Well in my opinion the thing that matters is the level of satisfaction.doctors are those people who pass through all initial sieves like fsc and entry test and after 6 years of continuous hardships have to report / answerable to those people like Secretary and Dco who could not make through the initial exams,this sense of deprivation is I think a main factor that persuades doctors to go for CSS .furthermore some people want authority,repute and nuisance which is obviously more in civil service as compared to medical profession.
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