Macroeconomics: Implications for Pain and Pain Fellows

[drusso]

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[DOctorJay]

 

[Laryngospasm]

The only way to escape is save and invest. I don’t think it’s going to get better. I feel for the people just getting out after putting in all that hard work and getting into so much debt. The government is obviously slowly trying to bring physicians pay down to barely above what an entry level IT person would get. Salaries for many specialists since 2000 have been cut in half and COL has doubled. 1/4 of the salary essentially. Two tiered system soon. Poor- you can have your TKA in 5 years when your BMI is 28 and you’ve quit smoking. Wealthy-how soon do you want that TKA?

 

[drusso]

The only way to escape is save and invest. I don’t think it’s going to get better. I feel for the people just getting out after putting in all that hard work and getting into so much debt. The government is obviously slowly trying to bring physicians pay down to barely above what an entry level IT person would get. Salaries for many specialists since 2000 have been cut in half and COL has doubled. 1/4 of the salary essentially. Two tiered system soon. Poor- you can have your TKA in 5 years when your BMI is 28 and you’ve quit smoking. Wealthy-how soon do you want that TKA?

I point and laugh at people who think $5M or $7M will get them FIRE'd. Bidenomics is going to require at least 2-3X that number. Obamacare, QE, and tax and spend government policies have "$hite the Bed" for entire generations to come.

"In the throes of the Great Depression, people held onto their meager savings tightly, yet found little to afford as prices plummeted and jobs vanished. Fast forward to the Great Recession, many found themselves with money in the bank but still unable to keep up with soaring prices and diminishing earning power."

 

[CleanUp]

1. The riches are in the niches. Find a niche.
2. Get additional skills others don’t want to obtain or cannot obtain
3. If you are 100% clinical you are 100% tied to reimbursement. Hint: it ain’t going up.
4. Don’t be a push over. Know your worth.
5. Remember there’s always a sucker who will be willing to work harder than you for less money. They will be called loyal and a team player. Don’t fall for it. But all it takes is one of them.
6. Be the owner.

 

[SSdoc33]

I point and laugh at people who think $5M or $7M will get them FIRE'd. Bidenomics is going to require at least 2-3X that number. Obamacare, QE, and tax and spend government policies have "$hite the Bed" for entire generations to come.

"In the throes of the Great Depression, people held onto their meager savings tightly, yet found little to afford as prices plummeted and jobs vanished. Fast forward to the Great Recession, many found themselves with money in the bank but still unable to keep up with soaring prices and diminishing earning power."

im glad that trump cut spending so drastically.

but at least tax revenues went up under his regime.

nice that he was able to reduce the deficit.

oh wait.....


you make it political, prepare for the fallout

 

[SpineandWine]

I point and laugh at people who think $5M or $7M will get them FIRE'd. Bidenomics is going to require at least 2-3X that number. Obamacare, QE, and tax and spend government policies have "$hite the Bed" for entire generations to come.

"In the throes of the Great Depression, people held onto their meager savings tightly, yet found little to afford as prices plummeted and jobs vanished. Fast forward to the Great Recession, many found themselves with money in the bank but still unable to keep up with soaring prices and diminishing earning power."

7M is a good no for FIRE.

 

[MitchLevi]

How exactly does one make > 7M dollars?

 

[SpineandWine]

How exactly does one make > 7M dollars?

No idea, 5 is doable no

 

[MitchLevi]

Not sure…I am too invested in my children I think.

 

[Gauss]

I point and laugh at people who think $5M or $7M will get them FIRE'd. Bidenomics is going to require at least 2-3X that number. Obamacare, QE, and tax and spend government policies have "$hite the Bed" for entire generations to come.

"In the throes of the Great Depression, people held onto their meager savings tightly, yet found little to afford as prices plummeted and jobs vanished. Fast forward to the Great Recession, many found themselves with money in the bank but still unable to keep up with soaring prices and diminishing earning power."

The funniest thing about retirement is that we do all this math to find the optimal way to spend money across multiple decades and then NO ONE USES IT.

https://www.nylannuities.com/assets/no-index/income-annuities/White_Paper_The_Decumulation_Paradox_Why_are_Retirees_Not_Spending_More.pdf?elqTrackId=b872734cc97c46d599f53bbbb0502b86&elqaid=1814&elqat=2