You can have maxed out Medicine but you can't utilise it to get by in the Wasteland at all. With this mod, you can now work in clinics across the Wasteland.
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This mod allows you to work in clinics for 8 in-game hours. Your pay will depend on where you work and how high your Medicine skill is. The minimum Medicine skill required to work in clinics is 30.
I based the pay on how rich the settlements are and how much trade flows through them. Megaton and Rivet City are the two biggest settlements in the Wasteland so you will be paid 20x your Medicine skill, Paradise Falls is the slaving capital of the Wasteland so you will be paid 20x your Medicine skill, Tenpenny Tower is the most affluent place in the Wasteland so you will be paid 40x your Medicine skill, and Big Town and Underworld are both plagued by Super Mutants and far away from other settlements so you will be paid 10x your Medicine skill.