In Brazil, there is the National Federation of Physicians (Fenam), which is responsible for representing the medical union and achieving the best possible conditions of work and remuneration according to their efforts and responsibilities with the Brazilian community. This federation constantly strives for adequate legislation to achieve salary adjustments that make it possible to equate inflation and economic variations. Each year, Fenam readjusts the salary base, the increase reached at its last meeting, was R $ 484.81 in the table. The minimum salary of a doctor for 2019 is R $ 14.619.39 for 20 hours of work per week. In addition, Fenam increased the price of the consultation to R $ 179.45. This type of adjustment is made on the basis of the National Consumer Price Index (INPC), which is the starting point for collective bargaining of the union. The federal association of doctors of Brazil has been fighting for several years for new legislation because they were governed by the same regulatory laws since 1961, unrealistic and not at all fair today. Despite the salary adjustments, the amount offered is not compatible with the basis for a reasonable standard that allows holding the basic needs of the worker and his family. This leads many doctors to take 2 or more jobs to cover their expenses and live with dignity. This does not leave the doctor available time to invest in his career and stay updated. The salary varies according to the region where he works: In Brazil the states where they offer the best salaries are: Mato Grosso do Sul, Santa Catarina and Sao Paulo. The specialties with the best salaries are: Family health doctor, General doctor and the Family community doctor. The Family Health doctor is one of the highest paid specialties because its activity is regulated by specific ordinances, it is subject to supervision and a weekly workload is assigned. Your activities may require long periods in strong and uncomfortable positions and you are under constant stress, due to your high level of responsibility. Typically, the doctor performs independently without permanent supervision, individually or in teams. Meets irregular work hours, and this decreases the level of stress. The average salary for medical professionals in different specialties is: Medical Manager: R $ 14.783 Medical Coordinator: R $ 10.780 Pediatrician: R $ 7.338 Labor Doctor: R $ 7.242 General Practice: R $ 6.617 Gynecologist: R $ 6.201 Psychiatrist: R $ 5.869 Cardiologist: R $ 1.519 Unfortunately, as in many Latin American countries, the Brazilian doctor must perform in a very unstable environment, with poor salary conditions, in addition to the professional risks he faces, especially in the public sector; this motivates him to look for work alternatives in other countries. For the Brazilian doctor, Portugal becomes attractive for the convenience of language, greater security, and better salary.