I actually 100% agree with
@Vivid_Quail , and I think you, like many other people in medicine are the ones missing the large point.
I am honestly sick of this tired excuse of “missing out on starting family, retirement/investments, savings, buying a home, etc etc etc...” These are excuses.
1. If you think you need to wait until you finish training to invest/contribute to your retirement, you obviously don’t invest.
The average diversified investment portfolio has historically performed at 8-9%/year return. You can literally use student loans in med school to invest and still make a profit.
In 2016, I was a med student and I gave my brother $500 (ALL student loan money at a rate of 6.8%) to invest in Tesla for me. I have enough from that to put a down payment on a house if I choose. And no, this was not “luck”. People who really care to be knowledgeable about investing and savings know that you do NOT have to “wait till you finish” to start your life or investments.
THIS is the problem with people in medicine, they want to make a **** ton of money at a young age, yet don’t know the first thing about money.
2. If you are graduating residency in 2021 and going into outpatient PCP or hospitalist to only take home 250k with a 300k or so loan burden, and you are NOT receiving any type of loan repayment from your job or through a FQHC, YOU are the one playing yourself.
3. Finally, I can not stress this enough - NEGOTIATE YOUR CONTRACT! 250k salary IS enough to pay off your loans. Negotiate loan repayment, negotiate daycare costs (my institution will not pay back loans but will cover full time day care at our institution)
4. Actually this is really the last point. Stop going into low paying specialties if you know you will have 400k in loans after training. I don’t care about your passion, you simply can not afford to be an outpatient pediatrician making $180k. And before the excuses start again about competitiveness- I matched anesthesia with a 202 step 1. I plan on staying at my home program after graduating, current contracts going for $500k base rate, yes major city.