Are you broke, yet?

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IWillChangeHC

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The story of Dr. Michelle Bisutti is one that all healthcare students should be required to read. Like a disclaimer, we should make it mandatory for all students to read before signing any educational loan. Her story can be read here.

Condensed version: Dr. Bisutti is a Family practitioner that graduated with a debt load of $250,000 in 2003 and has since ballooned to $555,000 as a result of interest. The article notes that at that time (2003) those debt loads were unusual, however today that is not the case. $250,000 for Medical Students is the norm. Don’t believe me? Here’s a quick table by the AAMC for U.S. Medical School Tuition and Student Fees for 2012-2013 (MS 1)[1]
Tutiion 2012-2013

Tutiion-2012-20131.png


Dr. Bisutti knew that her loans were extensive but rationalized that she would be earning a lot to justify the debt load levels. Sound familiar?

Dr. Bisutti will be 70 years old when she pays off her federal loans. Her damaged credit prevents her from purchasing a home or new car. It has also affected her personal life putting marriage off between her and her boyfriend because of debt.

BOTTOM LINE: DON’T BE LIKE DR. BISUTTI. Educate yourself!

An old video from 2009 from Suze Orman. Love her or hate her, she nailed this pending crisis and this was back in 2009:

http://www.youtube.com/watch?v=pj5CcYSAjq8


BUT, ONCE I’M EARNING I WILL BE MAKING PLENTY OF MONEY

Now this maybe true, but you need to learn personal finance. Case in point, a buddy of mine, an Administrator of Orthopaedics, the first week on the job he botched Payroll. The Staff and Doctors would miss their first paycheck by two days after the beginning of the week. On day two he received calls not from the Staff, but rather from the significant others of the doctors yelling on the phone. One in particular asked “How are we supposed to make our boat payment?” After hearing this story, it then dawned on me, just because they were physicians (hell, orthopods at that) did not mean they knew how to be financially fit. These physicians were living paycheck to paycheck! But they’re Doctors, right? Making $200,000+….how can that be?

THE WORLD IS NOT FAIR. LET’S LEVEL THE PLAYING FIELD

Look at your peers outside of healthcare. Most of them are long done with their education. Some have started their careers and are well on their way to financial freedom by paying off their student loans (if they even have them!). As a student of healthcare you have an additional burden of debt, a shaky horizon with the frontier of medicine changing drastically, most of your youth consumed towards education to this craft, it is only reasonable that you are compensated fairly for this. However, in order to become wealthy and set yourself up for financial successful, it requires time on your part and education to learn the building blocks of personal finance.


THE PLAN

We must take a scientific approach to this, measuring and testing. We will do the same for personal finance.

First we’re going to focus on how critical it is to focus on your objective and trying to develop a financial plan. This will be broken down into three sections:

I.) Creating your Objective

II.) A Financial Plan (next article)

III.) Financial Plans in action (following article after next). This is my gift to you the readers. It will be well worth the wait. Let’s just say access to actual budgets of Residents, Neurosurgeons, PAs and RNs, etc…



THE OBJECTIVE

This is your financial goal. This can be short-term or long-term, it should depict what your household status is. That is, if you are married, it should consider all moneys within the household. Be specific and include time frames (You can include as many goals as you have). Be sure to write it down in a document file on your desktop or somewhere where it is easily accessible and not lost.

Examples:

BAD: I want to pay off my student loans as soon as possible.

GOOD: I have $100,000 in student loans currently earning interest at 6.8% for 30 years. I want to cut that time in half, l would like to pay them off in 15 years.



BAD: I want about $2 million dollars total for retirement

GOOD: I want to have $2 Million dollars in retirement funds in the next 30 years.



BAD: I want to pay for my wedding

GOOD: I want to have $25,000 for a wedding in 4 years.



BAD: I want to make a down payment for a house

GOOD: I want to make a 20% down payment or $50,000 in 5 years.


WHAT’S YOUR OBJECTIVE(S)?


Again, remember the more specific and accurate the values and times, the better you can monitor your progress and make the journey more seamless. Hold on to this and we will review this in the next post. Feel free to ask questions or throw your own objectives on here.
 
The story of Dr. Michelle Bisutti is one that all healthcare students should be required to read. Like a disclaimer, we should make it mandatory for all students to read before signing any educational loan. Her story can be read here.

