if you think that "real engineers" deliver on time with predictable results, you need to read more about real engineers.

There is a reason for this. If you live rural, there is no backup. It comes down to your ability to handle doing surgery at 3 am effectively even though you haven't been home yet. Sure, you aren't as good as when fresh.

Perhaps the problem is that there is no backup. There should be more than one doctor available. We are just not willing to pay for it.

Working 90 hours a week is work hoarding. There are other people who could be doing this work and most likely better...

No, that's communism.

So what! At the time Republicans were a minority in Congress, so ACA was passed fair and square. Like there were no bills passed with only Republican votes in the past...