Not trying to pollute this thread any further but specialists in any field get paid and most doctors aren't specialists - i.e., primary physicians, family doctors, urgent care, VA, etc... And as for door men? Personal anecdote: My wife and I make frequent short visits to Boston (so not even NYC in terms of overall expense) and we like to stay at the same Back Bay hotel. She loves the door man there and pays him $200 to pick us up and take us to and from the airport - $200/pop. Mind you the trip is little more than 5 miles each way and she pays - if it were up to me I'd take the T for about $3.75. I asked him once how many of these side trips he does a week. Answer: More than 10. Tax-free, no malpractice insurance required and still draws a nice salary and tips as a door man.