I didn't zero sum the math myself, but my brother who is finishing up med school now did. It comes down to opportunity costs. Doing the military thing is a guaranteed job, with an opportunity for a pension, and no malpractice insurance, but you get paid much less than what you can get on the outside. Or you can go out and take a little risk in the civilian market and make some really good money. Or another strategy some doctors take is just min run their loan payments, live it up, and die with debt. A doctor that just finished up their residency and thinking about joining the military is like a military pilot at the end of their initial commitment: you could stay in/join the military, but financially, it makes sense to go get hired by a major airline/work in a civilian hospital, but there's always that chance you might not get hired. Then again, you won't have to deploy, or move if you don't want to. All that to say, there no real comparison between doctor and pilot bonuses. Each gets paid what the military thinks is fair, and yet both groups are still undermanned. Saying we (pilots) should get a 100k/yr bonus because the doctors do is dumb. We should be paid enough to make the jump to the civilian world not as enticing as it is now. Then again, would $100k/yr bonus keep more pilots in if the AF doesn't address toxic leadership, doing more with less, and culture problems? Outsource medicine? What if the local doctors don't want to take new patients, or don't think Tricare pays them enough? What if the only hospital in town goes bankrupt? How many AMEs are out there to do flight surgeon stuff? How about getting doctors to go down range? If people aren't fit for duty, the unit mission suffers. If you want to outsource dependent care, sure, I can see a case for that. I'm tired of pilots thinking we're the only ones that matter in the AF. Yes, our service needs pilots to accomplish it's core mission, but we can't do it alone. Yes, we deserve to be paid better to help with retention. But we also deserve support functions that can actually support us, so we can focus on flying. The underlying problem is we are not manned or funded to do the things our nation asks of us, but we are too afraid to say we are at (or really past) our breaking point. On top of that, we self impose the ridiculous OPR/PRF system that wastes innumerable man hours- that's self inflicted. We created a culture where failure is not an option, so people will go out great lengths to cover up problems rather than identifying them and solving them, instead of using failures as learning points to make ourselves better. We can't contract everything out and keep cutting our support functions; we've been doing that for years and we are paying for it now. Finance sucks because they've consolidated to save on manning. Having our own medical capabilities means they should better understand the environment we work in, but we can't attract enough medical personnel. Contract mx sucks. It took Vance a year to get its runway repaired through a government contract, while Stillwater airport 45 min away did theirs at about the same time in 3 months. Why not get rid of the MAF and contract it all out? Contractors already fly some Army airdrops in theater, why not expand it to all airdrops? There's contract ISR already too, so let's get rid of that as well. I'm sure we could find a contractor willing to do light attack. Where do we draw the line at for what must be done by active duty? But hey, just give the pilots a big bonus, and all the AF's problems will be fixed. Scratch that, just give the fighter guys a big bonus, everyone else can be contracted out. I got mine, screw everyone else, sucks to be you.