IDK, I get that the system is abusive, but lots of people choose not to be doctors? Or doctors in especially abusive fields? Heck, part of the gendered aspect I gestured at in another comment is that lots of women choose not to be doctors or quit med school/residency/specific high-prestige-high-abuse fields because these demands conflict with their other priorities. Part of why people stay in the abusive system is powerlessness, but part of it is choosing the profession/prestige/whatever over their other priorities or responsibilities, and it's hard to weigh out exactly how much is each.