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It is simply a fact that one's achievements are not solely the manifestation of their own merit. It is also a reflection of their upbringing and other people in their lives.
So?
It is simply a fact that one's achievements are not solely the manifestation of their own merit. It is also a reflection of their upbringing and other people in their lives.
It is simply a fact that one's achievements are not solely the manifestation of their own merit. It is also a reflection of their upbringing and other people in their lives. And I'm sorry but you are not convincing me that a household making 10x the amount of income my family does is not "richer."
Physicians are in the working rich then...We need an SDN ecyclabedia to make sure we keep all the labels straight.
Poor
Middle class
upper middle class
rich
working rich,
wealthy
old money
new money.
Probably a Bolshevik one and a Keynesian One.
Probably a Ven Diagram about who should go to medical school. Maybe give a scoring system to show the level of shame and responsibility they have for their outcome.
How come you only pay 25% on a 300k salary?I didn’t read all of this thread, but I thought I would offer some perspective as a pretty junior attending who is not that far removed from all kinds of fantasies about what having a physician income would mean.
I’m a psychiatrist and work in an academic setting. My contracted salary is something like $229k gross for 5 days/week, 40 hours/week, full-time work. I work one additional day/week and as many weekday evenings as I can in our ED for additional income. Last year, my gross pay was in the realm of $300k. About 25% of that goes to taxes, so my theoretical “take-home” pay is something like $225k. Take out money for health insurance, life insurance, disability insurance, and other “necessary” expenses, my actual, true take-home pay is something like $210k, keeping in mind I work 6 days/week, every week, for a total of about 50-60 hours/week. But wait, I save about 20-22% of my income, so I take home less. I pay something like $8k/month for my student loans. I completed residency with something like $140k in student loans and will have them paid off just about 2 years after completing residency. My wife and I have a house but have not paid off our mortgage (cost $210k when we bought it during my second year of residency). I’ve got about $225k saved for retirement, including about $40k that I saved during residency through my employer’s retirement program. About $70k of that is highly liquid that I could withdraw next week if needed. I could make more working elsewhere - probably 150%+ of my current salary - but I like working with trainees, and the truth of the matter is that I do relatively less work in the academic setting than I would elsewhere since I have trainees working with me, which allows me to achieve other important, non-financial goals.
That is a lot of money. It’s more money than I had growing up. However, it is not infinite. If you’re keeping track, far less than 50% of my income currently is actually available for discretionary spending. I’m not complaining. I’m happy with my lifestyle and I don’t want for anything. But I think there is a very gross misunderstanding of how much money you will actually take home and whether or not you are “rich” as a physician. In a two-physician family, you will certainly be taking home plenty of money if you’re financially wise and don’t spend beyond your means. One of my buddies is a psychiatrist and his wife is a hospitalist - he’s 4 years older than me and they have a net worth of about $2 million, however they are very stingy and pretty minimalist and save the overwhelming bulk of their income. He still drives a beat up Ford Mustang that he’s had since medical school I think, though his wife got a new Tesla Model 3 last year that they paid for in cash.
My wife and I have a 3-month-old and she was able to quit working with very little impact on our finances, which is a blessing. I don’t worry about making sure we have everything that we need and even some luxuries and can buy them without much thought. We are in a good place financially and I don’t stress about it. All that said, it’s less money than I thought, and I imagine it’s less money than what many people fantasize about when they reach the end of the rainbow that is medical training.
How come you only pay 25% on a 300k salary?
You already have ~300k (Retirement + 'cash') save up after being an attending for < 3 yrs. I think it's safe to say that in 10 yrs your net worth will be 2-3 mil. Of course, you won't be Jeff Bezos., but you won't be average (aka... middle class) either. This is with one doc income.
Most med students don't understand this. They don't understand that medicine is a well-paying job but it requires actually coming to work and producing something every single day. It's not like being a middle manager in consulting doing make work all day. People like me who have been on both sides of this coin get it but many don't apparently.Physicians are in the working rich then...
Most med students don't understand this. They don't understand that medicine is a well-paying job but it requires actually coming to work and producing something every single day. It's not like being a middle manager in consulting doing make work all day. People like me who have been on both sides of this coin get it but many don't apparently.
Medicine is very blue collar in this regard. It looks like many people think you just become an attending and suddenly you just hang out at work and your life magically changes lol.
