Discrepancy between physicians and wealth

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Ascent23510

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2+ Year Member
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Hi,

Not someone who generally compares myself to others due to the whole comparison being the thief of joy, but I decided to check something out of curiosity this weekend and I was feeling a bit surprised.

Was driving through an area in the Midwest (medium sized town) and was stunned by the homes I saw. Now normally when I see a huge house, I just shrug it off as that person being wealthy and a hard worker. However, this area was full to the brim with insane houses. Every street, every other neighborhood was donning insanely large homes. I began to wonder what these people did for work. So I sat down and went down the rabbit hole to see what the owners did for work. (Jobless behavior but my curiosity got the better of me).

I was stunned to find out that there were little to no physicians in these neighborhoods. And it wasn’t just 1-2 neighborhoods. I mean 10-15 of them showed little signs of harboring physicians. The occasional one that would pop up would be a thoracic surgeon, general surgeon, or ophthalmologist.

Many of the people that lived there had small businesses they ran. Accounting firms, law firms, landscaping, construction companies, dealerships, etc. A good portion of them were also Directors or VPs of small to mid size companies I had never heard of before. They weren’t glamorous corporations by any means.

Which leads me to my question. How does your average doc get wealthy? And no I’m not talking about the guys ultra specialized who are making 600-700k+.

There are many that naively throw out the suggestion of just starting your own practice without understanding what it takes to do so. There are those that throw the vague idea of starting a business out there. But what businesses have you seen or been involved in where physicians can get to being wealthy instead of upper middle class?

How does a physician reach that tier that puts them at high upper class/ wealthy from middle class? Just curious to hear what opinions people have.
 
Most physicians after working for 10+ years should be upper class if they are not stupid with money or involved in divorce(s) etc... Of course, you will not be wealthy like big time athletes, CEOs etc... solely working as a doc

In my opinion, once your net worth is > 2M (top 10%) and most of it is not tied to your home, you are upper class IMO. You can do almost everything that money can afford except flying private.

It will be hard for REGULAR docs to reach high upper class status (> 20M net worth) unless they are very savvy investors. One hospitalist I work with has achieved that after working for only 16-17 yrs. He is a very savvy commercial real estate investor.
 
Hi,

Not someone who generally compares myself to others due to the whole comparison being the thief of joy, but I decided to check something out of curiosity this weekend and I was feeling a bit surprised.

Was driving through an area in the Midwest (medium sized town) and was stunned by the homes I saw. Now normally when I see a huge house, I just shrug it off as that person being wealthy and a hard worker. However, this area was full to the brim with insane houses. Every street, every other neighborhood was donning insanely large homes. I began to wonder what these people did for work. So I sat down and went down the rabbit hole to see what the owners did for work. (Jobless behavior but my curiosity got the better of me).

I was stunned to find out that there were little to no physicians in these neighborhoods. And it wasn’t just 1-2 neighborhoods. I mean 10-15 of them showed little signs of harboring physicians. The occasional one that would pop up would be a thoracic surgeon, general surgeon, or ophthalmologist.

Many of the people that lived there had small businesses they ran. Accounting firms, law firms, landscaping, construction companies, dealerships, etc. A good portion of them were also Directors or VPs of small to mid size companies I had never heard of before. They weren’t glamorous corporations by any means.

Which leads me to my question. How does your average doc get wealthy? And no I’m not talking about the guys ultra specialized who are making 600-700k+.

There are many that naively throw out the suggestion of just starting your own practice without understanding what it takes to do so. There are those that throw the vague idea of starting a business out there. But what businesses have you seen or been involved in where physicians can get to being wealthy instead of upper middle class?

How does a physician reach that tier that puts them at high upper class/ wealthy from middle class? Just curious to hear what opinions people have.

In my little Midwest city of ~50k people, physicians own many of the biggest houses in town.

“High upper class” would mean serious wealth in the hundreds of millions, perhaps approaching billions. Not sure how many doctors have ever made it to that level (needless to say, MOST people don’t make it to that level). But it doesn’t take wealth approaching billions to buy the kinds of houses you saw there.

That said, whenever I see houses like that, my first thought is debt…and whether the person owning it actually has enough wealth to shoulder the debt in question. And frankly, a lot of those people don’t. (The carrying costs of living in a house like that are astronomical.) There are a lot of people who look outwardly “wealthy” who are laden with debt, and some are basically living paycheck to paycheck.

So as a doctor, I don’t care about doing whatever it takes to look like I’m filthy rich. I want to have a lifestyle that makes me *feel* like I’m rich. For instance, I have a paid off house that I paid about $200k for. I have two paid off cars. If I want to renovate my house, make repairs, edit the landscaping or whatever, I can drop cash down tomorrow to do it. If I want something, I can buy it. If **** hits the fan somehow and I need capital to fix it, I have cash on hand that can be tapped and ready to go tomorrow. Wanna go on a cool trip? It’s not even a question if I can afford to do that. That is what “feels rich” to me. And it is infinitely more valuable than struggling to make payments on some stupendously expensive house and two Range Rovers.
 
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