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Dusn

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  • Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    I’m sure anything that could help her (or both of you) get more rest and sleep in those first few months would be greatly appreciated.

    Congrats!

    in reply to: Ladies – Help! #236813 Reply
    Liked by AZPT
    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    Timing the market gets a bad rap.  If you’re friends with some key politicians, in either China or the US, you could make a fair bit of money timing the market with this fabricated volatility if you get a little bit of forewarning.

    in reply to: Time the Market with me! #236614 Reply
    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    $6M isn’t FatFI?  I’m now more worried about what you mean when you say that you’re “quite a bit heavier.”

    in reply to: When to let Term Insurance Lapse #236564 Reply
    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018
    Earnest refinancing bonus

    I’ll just state the obvious issue here:   most doctors don’t think an online course and 6 weeks of shadowing is adequate to practice medicine.

    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    I consider NY to be an unfriendly state for physicians and high earners in general.  I was at a conference and a representative from one of the state medical societies and a couple of state representatives was explaining their plan to make the state a single payer system and they would afford this by doubling the state tax.  I questioned the effect that doubling an already higher then average state tax would have on recruiting new physicians to the state and they assured me that was not going to be a problem because people do not look at those things or care much about local taxes.  I gave up and walked away.

    First off I know this is likely not going to happen and the people I was talking with were small potatoes so I do not expect much.

    Am I crazy to think that If my state tax went from 7 to 14% that might deter people from working in the state?  I live here because of family and would hate to move but PA is not that far away and I would consider it if it would greatly impact my financial life.

    Do you think this scenario would effect the average doctor from coming to NY or just the financially literate ones?  (who will probably retire early anyways) As dumb as our profession can be with finances we seem to be a pretty tax adverse group.

    I would love other opinions.

    Thanks!

     

    Click to expand…

    Well the biggest question I have regarding FIRE is how I would pay for good health insurance if I’m no longer employed, especially as I get older and get more health issues, preventing me for getting a good health insurance plan.    So I’d move there if they became single payer.   Of course I’d be retired so my taxes would be lower and I wouldn’t be a practicing physician except part-time or volunteer.

    But that proves your point… state single payer is a horrible idea for the state.  Everybody <65 y.o. who’s not working, like the future me, will move there.

    in reply to: State taxes #231625 Reply
    Liked by Lordosis
    Avatar Dusn 
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    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    Even before reaching >3M in index funds, I would have paid off the mortgage.  So that seems like a reasonable strategy to me regardless of the reason.

    in reply to: when the wheels come off? #231525 Reply
    Avatar Dusn 
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    Status: Physician
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    Joined: 01/02/2018

    I’ve found that when I hold the iPad screen closer to my face it appears larger. 😉   And I can watch it anywhere.

    in reply to: 5K for a TV? #230904 Reply
    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    Some of the dumbest doctors I know are also the fastest.  Having only 2 things on your differential because your brain doesn’t know the other 8 can really cut down on both the time spent working up the patients and on your stress level.

    Unfortunately that probably won’t help you. Are you easily mobile and would have an easy time switching to another job if this job doesn’t give you the resources that you need?     Also if you’re working in the midatlantic, do you have mostly very highly educated (and sometimes neurotic) patients and families that need very thorough explanations?

    Avatar Dusn 
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    Status: Physician
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    Joined: 01/02/2018

    You’d also have to factor inflation if it’s comparing 2017 to 2018. Total Tax revenue is 3-4 trillion dollars? And if inflation is 2.4% then how much of that 90 billion could be due to inflation…
    Regardless, the data in this article doesn’t make sense and its conclusions seem not well thought out.

    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018

    Does this suggest we had been on the far right side of the Laffer curve? Rates were cut and revenue went up?

    Click to expand…

    That would make sense if they were reporting rates in terms of percentage and revenue went up in absolute numbers.   But they seem to be reporting that everyone paid less in terms of average absolute numbers and somehow the government made more in absolute numbers compared to 2017.   The numbers in the article don’t make sense to me.

    Also that map looks bizarre as well:  is it implying that Texas was worse for taxpayers than California?

    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018

    I disagree – I think it would probably be stupid to stay.  Even if they give you a reasonable deal right now to keep you on, it’s just going to get worse later on.  In my experience, the initial sell to private equity is so that they can consolidate several groups or otherwise make the practice more “efficient” and then re-sell the practice to another corporate entity.  With the re-sale (or possibly even before that) you’re going to get screwed again.

    I would never join a group owned by PE.  Your situation is different in that you didn’t realize the group was going to get owned by PE… but the reality now is the same: you’ve got to get out.

    I’d also look into whether non-competes for radiology are enforceable in your state.   As you have minimal direct patient interaction, a non-compete for a radiologist seems hard to justify.  It’s not like you can steal patients or even referring doctors from the practice.

    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018

    IMO, this is one of the most important threads for new physicians to read.   In many specialties, PE and the ubiquitous non-competes are the biggest threats to young doctors.

    This is an important topic even for established physicians: in ophthalmology it appears that PE is learning that they can buy out all the surrounding referral optometry practices to force the reluctant ophtho group to sell to them and to force down the price to buy the practice.

    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018
    Splash Refinancing Bonus

    I’m sorry. PE will just continue to push you to increase revenue and decrease your salary. How else will they make money? And when they sell the group again in a few years it will continue to get worse. Unfortunately I think you’ll need to leave in the near future no matter what your immediate decision is

    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
    Joined: 01/02/2018

    Coursera used to have a free online intro to finance course from u. Michigan that I took a few years ago. It was good and might still be there.

    in reply to: Free online economics course from Stanford #226305 Reply
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    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 199
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    My intern year hospital forced us to wear dress pants, a collared shirt and a tie on the wards. Do you know how often those dress pants and tie got washed?…. the tie pretty much never and it would touch everything on the wards. And you can go into grocery stores and restaurants with them on and nobody would know.

    Scrubs are easily washable and much cleaner despite the fact that they make you stick out.

    in reply to: Scrubs in public #226054 Reply
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