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Well, given your own description of the scenario

When your boss has four people in the office to do six people’s jobs, and the VP just said they’re cutting headcount by two.

I would not count on ever getting a promotion or better project anyway.

If you schedule that surgeon for garbage duty there won’t always be another surgeon available, so you’re basically telling the patient they have to wait to get surgery because the surgeon is on garbage duty.

Surgeons take time off work and people don’t die because of it.

Actually this does happen. The workload for most surgeons is maxxed out to the point where taking less time off would cause more deaths because of errors due to exhaustion.