Friday, January 2, 2026

Medicine and law: apples and oranges

Comparisons are often drawn between law and medicine, mainly because they are viewed as learned professions with high potential incomes. The differences, however, render such comparisons quite deceptive, to the advantage of the law-school scam. 

To study medicine, one must first pass a range of difficult courses in mathematics, physics, chemistry, and biology, as well as an exam (the MCAT) that covers substantive material in all of these fields and in medicine itself. One must also complete a stint of volunteer work in a medical setting, typically a hospital. All of this is required for admission to medical school.

To study law, by contrast, one need only complete a bachelor's degree in any field, even underwater basketweaving. Not a single course is required. Nor is any work in a legal setting, and most law students have no such experience. Traditionally the LSAT—a mere test of logical reasoning and reading ability, unrelated to the substance of law—was required for admission, but recent years have seen it pushed to the side, with the possibility of substituting the GRE or another test of questionable relevance. And even the bachelor's degree isn't necessary in some places: the state of Michigan, for instance, accepts two years of university (a fact exploited by Cooley).

Do not suppose that completing the requirements will get you into a medical school. Admission is highly competitive, with many being turned away everywhere. Practically nobody, however, fails to get into a law school. Many law schools draw most of their students from the bottom 50% on the LSAT, and it is not unknown for a person with a score in the bottom 10% to get in. Indeed, a score below the fiftieth percentile may well attract a "scholarship" (a discount on tuition) at a number of predatory law schools. 

Once admitted, medical students must complete a challenging program of study and pass various exams; they can be expelled for failure. The courses are almost all directed at practical needs. Training in the practice of medicine is an essential component of the program. Almost all professors are practicing physicians.

Law students are lucky to get a glimpse at practice, which professors disdain. They take a few basic courses on contracts, constitutional law, criminal law, torts, and the like, all of them based on some appellate cases that come up over and over again. After those courses, which occupy the first year, they take two years of electives that may well have no meaningful application, such as "Law and Popular Culture", "Critical Legal Pluralism", and "Hip-Hop and the US Constitution". Professors use this fluff to burnish their alleged intellectual credentials, and in many cases as cover for their lack of competence as practitioners. Rare indeed is the law professor who practices law; many are not lawyers at all.

Medical graduates are not yet ready for practice: they must still complete a residency and possibly more training in a specialty before they can become qualified as physicians. Law graduates, however, can go straight into practice after passing a fairly easy exam, even though they have never seen the practice of law before and have not even studied it. Most of them, including those from élite schools, freely admit that they do not know what they are doing as junior lawyers.

Good jobs for medical graduates are abundant: everyone who is serious and not too particular or demanding can get a well-paying job as a physician. Graduates of law schools face a very different reality: many cannot find work as lawyers ever, even if they are admitted to a bar, or get only short-term or low-paying (or even unpaid) work. The law-school scam promotes "JD-advantage" jobs as an alleged consolation prize for the many whose JD is not needed. Few lawyers make anything like the income of a physician, though the handful at the top garner the bulk of the attention.

Physicians tend to stay in medicine; lawyers tend to leave law, with most lasting less than five years. Many physicians teach medicine part time, but lawyers are ordinarily excluded from the academic ranks, which are peopled with young aristocrats with academic doctorates and little to no experience in the practice of law. A practicing lawyer cannot expect to get more than a position as an adjunct, teaching a single class for some such payment as $3000—perhaps enough to cover the cost of travel, with no office or secretarial support or even access to the law school's library. This sort of work is done as a labor of love, because the paltry fee is around the minimum wage.

This little exercise should show the folly of comparing law to medicine nowadays. 

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