I was in a couple of meetings with a gastroenterologist colleague yesterday and while in between meetings we had a discussion regarding healthcare reform. He said that he has been telling folks he would not want to be a 40-year-old subspecialists. His reasoning is that when the “money rain” is over the ones in their 50’s will retire .  The 30 somethings will accept the relative “money drought” as the new reality.  It’s the 40 somethings who will be resentful of their wealthy and retired older colleagues because of current expenses that reflect the previous reality. I suspect it is the same for health care executives. I was sent this video that illustrates a health care administrator trying to bring back the “money rain”.