Except I know of professionals making 150k+ having a hard time finding a house for 400k in our city that isn’t supposed to be very expensive… they’re looking for a normal 3-4 bedroom house to accommodate a family of 3-4 kids. Shouldn’t be hard to do for a professional but this is our current era.
Ten years ago, 130k would have been a good income. We (4 of us) were doing fine on a 110-120k/yr before I went to med school. I don't think we can afford a decent home in a neighborhood with good school district where I am now on 130k/yr income. You need to spend 450k+ for 3/2 30 mins away from the city where I am now (not even the good suburbs), and it's in the south. I would not buy a home for 450k on a 130k/yr income
exactly. People get hung up on a number. When I was in college, 100k was the magic reference. If you made six figures you had it made. A pharmacist made 100k in the early 2000’s and makes about the same now despite inflation and the change in the housing market etc. when I was finishing residency I was offered an academic trauma job that was gonna work me to death and pay me less than half what a surgeon working that hard should make. It was the same starting salary they paid their new surgeons ten years prior when med school cost a fraction, residents could defer loan payments without growing from interest, and a nice family house in the same city could be bought for 180-250…
True. But the prices are likely to come down a bit but will stay high. Look at the 2008 crash. House values rebounded quickly afterwards and are now way higher.
I agree that people who make the sacrifice to go to med school expect to be on the top of the upper middle class. I was already in the middle class with a household income of 110-120k/yr working only 2 days/wk while my spouse was working 3 days. No matter how I like medicine, there was no way in hell I would have gone to med school if I knew the financial reward was not going to be substantial.
I don't think ACsurgeon was saying that one can't live on a 130k/yr household income. It's not like it was 10+ yrs ago. I spend significant time in 2 states in the US and I have noticed in the two states that same house from the same builder in different school district can be 100-200k apart in price even if they are ONLY 1-2 minutes drive from each other; meaning if you want your kids to go to the better schools, your mortgage will be substantially more. I am pretty sure it might be everywhere since these business people are not stupid
I said you will, but disposable income won't be a thing in most of these place.
Yeah, that was my point about how garbage it is for buyers right now.
How is that any different than the rest of people living on that salary?
Tell that to the people I know making that much who have boats, planes, etc. Unless your only definition of a nice place to live is like NY, which would be hilariously ironic.
There are people living on that salary who purchase their home 5+ yrs ago. I just gave an example of a house I purchased 10 yrs ago for 150k, of course, with 130k, we would do very well. But someone purchasing that same house right now for 450k will do ok on a income of 130k but that family won't have disposable income to take 2 vacations, pay for their kids college etc...
I spend most of my time in the south. Do you have kids? They can be expensive if you want to raise them properly.
I wasn't addressing you, homie.
I believe in this very thread it has been brought up as well as probably every other financial thread on the first page of this subforum.
I'm really curious where you guys are seeing these dysfunctional midlevels. They exist sure but maybe i'm just lucky i came across self aware NPs and PAs who know their limitations and don't go around falsely calling themselves as physiciansNot to beat a dead horse but this is a true gem.
<rant>
I'm standing in the ED with my student badge waiting to talk to the doc. The PA looks at me. We know each other. They ask - "So, why are you here? You guys have summer off or something?" I say - "Yeah... we go back in a month..." The PA says (with a slight smurky tone of voice) - "When I was in school we did not have any summers off." (emphasis on "I" and the fact that it has been a while since they were in school). I say - "Different program..." (referring to the fact that the PA program is different than MD). The response floored me: "Nooo.... It's College of Medicine..."
I just repeated - "Different program..."
But then this is the same person who was telling the nurses a story of their patient, that began with "I am walking in to the room and say 'Hi, my name is ------, I am your ER doc today..." I did not listen to the rest of the story because I tried to discern if they either misportrayed themselves to the patient (BAD!) or misspoke telling the story (but why?).
</rant>
Lol... Don't get me wrong. A household income of 130k/yr put one in the 75th percentile in 2019 (might 70th percentile now). My household was doing well on something close to 130k (110-120k) 7 yrs ago. However, I don't think a family with my then income would do well if they live in the same home/neighborhood that I lived 7 yrs ago.
Read the whole thing. Very interesting!
www.midlevel.wtf
SDN has a very poor and rather elitist understanding of finances. It's frankly ridiculous
Ok i got luckyRead the whole thing. Very interesting!
Deranged midlevel goes berserk on PPP physician's Facebook page, starts making veiled threats
21 years into the 21st century, one would think that most people who don't reside under a rock would be familiar with the old adage (warning?) that everything on the internet is permanent. But as with everything in healthcare and medicine, there are exceptions. Consider, for example, an Alabama...
Most of them are normal people who wanted a good job. The problem is that many of those same good normal people are easily swayed into situations that aren't good for patients or their own careers by hospital admin. Then suddenly 10 years later they are the problem. Seen it many times over the years. I respect most of them as they are normal people like you and I.
I would say many instead of most. Most of them think after a few years of experience, they are physician-like.
I really don't think it's most, but i admit social media, midlevel lobbying groups and hospital admins are responsible for radicalizing them
We are lucky to be employed if we are not surgeons, radiologists or pathologists.Ok i got lucky
I have a friend outside of medicine that spent $110K over asking price. Waived the inspection, paid for closing costs, and realtor fees. Mind you this isn't in an area of the country where it's really expensive to live. Average COL is below national average.
My wife and I bought a house last year during the lockdown. We got our house after getting the original price knocked down by $20K. A year later, this house rose by $10K in value. I'm so glad we bought when we did.
I think this is much different than 2008. 2008 was essentially a mirage of fortune-- people were living on credit and didn't actually have any real wealth yet were affording the ability to "live the life." Of course that ended in a collapse. Now we're seeing America retract and become isolationist while the rest of the world struggles to improve their standard of living in a world economy which relies on America not being isolationist.
That will be changed to "Provider Entrance" in no time.
nursingclio.org
That writer really checked all the buzzword boxes. “Racist, sexist, and classist” what a crock of ****.Midwives, Nurse Practitioners, and the Physicians Who (Still) Find Them Threatening
During the 2021 Louisiana legislative session, I took part in a campaign to eliminate an unnecessary law that has sexist, racist, and classist origins and effects. In doing so, I witnessed a striki…
Typical. If any of you think a regular NP is bad just wait until you meet the NPs who were L&D nurses who got their NP and now work in outpatient OBGYN... I've never met people with so little knowledge in my life. They lost 99% of nursing knowledge becoming bad L&D nurses and then got actual responsibility taking care of things they didn't even see on L&D now. Jaw dropping stuff.
That's bizarre. In my experience, PAs tend to learn that stuff during school. Their problem is attitude and knowledge base not things that an M1 knows mechanically speaking. The PAs I know, and their curriculum, had them doing many, many standardized patients to learn the H&P.
Who knew that "doing med school in half the time" would lead to half the quality 😂
