Being a doctor in Germany pays well enough to be a desirable profession, so the required high school exit exam (Abitur) cutoffs for medical school spots are pretty tight, but it's not as insanely well-paying as being a doctor in the US can be. On the other hand, they start their internships and residencies with no student debt, as opposed to their American colleagues. They also go straight into their medical studies instead of doing an unrelated bachelor's degree first.