Seychelles = Heaven with a beach
Don't be hatin' on my bed!!!
But seriously, if you're someone who struggles to get decent sleep, then it does. I slept on a really 'nice' bed for about a week on vacation. Never in my semi-adult life to now have I gotten a solid 8 hours of sleep 7 days in a row and actual woke up feeling refreshed. I get that feeling maybe once or twice a month, but most of the time I wake up at least once in the night and still feel either tired or groggy when I wake up. The right bed can make a MASSIVE difference (though it doesn't necessarily need to cost 5k).
I was talking in general, not specifically for docs, but I'll bite. If you make over 190k/year you'll be in the 33% federal bracket (most docs will fall into that bracket). In Hawaii, if you make over 200k, then you pay 11%, so even making just 200k there you'd be paying at least 60k or so to the gov in taxes (44%). On top of that, in most states you're not going to be paying less than 7% in taxes on a doc's salary, so most physicians will likely pay at least 40% in total taxes. Keep in mind that's not including social security (6.2%) or medicare (1.45%) which adds another 7.65% total. Even in your situation, add that in to the 42.5% California physicians pay and you'll be right back around 50%. If someone somehow manages to make that million in Cali they'd be paying over 60%.