USA Today reports on, and links to, an interesting survey of thousands of doctors. If you have a family member or friend in the healthcare field, make sure they read this.

In comments accompanying the survey, many physicians said they feared changes in the health care system would mean lower incomes in years to come, Medscape reports. Maybe that’s one reason just 54% said they would choose a career in medicine again, down from 69% percent in 2011.

For now, just 11% say they consider themselves “rich” — and 45% agree that “my income probably qualifies me as rich, but I have so many debts and expenses that I don’t feel rich.”