This design features a graphic design with a white background. At the center of the image, there is a stylized text that reads "EARNED NOT GIVEN" in a bold, sans-serif font. Above the text, there is a graphic of a pair of glasses with a heart shape inside the frame, and below the text, there is a graphic of a stethoscope with a heart shape inside the earpieces. The overall design is simple and uses a limited color palette, primarily consisting of black and white. The style of the image is reminiscent of a logo or a branding graphic.