It is not just nuclear war that brings the downfall of everything. East/West and every other player also unleashed Biowarfare weapons.
Where does one go when they are sick? To the hospital. So some of the highest incidence of death is healthcare workers (current events : Ebola outbreak).
The effects of plague are indiscriminate. A plague doesn't care if you pump gas or perform neurosurgery. The War is going to take a huge toll on every kind of medical practitioner. The surviving doctors are likely to be rural and General Practitioners. A teaching hospital is as likely to be over run by the sick and dieing as any urban hospital.
What can a teaching hospital do without electricity, drugs, x-ray film, supplies of sterile tools, laundry facilities, running water, or a sewer system.
It is not just about people, the interconnected infrastructure is broken down.
Major source of electrical power are destroyed (Hoover dam / Bonneville dam) or if missed offline because the technicians are to afraid to leave home or dead.
Only the largest of the largest survivor communities like Chicago could support people who produced nothing while learning something like medicine.
As for the Rich 5, I certainly endorse that they did freeze Doctors and Specialists among the families of the 2000 to care for them and the 2000. As a means of control, I doubt they accept anyone from outside the 2000 into medical school. At best, they produce paramedics that travel taking care of minor ills and low skilled nurses outside of the 2000. An educated populace is to difficult to control.
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