Condensed version: Dr. Bisutti is a Family practitioner that graduated with a debt load of $250,000 in 2003 and has since ballooned to $555,000 as a result of interest. The article notes that at that time (2003) those debt loads were unusual, however today that is not the case. $250,000 for Medical Students is the norm. Don't believe me? Here's a quick table by the AAMC for U.S. Medical School Tuition and Student Fees for 2012-2013 (MS 1)[1]
Tutiion 2012-2013

Dr. Bisutti knew that her loans were extensive but rationalized that she would be earning a lot to justify the debt load levels. Sound familiar?

Dr. Bisutti will be 70 years old when she pays off her federal loans. Her damaged credit prevents her from purchasing a home or new car. It has also affected her personal life putting marriage off between her and her boyfriend because of debt.

BOTTOM LINE: DON'T BE LIKE DR. BISUTTI. Educate yourself!

Her mistake was taking out additional private student loans and getting severely penalized due to non-payment. Missing student loan payments, esp. private, is no joke. I guess she had no choice but to use private loans back then since she went to a Caribbean program and maxed out her Stafford amount due to tuition, fees, and living costs. Her financial life is now a cautionary tale and I can clearly see why her SO is having issues with marrying her due to her debt.

By the way, I know this is non-Bogle but I feel that paying off student loans, at current terms (6.8% - 7.9% no subsidy) and tuition debt levels, ASAP is a sound financial move.
 
Sorry for not responding sooner, been out of town on business.

You are correct. Missing any form of student loan payment can be detrimental. My only gripe with the academic system is the lack of educating the scope of taking out educational loans. This is especially the case with the Medical System, where loans are astronomically large. Like homeowners during the subprime mortgage crisis, you are putting trust into something reasonably expecting to be in a position to repay. While most on here are educated or at least have the means to educate themselves, not everybody. Yet, I feel most have the means, but just don't know where to start.

Yes, I agree that paying off student debt quicker is a wiser investment than adding to one's portfolio. I just had this conversation with a fresh Neurosurgeon of ours. He was adding value to his portfolio rather than paying off his student loans. We calculated the interest he was accruing from his investments and compared it to the interest he was paying on his student loans and it was a no-brainer. For him, he barely noticed it given his income size, but he was bleeding money from interest for no reason.
 
Part 2: You are broke? Here's your Roadmap

As you will recall, we are breaking down this series into three parts:

I.) Creating your Objective(s) as seen in the first post
II.) A Financial Plan
III.) Financial Plans in action (next post). This is my gift to you.

You'll notice the term "Financial Plan." I'm not going to beat around the bush, originally I intended it to be termed "Budget," but have found that when people think of the word "Budget," they immediately lose interest. Bear with me. I know numbers aren't everybody's thing. They aren't mine! Also, your goal is not to cut on minor splurges. I'm not asking you to cut back on the little things that make you happy. If you're a coffee aficionado and need that $4 Frap to get you by every morning, I'm not asking you to cut that. What we're going to do is focus on the large expenditures given your objective, not nickle and diming your way to unhappiness. It requires just two steps. Easy-peasy, right?

The 2-Step method (not a dance nor a way to better launch your car at the drag strip)

The 2-step method requires you to have a set Objective in place.

1.) Make a Budget. Here is where we report our Actual expenses both Variable and Fixed to get a snapshot of what's going on. I know, I know, boring numbers, but ask yourself, without knowing what you're spending, how do you set a target for your objective?

2.) Making a Plan. Figure out what you need to spend in these areas to obtain your objective in your time-frame. Recall, I asked all of you to be specific on a time-frame for your objective. Now we have a Plan.


The Budget, Ermmm….I mean, Financial Plan

Make a list of your household spending per month. Yes this includes you, too, couples and families. I am showing you an interactive Spreadsheet that you can use. Type in values and download for yourself. You will notice three columns: 1.) What 2.) How much and 3.) Type. The first two are pretty self-explanatory, the third column, Type, refers to fixed and variable expenses. Fixed refers to expenses that are in place that will be "fixed" from month to month such as rent, utilities and insurance. Variable are expenses that "vary" from month to month such as entertainment (movies) and food (groceries, restaurants).

