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What do you recommend for someone graduating med school owing 450k+ debt (500k+ after residency)? Continue living like a resident while putting the excess income towards loans, or take advantage of REPAYE?
Are you all aware that the wealthiest of the wealthy, those with enough cash not to need to borrow, often use debt (if the interest rate is right for the purpose) to serve a purpose?
Corporate example: Even Apple Corp, the wealthiest company on the planet with biggest cash reserve in the world, uses debt for certain purposes. They park much cash overseas and borrow back in the USA against their cash, because the rate they can get is lower than the penalties they'd have to pay, repatriating the cash back onto US shores.
Personal example: I could cash out my 401k to pay off my students and be much closer to debt free. But it would be stupid, since my interest on my student loans costs me less than would the penalties paid and lost tax advantages of the retirement program, with matches, etc.
Who's better off, 1-someone with $1.5 million in assets and $0.5 million in debt, or 2-the guy with $1.0 million in assets and $0 in debt? They both have the identical net worth of $1 million.
Answer: It depends. Maybe guy #1, maybe guy #2, or maybe they're equally as good off. It depends on many, many factors; interest rate, liquidity and stability of the assets, tax rates, etc.
It just something to think about. That being said, and as I said above, everyone should do what they're most comfortable with.
Everyone needs to find their own balancing point.
I know a number of professionals locally who ended up with devestating medical conditions, none of them wish they had more in savings rather than spending more time/money enjoying life when they were healthy. Attorney with 7 figure savings, devestating stroke at 62, now hemiplegic. Ortho doc in his 50s working hard for early retirement, mountain biking accident, paraplegic. Second ortho doc also in his 50s, herniated disk, paraplegic. My brother obsessed over early retirement and socking money away. Dead of an MI at 47. Now his wife and her useless family members are trying really hard to piss it all away. Heck my own father saved aggressively but never stopped working. Now he is looking at withdrawing money from tax deferred accounts at a higher tax rate than when he contributed because his income is higher and he refuses to quit working.
Make sure not to sacrifice too much.
LolIn your situation, I would recommend you max out your retirement plans AND pay off your debt early through lifestyle control.
Are you "100% debt free"? I bet dollars to donuts you're not...You've got a bigger problem than what to do with your loans during residency. When you get out of residency you're going to owe $600K+. I recommend looking VERY carefully at attending jobs that qualify for PSLF (i.e. only taking one that does) and praying Congress doesn't change the rules. That means in residency you must stay in government programs like IBR/PAYE/RePAYE. It also means you probably shouldn't pay extra on the loans since the goal is to get something like $400-500K of them forgiven. If you plan to actually pay these loans off, you've got a long row to hoe. Either way, RePAYE should work fine during residency, especially if you're single, but I'd put any extra savings somewhere else for now like a Roth IRA.
Are you "100% debt free"? I bet dollars to donuts you're not...
So your debt serves a purpose?Do I get the dollars or the donuts?
But no, I'm not. I have a $285K 15 year 2.75% fixed mortgage. Here's my plan to pay it off early. http://whitecoatinvestor.com/my-quest-to-become-debt-free/ I'm about halfway there. I too struggle with the math of paying off very low interest rate debt (I figure after tax mine is something on the order of 1.5% while inflation is running at 2%) early. But when my debt is the equivalent of something like 10-20% of my net worth and rapidly falling, maybe I can afford the luxury of being debt free and not have to eke out every dollar of arbitraged income I can get.
You've got a bigger problem than what to do with your loans during residency. When you get out of residency you're going to owe $600K+. I recommend looking VERY carefully at attending jobs that qualify for PSLF (i.e. only taking one that does) and praying Congress doesn't change the rules. That means in residency you must stay in government programs like IBR/PAYE/RePAYE. It also means you probably shouldn't pay extra on the loans since the goal is to get something like $400-500K of them forgiven. If you plan to actually pay these loans off, you've got a long row to hoe. Either way, RePAYE should work fine during residency, especially if you're single, but I'd put any extra savings somewhere else for now like a Roth IRA.
This is how I feel. Everyone points out that millionaires "don't have mortgages" or whatever. And it's true, but are they millionaires because they paid off their mortgage, or did they pay it off because they're millionaires? Millionaires wear Rolexes and have chauffeurs, if I get those will I become a millionaire too?So your debt serves a purpose?
PS-If you had won, you'd have gotten dollars, but since you lost the bet, you owe me donuts.
Can someone explain why the rates on medical school loans are so much higher now than they were when today's attendings were in school?
We've been in an unprecedentedly long run of near zero interest rates (Fed) that stretches all the way back to 2008. Additionally, the Fed has pumped over 4 trillion dollars into circulation via successive rounds of quantitative easing, pushing equities and other asset classes to dizzying highs completely unreflective of the strength of the underlying economy. We are awash with liquidity. So why are interest rates on our loans so damn high, literally 2 to 3 times higher than they were in times of much higher Fed rates? Physicians are still a pretty good bet to pay back their loans, and they're one of the few classes of individual borrowers who remain so in our hollowed out economy. I'd have expected our rates to be inching lower than they were in the mid 2000s, not higher.
As your net worth grows you'll have less and less need and willingness to deal with little debts like credit cards and auto loans, even at low interest rates. I'm starting to feel the same way about my mortgage. The amount of "arbitrage there" from borrowing $285K while investing $285K isn't much compared to everything else in my financial life. I mean, if I earn 6% and pay 2%, that's 4%. 4% of $285K is about $11K a year. I think I put away $350K last year. $11K is almost insignificant in comparison. Now, back when I was in the military and only saving $30K a year, $11K was a much bigger deal.
On the contrary, 11k a year extra (which compounds) for doing essentially nothing is a lot regardless of your annual income. Also, 6% is probably overly conservative over the long haul.
Tax loss harvesting and other techniques can easily make the difference more. At the end of the day, just call it what it is...psychological. The math clearly does not favor paying off 6 figures of low interest debt regardless of income level.