"If you’re a doctor working in this kind of environment--
“--do you want to spend an hour removing a freckle and get paid $12 in two months by some insurance company? Or do you want to spend fifteen minutes putting Botox into someone’s face and get $1,000 in cash five minutes later?”
Usually the New Yorker irritates me but there's a nice article in Books right now about the use and place of plastic/cosmetic surgey in the modern world. The distinction is made between plastic surgery, which is done to return a face or body to a semblance of "normal" to allow the patient to live without stigma associated with abnormal physical appearance, and cosmetic surgery, which is a totally unnecessary procedure undertaken with the goal in mind of perfecting or bettering an already "normal" face or physique.