Try to be as accurate as possible. Go to the movies the other night? Record it. Spend $4 on coffee 3 days of the week? Record it. Buy lunch every other day from work/school? Record it! These expenses will be grouped into categories like "Food," "Entertainment," etc. Accuracy is everything here…

https://skydrive.live.com/view.aspx...552ada&id=documents&authkey=!AP5GL95SZfXXbrU&


Here is a Medical Student's Budget:


https://skydrive.live.com/view.aspx...552ada&id=documents&authkey=!AOSy4Aqqs_UgAAM&

Here is a healthcare professional's budget:

https://skydrive.live.com/view.aspx...552ada&id=documents&authkey=!AOihg_q77K6iNuM&

Congratulations! For many of you, you have just created your first Actual Budget! This is what you are actually spending every month. What are your thoughts? Any surprises?


The Financial Plan

Here is where we piece three components: 1.) Our Objective 2.) Our Actual Budget and 3.) Our Gross Pay (Pay before any deductions).

But Neil, I'm not making any money! Well, for those of you that aren't fortunate enough to be working on TPS Reports like the rest of us, consider all incoming cash flow: Significant other's income, Parents'/Family gifts, Loans, Savings/Interest, Side-jobs. If it is a lump sum, try to divide it over a horizon to get a monthly inflow. E.g. Your rich Uncle gives you $6,000 at the start of NP school, which will take you two years to complete. Your math should be $6,000/24= $250/month as a Gross Pay. Sum up all of these to get you a net monthly gross pay.

We will take the objective from a comment from Lauren Randle, a 2nd Year Resident, from our last post. Her objective is to have $30,000 to pay for a wedding in July of 2014. I had asked Lauren what her Gross Pay was, she is currently making $3500 Gross Pay a month. So let's take a look at what her Actual Budget is including Objective and Gross Pay:

https://skydrive.live.com/view.aspx...552ada&id=documents&authkey=!AGy0azp6QXHkWsQ&

So there we have it. This is Lauren's snapshot. First off, kudos to her for thinking about Retirement early on. We'll discuss why this is important in later articles. Also, it presents a unique factor of a single Resident getting by rather well. Lauren is fiscally wise, she decided to relocate to TN for Residency after living in Chicago and attending Medical School in IL. Her cost of living improved drastically.

We're here to determine how she can develop a financial plan that lines her up to meet her objective. Her objective being: pay $30,000 for a wedding in July 2014.


Framework:

How much do you need for your objective. Lauren has 19 months until her wedding. Let us consider everything static. That is, her fixed expenses and gross pay will not change. Lauren has $5000 in Savings. Effectively, she will need to save $1315/month ([$30,000- $5000]/19 months) every month until July, 2014 to raise the needed $30,000.

Currently, she is saving $275/month after Fixed and Variable Expenses. This will yield her $5225 ($275 x 19 months) by July 2014. Not even close! Lauren could however lower her Variable Expenses and reallocate it to Savings. She decides that given her objective, she is comfortable without eating out as much and can lower her Food expenses by half. She also decides she really really really likes her fiancé so she can lower her Entertainment costs by $250/month! She also decides to redirect her optional retirement contribution into Savings. She, however, will not be willing to cut her car expenses. She is leasing a Ford Mustang, a gift she gave to herself after finishing medical school.

If she lowers these two variable expenses it will save her $400/mo.

https://skydrive.live.com/view.aspx...552ada&id=documents&authkey=!AA1yRKcJZtfDkmg&

Even with ratcheting down her Variable Expenses to yield her an increase of $550/month to $825/month in savings, she is far from the $1315/month she needs. She has yet to figure out how to obtain the additional $490/month or $9310 for the wedding.

She is at a critical junction. She cannot, as-is, meet this objective. Time and money prevent her from doing so. Even if Lauren traded in her new Mustang, she would likely need a vehicle and gas and would be unable to attain the additional $490/month. Lauren will need to determine if can she get financial help from her fiance, family, extend the wedding date, squeeze the cost of the wedding down. This is a reality of many people. I am sure many of our student readers are in shock and awe when they put some of these numbers down on paper. Like homeowners during the subprime mortgage crisis, you are putting trust into something reasonably expecting to be in a position to repay. Educate, educate and educate yourself.

Fortunately for Lauren, her fiancé is able to tap into his savings and come up with $10,000. They are posed for success of their objective. Realize that even if her fiance was able to come up with $10,000, Lauren would be unable to come up with the rest have she not cut her spending and lower her variable expenses. I want all of you to take a good hard look at your numbers. Are your Objective(s) attainable, are you on a roadmap to success?

______
Sorry, having issues embedding the Excel Spreadsheets. It's up on my website if you're interested, PM me and I can link it to you.
 
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