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Both my older sisters (ages 49 and 50) in DC area. Both their homes 1.75 million and 1 million all paid off. both anesthesia.
No debt. Not earning anywhere close to 500k. More like 250k-275k these days and cutting back hours. They didn't make the big bucks either. 400-500k for a few years and starting cutting back. And they were making 120-200k for a few years in late 90s and early 2000s
Things will be a ok if u play ur cards right.
There are reasons people live in high cost areas.
Jobs
Good public Schools
Family
Agree, we can be thankful that even in the most expensive cities doctors command enough salary to be "ok"- unlike the average American if we play our cards right and don't spend extravagantly. Yes, even in a #1-5 city where the houses cost 1-2 million for a modest place, you can still pay it off and send your kids to college.
Thats a far cry though from being debt and mortgage free by 40, able to retire by 45 modestly or 50 with 5 mill or 60 with 10 mill (which is totally attainable if you are financially conservative).
I definitely think some people in the super- high cost places have good reasons to live there (#1 being family, which has no price). I just take exception to those that think there is no culture, no good public schools and no diversity when you move out of manhattan or san fran.
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