I think you’re possibly describing sociopathy. Which is of course more common among the rich and “successful”, politicians are typically mentioned of having higher incidences of sociopathy, than the rest of the populous.

Because to get up to a certain level you have to be pretty cut-throat. You have to not care about shitting on other people in order to progress.

But this is the more extreme category of people. Like highly successful politicians as I say are the main culprits people usually mention.

I certainly don’t think you have to, to simplify things, be a “dick” to be a doctor. I’m sure some are but certainly not all.

What if one of your good friends decided to train as doctor? You wouldn’t suddenly call them a sociopath for achieving that aim, would you?

I’d agree there’s a higher incidence of them amongst doctors compared to say… carers. But it’s nowhere near all of them.

There is also this thing I often hear and have actually experienced first hand (obviously this is not to be taken too seriously as it’s just a personal experience) but people who care for vulnerable people like nurses or carers, can sometimes take those positions in order to gain power over vulnerable people.

There’s a fair few documentaries that show these kinds of people abusing their vulnerable patients. Pretty disgusting stuff. Imagine bullying say a non-verbal autistic person. There is very little chance that person can defend themselves. They can’t even communicate effectively.

So much trust is given to these low paid carers, caring for the most vulnerable. You definitely get bad apples there.

So it’s certainly not only a problem with doctors. Who can be probably a bit more easily found out.

Just thought about Lucy Letby as an example of an evil nurse with power over the most vulnerable tiny premature baby’s. (Although see some stuff about people doubting her conviction and her not fitting the typical serial killer profile, but that’s a tangent anyway).

But no I don’t think it’s automatically wealthy privileged people. I hate capitalism as much as I suspect you may do unless I’ve misinterpreted your tone haha. But this is the system we have and going back to the main thing, doctors and similar professionals are valued much more than the lowly nurse or extra lowly care worker who works physically twice as hard but without all the the risks that doctors take.

Final thing: I think you have it backwards. I think the culprits you’re referring to, lack the empathy in the first place, making them sociopaths. This lack of empathy allows them to ascend the ranks stepping on the shoulders of whoever.