A multimillion-dollar wage underpayment settlement, believed to be the largest in Australian history, will drive a shift in the culture of unpaid overtime for junior doctors. Over 20,000 junior doctors are set to share in a $229.8 million settlement pending court approval for a class action against the NSW Health Department. The settlement recognizes the importance of fair compensation for the actual hours worked, marking a departure from the previous culture of underpayment and poor treatment. The NSW government has committed to address systemic cultural issues within the health system, including improving the work environment for junior doctors.