Great post. The only way it’s still worth it IMHO, is if you’re able to get MOSTLY out before your 30 by owning, and starting your own practice to let the 18-30 year olds do the “nigger” work. Even then, you have to understand that you’re likely going to take a huge pay cut for your first three to five years of starting. A good way to balance it is to have something easier on the side you can do for the first few years even if it’s just part time hours/weekend work. I had a friend do this a decade ago, and it worked out great, at least for him.