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Please tell me why pediatric neurosurgery is a bad example. It is merely another niche field that can fall prey to all the same factors you list. This is explicitly because so few are needed. If so few are needed, there are only so many employers for you. If there are only so many employers for you, and you are stuck with a dishonest one and feel exploited, you will have the same gripes and lack of opportunity. This IMO is mostly grounded in the fact that this is a niche field and does not have direct patient access (meaning you can't market directly to the patient, and rely on relationships that try to exploit that fact). This has ALWAYS been the case.My arguments don’t hinge specifically on geography. I was willing to move around if needed (although I didn’t expect to move around quite so much or so far). If relocating were the only issue, that would be different.. if one could simply relocate to a random place but then they could have a good job. But that is not the case. There is also lack of opportunity, exploitation, instability, economics, dishonest employers, difficulty in finding a job regardless of willingness to relocate, and all the other issues I have brought up. If you look at my posts, location was not the only or even the biggest issue I brought up. Pediatric neurosurgery is a poor analogy (unless you are comparing it specifically to, say, a neuropathologist in academia).
On the flip side, great opportunities also abound. I am an example of that.