If you are a specialist who spent 8-12 years of your life, at significant, albeit subsidized cost to achieve a unique capability, would you be happy to be told that you can achieve 60% or less of your potential earnings because of lack of facility (hospital OR's, equipment etc) or union staff? Meanwhile patients still stacking up in Emergency hallways or wait of weeks or months for surgeries . There has to be a better compromise, and calling these doctors unethical is a simplistic response to the behavior of capable individuals who merely want to use the skills they spent so long to develop