How come you only pay 25% on a 300k salary?
You already have ~300k (Retirement + 'cash') save up after being an attending for < 3 yrs. I think it's safe to say that in 10 yrs your net worth will be 2-3 mil. Of course, you won't be Jeff Bezos., but you won't be average (aka... middle class) either. This is with one doc income.
leave it to SDN to make this one of the most emotionally charged conversations on the forum rn lol.
I would’ve thought from the thread title this post would just be utter trolling, but leave it to SDN to make this one of the most emotionally charged conversations on the forum rn lol. Post your reply to drop your blood in the shark tank
And you have been an SDN member for 3 yrs... Interesting!I don't think ive read anything emotionally charged in this whole thread...
And you have been an SDN member for 3 yrs... Interesting!
My point was that there have been 100+ threads in here that are more emotionally charged than this one...What's your point... ?
My point was that there have been 100+ threads in here that are more emotionally charged than this one...
I wrote the comment you’re talking about, not Splenda.I don’t understand what you’re saying. If you’re saying that other threads on SDN are more emotionally charged, I agree. That was my original point - in this entire thread I’ve hardly seen anything highly emotionally charged. However that was countering your original post were you said that this thread was very emotionally charged?
I wrote the comment you’re talking about, not Splenda.
read for example what words mass effect chooses in some of his last posts, “dude, seriously, get over it.” “Snarking” “seething with jealousy” not to single out one guy but you get the idea.
There’s just an overall tone of “Nuh-uh!” —> “Yuh-huh!”
I misread what you were saying...I don’t understand what you’re saying. If you’re saying that other threads on SDN are more emotionally charged, I agree. That was my original point - in this entire thread I’ve hardly seen anything highly emotionally charged. However that was countering your original post were you said that this thread was very emotionally charged?
But what about the people with no friends??????????????Are we not all rich because of the friends we made along the way?
Are we not all rich because of the friends we made along the way?
Well, I guess we know who the poor people are now.But what about the people with no friends??????????????
Ha that reminds me of this corny commercial.
Nah.. 250k/yr is ok (not great) for a family of 4 since student loan repayment will eat a large portion of it...Even a single FM physician household will classify an average sized family as rich.
Too lazy to read the entire thread but I will respond to the question posed in the title. My long-term SO and I are both medical students. We would have to choose a pretty narrow combination of specialties AND location to not be in the top 1% of household income as attendings with a few years of experience ($531k/yr as a household is top 1%). So I can comfortably say that our future kids will have rich parents. Based on the top 2-3 specialties we are each interested in, it would not at all be unreasonable for our combined income to be >$1MM as attendings. And we aren't interested in crazy competitive stuff, just "average" to "above average" competitiveness.
As someone said in this thread when I was skimming, the hardest part in terms of risk of failure is getting into a US MD school. After that, it is still a grind of medical school and residency and then working a "blue collar" attending job, but the failure rates along the way are quite low. The failure rate is basically 0% if you show up every day, don't have a personality disorder, and are lucky enough to stay physically and mentally healthy. You can stack the odds in your favor of having good mental and physical health if you make a conscious effort at it and have a good partner and support system.
We plan on saving/investing >50% of our income as attendings for a multitude of reasons. That is more of a tangential topic, but it might make our kids feel like we are less "rich" than we actually are. Until I retire at 45
I don't know that many not competitive specialties in which the average doc can make 500k. One can say anesthesiology and EM but the average doc in these specialties make 400k and 350k respectively.Too lazy to read the entire thread but I will respond to the question posed in the title. My long-term SO and I are both medical students. We would have to choose a pretty narrow combination of specialties AND location to not be in the top 1% of household income as attendings with a few years of experience ($531k/yr as a household is top 1%). So I can comfortably say that our future kids will have rich parents. Based on the top 2-3 specialties we are each interested in, it would not at all be unreasonable for our combined income to be >$1MM as attendings. And we aren't interested in crazy competitive stuff, just "average" to "above average" competitiveness.
As someone said in this thread when I was skimming, the hardest part in terms of risk of failure is getting into a US MD school. After that, it is still a grind of medical school and residency and then working a "blue collar" attending job, but the failure rates along the way are quite low. The failure rate is basically 0% if you show up every day, don't have a personality disorder, and are lucky enough to stay physically and mentally healthy. You can stack the odds in your favor of having good mental and physical health if you make a conscious effort at it and have a good partner and support system.
