I'm not sure that applies to medical ninjas.Oh yea, I forgot that part. Sakura has yet to show any elemental jutsu
Shizune is jonin-ranked and Tsunade is Hokage, and yet neither of them have shown any elemental affinity.
This basically sums it up, bolded especially. Tsunade let her past emotions and her acquired Hemophobia get the better of her during her fight with Kabuto, and only when she was able to overcome those fears/sentiments was she able to start living up to her name.Emotions and versatility.
Jounin's can put aside their emotions for the betterment of the mission. Sakura has shown on too many occasion's that she is incapable of hat.
Sakura is an amazing Medic and amazing close range fighter but she isn't versatile at all. She is similar to Tsunade in the sense that if they get you where they are effective, it's game over. Anywhere else they pale in comparison to most other Shinobi.
Sakura is like Tsunade was before, and still needs to overcome her emotions.
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