Valid point about credit rating, but My concern lies less in The credit rating of my institution and more in the fact that it’s likely to be acquired, much like all hospital systems, by even larger hospital system eventually. Now if it’s acquired in good standing, of course that’s not an issue. however my suspicions are, in the next five years we’re going to see major competition between hospital systems as they try to starve out each other, and thereforeAttempt to bankrupt competing hospital systems. This is my concern. While my employer today is quite robust in its financial status, my concern is for the minimal gain, is that the risk is not worth it. But I could be wrong. That’s why I posed the original question. however it seems like most people unless they are governmental 457 plans, are a little skittish. Like me.Regarding the 457 question, if it's from a governmental organization than it's probably worth it. If it's from a non-governmental employer then you should check the employer's credit rating. If their Moody's rating begins with an A, the plan offers decent distribution options, and you are OK with a little bit of risk, then it may be worth partaking in it.
I agree that physicians are sheep in many ways. Not getting a COLA isn't one of them. You cannot get blood from a stone. If you really wanted to put some energy into some things that would actually change the playing field that keeps physician wages relatively stagnant you could start by lobby with your congressman to 1) reform the Stark laws 2) raise the bar on minimum required insurance payments each year 3) create a law requiring every physician to be able to see the yearly sum total of charges billed in their name by their employer. There are many more ways to appropriately increase physician pay, but those would be a good start. Or you could go cash only and have a much higher chance of success.