We plan on saving/investing >50% of our income as attendings for a multitude of reasons. That is more of a tangential topic, but it might make our kids feel like we are less "rich" than we actually are. Until I retire at 45
During the 4-5 years it takes to knock out the loans, you will be in the 2nd quartile of household income (50-75th %tile) in the US, if you have a stay-at-home spouse. If your spouse makes even 50k/yr, that could help a lot, depending on childcare costs in your city...it could easily end up being a wash if your spouse doesn't earn much and childcare is insanely pricey. So yeah, straight out of FM residency, you aren't going to be "rich" by any means. Once you get out of student loan debt, you will be doing great financially...just don't live in New York or SF lol. Still not what I would consider "rich" necessarily, but at least very comfortable and you can retire before age 60 if you finished medical school before age 35ish.Nah.. 250k/yr is ok (not great) for a family of 4 since student loan repayment will eat a large portion of it...
Most general surgery fellowships, anesthesiology, radiology, heme/onc, GI, cards, critical care, some OBGYN fellowships all have 75th percentile MGMA >$500k and I consider all of those fields "average to above average competitiveness" and not "crazy competitive" which was my phrasing. 75th MGMA is not realistic straight out of residency, but with a few years of experience/becoming a partner and geographic flexibility (we already prefer the South and Midwest due to family and friends), 75th percentile MGMA is not "unreasonable" which was also intentional wording on my part.I don't know that many not competitive specialties in which the average doc can make 500k. One can say anesthesiology and EM but the average doc in these specialties make 400k and 350k respectively.
Most humans don't understand this. Go on any thread that talks about healthcare and you're bound to find more than a handful of comment threads talking about how doctors "make too much" and nurses and mid-levels "don't make enough." Completely ignorant of the sacrifices and debt that we have to go through (and will continue to go through) to make the money we do. All the REEEEEdditors see is the dollar sign and nothing of what produces it.Most med students don't understand this. They don't understand that medicine is a well-paying job but it requires actually coming to work and producing something every single day. It's not like being a middle manager in consulting doing make work all day. People like me who have been on both sides of this coin get it but many don't apparently.
$1MM is **** you moneyMost humans don't understand this. Go on any thread that talks about healthcare and you're bound to find more than a handful of comment threads talking about how doctors "make too much" and nurses and mid-levels "don't make enough." Completely ignorant of the sacrifices and debt that we have to go through (and will continue to go through) to make the money we do. All the REEEEEdditors see is the dollar sign and nothing of what produces it.
I mean, they're also the same camp who think that $1M is "**** you" money. Sure, if that person is making 10x that yearly. But net worth of $1M will sustain a middle-class family for maybe 20 years at best. Not even enough to carry their baby from birth to adulthood to death. Hoh yea, that $1M sure is ****ing a lot of people!
But you know what they say: people who don't work for their money have no concept of it. I certainly was guilty of that as a kid, thinking that my parents could just buy me whatever I wanted without realizing how much they sacrificed to make that money.
Financial advising for physicians and other professionals with similar income summed up in one sentencebut some people have just terribly unrealistic expectations.
That's true.$1MM is **** you money
Just not in the US
It's always amazing to be how bad people are at managing finances... physicians included. You set some future retirement goal with associated investments, you see your income, you minus expenditures, you create a rainy day fund, you set aside some discretionary spending. I mean, it's not rocket science.Financial advising for physicians and other professionals with similar income summed up in one sentence
What is a modest house for a doc making ~300K?It's always amazing to be how bad people are at managing finances... physicians included. You set some future retirement goal with associated investments, you see your income, you minus expenditures, you create a rainy day fund, you set aside some discretionary spending. I mean, it's not rocket science.
But then I see physicians driving these expensive cars. I mean, I guess if that's what you really want, but of course, you could also use that money to wipes ones own butt and get the exact same ROI. Actually, the most financially savvy people tend to drive POSes and live in modest houses in my experience.
I think my house is "worth" that according to Zillow, but we bought it for substantially less. Though it's really not the house, but the land which has appreciated substantially since we bought it. I have a longer commute but that's worth the trade in value.What is a modest house for a doc making ~300K?
The truth of the matter is: The physicians that I am close with that have been practicing for 10+ yrs, all of them have homes that worth 700k+
I guess it's all relative.
