CarlShulman comments on What should a college student do to maximize future earnings for effective altruism? - Less Wrong
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Attrition rates for investment banking are FAR higher than for medicine. The vast majority of investment bankers don't make partner, while most good students who go to medical school graduate and earn high incomes as practicing doctors.
Finance does still have higher expected value for those suited to it, but not as large a difference as that suggests.