Kithani
Blackwing Lair Raider
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Very few surgeons actually make a million+/year.There is a huge disconnect between what a person makes and what a person is worth. If you just look at income you could have two surgeons making a million+/year but if they bought a mansion and a beach house, two expensive cars, and live the high life then they may feel middle class since they are 'scraping by' each paycheck and will lose everything if one loses their job.
To be clear, I think the people in the above scenario are deluded morons, but you can see how they would claim they are middle or lower class. This gets even more insufferable when they compare themselves to their ultra-rich friends to claim they are not that well off.
Plenty of surgeons made this though
$470k in 1993
$600k in 2003
(I can't speak to 1973 / 1983)