You have to work like in private practice, but make only about half the money. They don't allow you to thrive academically if you don't belong to a small circle of individuals who are friends with the leadership. Therefore, better to work in private practice. I have never experienced such outrageous cronyism as practiced by the self-serving leadership. Frequently, leadership positions in the department are given to individuals whose main qualifications are their connections and/or friendship to the departmental or institutional leadership - without formal job postings, not giving alternative and usually more qualified candidates to apply. This reflects the nepotism in this department and reminds me of tactics used by autocratic rulers whose primary goals are to protect their position and interests.