Here's a different perspective (haha);
Butt doctors have regular office hours. No weekends. No holidays. No ER consults. No emergency calls in the middle of the night for an exploratory assectomy. An ER doc finds a lump on a guy's prostate, it will wait until the sun comes up for further exploration (hoho). Surgeries are scheduled to fit his tee times. And once the student loans are paid off, he makes a buttload (heehee) of money... sticking fingers up asses.
Doesn't sound too shabby to me... yeah, it ain't pretty, but two seconds in and out and that will be $300 please...