I don't know much,my FRiend,but I do know a bit about the world of medicine (note that I said "world of" and not "practice of").I've bumped into more Nobel Prize winners in the corridors of the (Boston) hospital where I worked for 20+ years than you've had hot dinners.And I can assure you that while Methodist Hospital is,no doubt,an excellent hospital (with or without DeBakey) it can't hold a candle to dozens of hospitals in the cities I've mentioned....as well as one or two others.
Al Gore? Jimmy Carter?
20 years in Boston hospitals only shows your limited exposure to the world of medicine. My Dad, a cardiovascular physiologist, chose Baylor School of Medicine over Tuft's and Mass General after 2 years of exposure to "New England" medicine. My Mom, a graduate of Tuft's School of Medicine, also found the type of medicine practiced in "New England" very restrictive.
I think that if you were to put aside your sweeping generalizations and go and review the topic for which Nobel prizes have been awarded in Medicine and Physiology for the last 20 or 30 years, or more, you will find that it is in the general area of molecular biology, and not in clinical surgical practice.
The difference is not just academic, pun very much intended.
Second you would discover that there are not actually that many live Nobel prize winners walking the halls of Boston institutions and that the list is spread all over the world.
Thank you for your honest evaluation—//sarc//