Well add ‘not getting into law school as another reason to become a pharmacist’. First you just made my case that even with your “doctorate level degree” you have less impact on patient care than a NP or PA who do not have “doctorate degrees”. They can actually prescribe drugs…you can only dispense them! The salaries for PA’s, NP’s and Pharmacists varies widely and like you said all are determined by market forces, but on average you all make in the same ballpark. I know oncology PA’s who make a lot more than the pharmacists mixing chemo at their cancer center. Second, dispensing and “providing council” in not “treating” patients, by any standard. If we use your logic the check-out person at a grocery store who “dispenses” OTC Prilosec, and casually says, “have you tried this before,” is “treating” patients. You are merely handing over a bottle with two pages of instructions and asking “have you been on this before”? Wow! Yup that has the same impact of what a NP or a PA has with a patient!!!
Yes you make slightly more than a PA or NP on average but there is plenty of overlap from the low to high. So again you proved my point that if your median earnings are only $20K(see websites below) higher than HCP’s who DO NOT have “doctorate” level degrees clearly your role and your “doctorate” degree is not all that valued or it is only valued at a $20K premium! That sure is not a good ROI!
Base vs. incentive is irrelevant. Each job has a targeted ‘total compensation’ goal whether that is from base, bonus, commission, etc. MSL’s get bonuses based on MBO’s, retail pharmacist get bonuses based on store success. I have worked at more companies where the pharmD MSL move or want to move into sales so they can make more money. If your PharmD was viewed as being valuable you would be paid commensurately.
I never said Sales reps diagnose or treat nor did I say they are crucial to the healthcare system, but if you want to split hairs reps do provide samples to doctors ie., dispense prescription drugs, and they provide patient education and support, ie., council. So I guess it’s funny that the government requires you to have a “doctorate” degree and be licensed to dispense and council, but a non “doctorate” degree sample rep can carry and distribute prescription drugs and can provide council to physicians and educational support to patients.
Q: “If your are so crucial to the health care system, why don't you work for Obama as Secretary of HHS”?
A: I wouldn’t want to take a paycut.
Earnings support:
http://www.bls.gov/oco/ocos079.htm - PharmD
PA
http://www.bls.gov/oco/ocos081.htm