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in real terms, doctors incomes go down most years by NDWahoo

Incomes can go up for a brief period as new highly reimbursing procedures and buy and bill medicines emerge, but after a few years the medicare beancounters realize that the new highly reimbursed service has been widely adopted, and the reimbursement goes substantially down.

In the long run, it is said that your first year making partner (if you are lucky enough not to have to be employed by a hospital system) is your best financially, and then although income may grow in nominal terms, it will never keep pace with inflation (even when inflation is low - forget about now).