Any other opinions? Currently have 120 k student loans, a wife, and a mortgage.
If you become disabled from doing anesthesia, you lose a huge amount of future income. Right now, that would cripple you, as you have a bunch of debt, mortgage, and need to afford to live. Later, it won’t matter as much, as long as you do all the usual LBYM stuff and gain a nice cushion. At that point you can start reducing.
Look at your current expenses, and know that you need to cover that much as a minimum. In residency, I lived on ~30k a year, and didn’t think I would ever need much more. Now I live on ~100k a year, and invest the rest for long term goals. This is my stable amount for about 5 years, with not too much creep. I worry that disability would actually increase expenses some, so I targeted 150k for coverage. Add in saving for kids college/retirement etc, and I added 50k.
Additionally note that if you pay with post tax dollars, you are not taxed on benefits, so you can just calculate what you need.
That was my personal decision making process to end up at ~15k monthly personal coverage, and then when it was time I added 5k additional group coverage that I am forced to buy (but is great, and cheap). I would bump this to 15k and drop my personal if I was 100% certain I wanted to stay at my current job.
You stop noticing the premiums eventually as it becomes a smaller portion of your net worth. Early on they seemed huge, now they seem like a very unimportant amount. For me, when I turn 40, 50, and 60 I planned to decrease coverage depending on overall saved money, but will have to re-evaluate at that time. Im leaning towards dropping total coverage back to 10-15k when I hit 40 since I have enough other saved to meet the important life expenses.