business is where the money is. motivated MDs will go into business to make far more money than caring for patients.
In much of medicine, specifically academic medicine, there is still more than a little to be said for practicing a craft for love of their craft. Despite the ignorant cynics, there are more than a few great docs who truly love helping their patients and practicing medicine. I've seen it all over the country my whole life.
I have a little first hand experience. My father's an MD, JD. Top flight schools all-around (Harvard Law, UCSF M.D.), 25 years of medical practice, B.C. Neurologist, practicing Neuro-Ophthalmologist Neuro-Otologist, Professor of Neurology at a major state medical school.
http://wichita.kumc.edu/im/facstaff/jensen.pdf
You don't do that to make money, and it's some of the most grueling, challenging work out there. You have to live for what you do, and love it to the core. I'm glad there are still many docs out there who live that way.
Medical consulting on cases for law firms would easily net upwards of
$300-$400 per hour, with many cases requiring easily 8-10 hours of consultation and review.
As he always taught me though, if you're in it to make money, go somewhere else. There's fantastic money to be made, for sure, but the workload is intense, and it has to be a labor of love.