another element of disparity in mind arises wen few religious clerics have gone on to say that fees as high as 1000 per patient which doctors claim as their due is haram in a poverty striken country like pakistan ( line between halal and haram is too narrrow in Islam) , apart from their commissions which they take from various pharmacetical companies... In pakistan, no one can claim to be earning all halal, provided by limited legal earning opportunities in our beloved state, so cannot compare css with medical field. Its done and dusted every where you will find here. as far as abroad is concerned, i think there are much broader and bright chances of legal earning out there..