Zillow says our value has gone up 20% in right at 4 years.I think my house is "worth" that according to Zillow, but we bought it for substantially less. Though it's really not the house, but the land which has appreciated substantially since we bought it. I have a longer commute but that's worth the trade in value.
Houses should be viewed as investments, not the shiny trinkets some people want them to be.
Yes, the real estate market is especially weird. I mean, we are still in a recession yet the real estate market is still booming. I don't think the value of our house will continue to go up... actually, I think it will contract some, but that's why it should be viewed as an investment, because usually investment having fluctuations with some inherent risk.Zillow says our value has gone up 20% in right at 4 years.
Real estate is weird sometimes.
That seems reasonable. I disagree with a LOT of what Dave Ramsey says, but his "How much house can I afford?" calculator is very conservative which I like. $300k gross salary and a $700k+ house is still affordable using his calculator. Using a take home pay of $17,000/month ($300k gross and married in a moderately taxed state like NC, maxing out 401k with $19.5k/yr), here are the results copied from the website:What is a modest house for a doc making ~300K?
The truth of the matter is: The physicians that I am close with that have been practicing for 10+ yrs, all of them have homes that worth 700k+
I guess it's all relative.
I agree. Spoke with a realtor 2 yrs ago and was told my house was worth about 100k less than I thought. Recently a house in our hood sold for 60k above asking. The highest price ever sold around here. The house is about 1,000 sq ft smaller than mine.. Real estate is all about timing.Zillow says our value has gone up 20% in right at 4 years.
Real estate is weird sometimes.
I think my house is "worth" that according to Zillow, but we bought it for substantially less. Though it's really not the house, but the land which has appreciated substantially since we bought it. I have a longer commute but that's worth the trade in value.
Houses should be viewed as investments, not the shiny trinkets some people want them to be.
I guess I am a lot more conservative than Dave Ramsey... No way in hell I would buy 700k+ home on a 300k/yr salary. The max would be 500k for me. I also prefer 15-20 yr mortgage instead of 30.That seems reasonable. I disagree with a LOT of what Dave Ramsey says, but his "How much house can I afford?" calculator is very conservative which I like. $300k gross salary and a $700k+ house is still affordable using his calculator. Using a take home pay of $17,000/month ($300k gross and married in a moderately taxed state like NC, maxing out 401k with $19.5k/yr), here are the results copied from the website:
MAXIMUM MORTGAGE PAYMENT $4,250
HOW MUCH HOUSE YOU CAN AFFORD Based on a 4% interest rate on a 15-year fixed mortgage.
Like I said, this is very conservative because most people do a 30-year fixed mortgage in the US so the monthly payment would be much lower in those cases. Also 4% interest is crazy high on a 15-year mortgage if you are a physician with good credit (all physicians ideally should have good credit by the time they are attendings). 3% or even like 2.8% is more realistic (currently) for a 15-year loan. But I don't think his numbers included property tax and homeowners association fees/insurance, so 4% is fine.
- $638,407 home with 10% down ($63,841)
- $718,208 home with 20% down ($143,642)
- $820,809 home with 30% down ($246,243)
- $957,611 home with 40% down ($383,044)
And $700k is going to buy you a big, luxurious house in north Florida or SC or WI, but will buy a much more European sized place in Boston or DC. Still plenty of space to raise 2-3 kids, you just have to adjust expectations based on your location.
Cars and vacations are an expense. A house is not the same as those things. The money you put into a car or a vacation is gone, you're never getting it back.I think that thinking of a house as an investment rather than an expense usually leads to poor behavior though... if it's an investment, maybe it's a good idea to spend 1 mil instead of 500k on my house then? It's an investment after all! Totally ignores that people WANT to live in the 1 million dollar house because it's nicer. These same people would not be as excited to invest an extra 500k in index funds... so clearly it's not really about it being an investment.
I think thinking of your house as an expense is better because it makes you realize what you're giving up to buy it - cars, vacations, early retirement, etc. Yes by the end you'll have more equity in an expensive paid-off house, but it came at the expense of investing in other more liquid assets and at the expense of spending on other things.
Also, I'm from a HCOL area, the (normal) houses in my neighborhood are like 700-900k. Don't know a single physician who lives there; I think where I'm from physicians live in houses that are at least 1M+