You start out at a free clinic for uninsured Moloch wearers. A rock n roll hospital with prints of hunting paintings decorating the walls. These are a poor downtrodden and very drunk people. You build a great rep here. People think your some kinda saint. You end up having a big Newsweek article printed about your saintliness. This nets you a much much better job and you leave the free clinic like a bad memory.
You are President Liberal's personal doc now...And your checks! Wow!