@oxtyped @JessTheUnstill Money happened. It's not terribly different from, say, surgical studies - the people there for passion to help others are *exhausted* from being surrounded by people who basically showed up because it was a way to chase a multiple-six-figures income.
Tech is worse because it's far easier to BS and politic your way up, but that same model is coming for medicine, or arguably already has in the form of hospital management.