Because they don't play with people's lives in their hands like truckers that have to follow strict hour rules. That's why truckers get the big bucks.
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At least they’re getting paid. Air traffic controllers are working similar hours and not getting paid every time they have issues with government shutdowns.
The same reason CPAs have been working 16 hours a day 7 days a week at the Big 4 accounting firms. There is a shortage of people qualified to do the work that keeps this country running and people alive. CPAs hold up the economy, doctors hold up the health of the nation. Both do it way more to help than to be paid well.
I have heard the excuse is that the chance of a miscommunication during shift change could result in more issues than the longer shifts, so it's better to keep the same doctor on a patient if possible. Don't know if that's true or not.