I think some might be missing my point. Replace dr with another profession that takes skill and training. My brother is an electrician with at least half a dozen employees but is growing and needing more. He’s had to raise pay and benefits to “steal” qualified workers from other companies to come work for him. If you tried to start an electrician business in his state paying min wages you wouldn’t last long. There are only so many skilled and qualified professionals and they expect to be paid in accordance to their training and skills or they will go elsewhere. The more money and time you put into training for your career the higher return on in investment you would expect.