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So what are we to assume other than that the pension alone is not enough for a retirement. Adding to that retirement by having to establish a second career is what is necessary. Nothing is stopping the military doctor from investing his savings except that he has less income from which to accrue those savings. Also, despite available TSP, the private doctor still has available more options to save money in a tax-deferred status, and of course more money with which to make those investments in the first place.
O-5 pay might make an adequate retirement income, but that isn't what you get. The maximum you can receive is 75% of the base pay for that rank, and that comes after 30 years service. In the post-DOPMA career world, you are fairly late-career to draw that. There wouldn't be much time for second careers with accrual of invested savings to speak of.
A military career will not equal the income or retirement savings potential of a private career in medicine.
Do you invest your money? A person who makes $40 K a year have a million dollar or more 401 K easy by retirement depending on when they start investing.
The military doctor has more than enough income to invest in a 401 K and live very, very comfortably. I'm not sure how much money you think is needed, but from your arguments it seems that it's never enough.
You can live on a military pension. You get all that money for doing absolutely nothing and investing nothing out of your own pocket. Besides that, if you do invest money out of your own pocket, you're going to have a large income in your retirement. And yes a military career will since you have a baseline that is higher than the private sector with the pension.
The average private sector doctor is going to invest $100 K or more a year towards their 401 K.