years what does it take to get on the list as it Amazon the top I'd say that the top 150 spots on our list will always go to company owners and heirs even if you're a chief physician you'll need to see a whole lot of patients to become a billionaire managers also have a hard time getting that high up here in Germany there's a debate about whether the heads of Dax companies earn too much but if you compare it to what people in similar posts in the US the UK or China earn its peanuts so that alone can't ever make you one of the truly ultra