No buck no Buck Rogers. In my wife's setting (hospitalist vampire shift) the differentials are significant between day, evening,and overnight shifts, especially overnight+weekend. It's like 22K pre-tax for the same job and experience, which at the sub 6 figure pay rates, it represents a large (25%+) bump.
Personally I don't find that worth the trash schedules, and most people do accept lower pay to be able to have a diurnal life. "Nuclear material can only be flown" outliers notwithstanding, I'm just saying there's a problem when dispatching a king air at 4am to hop a hill pencils out more than an ambulance, because the latter "can't be staffed" in the middle of a doo doo national economy where the under-25 unemployement closer to 10%, and that's what the govt is willing to publish mind you. Our healthcare revenue distribution is hella broken. Probably gives aviation pay distribution per-sector a run for its money. A double whammy for healthcare dependent part-135s (EMS).
Not that complicated. Same as always. WOCL is trash, people dismiss the degree to which people can reliably operate single pilot at these hours while attempting to maintain a diurnal domestic life the rest of the month with the people in your life, family or not. Add low yearly block on the instrument cross-check proficiency front, and it's all a game of dice. Nothing that can be proven in court of course, so you'll just have to imagine what it's like, if you've never had a job where you rely on this swip-swap day week/night week circadian wrecking ball to put food on the table.