I wrote one of my earliest blogs five years ago. It explored a theme to which I have returned periodically ever since. It was a strange experience in the Michaelmas term of 2008 to be the only 40 year old medical student in a sea of school leavers. In truth, the divide between myself and my fellow medical students was always plain to see as one might reasonably expect. I recall with clarity an incident in the first fortnight of medical school which will stay with me to the grave. A large group of us had been undertaking our first session in basic life support. The session passed without major event and at the end, our tutor asked those present to divulge why they had chosen to pursue a career in medicine. Nobody was coerced and all present chose to respond in due course. With few exceptions, the majority cited money as their prinicipal motivation. Even in spite of my advanced years, I was shocked to the core. I still am. I had spent my early career in the private sector in a variet...