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Dusn

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  • Avatar Dusn 
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    Status: Physician
    Posts: 198
    Joined: 01/02/2018

    Years ago they said that radiology jobs would be outsourced to cheaper radiologists in India. That didn’t happen much, except to tele-radiologists with a US medical license. In essence they’ll always need someone to hold liable for the read and so you’ll always have a job.

    in reply to: Choosing a Specialty, Finance, and risk of AI/Technology #158595 Reply
    Liked by Vagabond MD
    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018

    He didn’t do anything wrong and everyone single person on this forum would do the same to limit tax payments.

    Fatlittlepig.

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    I don’t see a single post on this thread blaming Kushner.   The tax laws, yes; but not Kushner.     And some people blamed the NYTimes… but hey, like Kushner (and any publicly traded company), they’ve got to bring home the bacon and interesting, factual stories like this help do it.  The only flaw I found in the article was not enough detail:  how exactly do you deduct as much from depreciation as the income generated from the real estate and it’s appreciation?  And how do I accomplish this myself?

    in reply to: Jared Kushner paying no taxes #158302 Reply
    Liked by Zaphod
    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 198
    Joined: 01/02/2018

    No one said this was illegal. I think the NYT is trying to shed light on a practice that is not familiar to most Americans and may not be seen as fair to the general public…

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    Really, you think the NYT’s interest was educational? No political motivation at all?

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    I think the NYT’s interest was to make money by selling a news story.   A few weeks ago the Times published an article about how Rosenstein had considered invoking the 25th amendment to remove Trump from office.  It would have given Trump the perfect excuse to fire Rosenstein and replace him with someone who would shut down the Mueller investigation.  Would a news organization prioritizing a liberal agenda do that?  No.  Would a news organization prioritizing making money do that? Yes.      I think the media secretly loves Trump.   News organizations are doing better than they ever have.  And Trump loves seeing his name and face in the news so… it’s a win-win.

    And the huge tax incentives for real estate investors is not because real estate tycoons are doing some great thing for America, it’s because politicians get money from them.   Why aren’t physicians allowed to tax deduct their student loans?  The argument is that our income is too high but really it’s because doctors with student loans don’t give much money to politicians.  Why don’t physicians (and similar service professionals) qualify for the 20% pass through deduction in the new tax bill?  We don’t give politicians enough money.  Why are physician reimbursements getting cut while pharmaceutical reimbursements are sky high?  Because drug companies give more money to politicians…

     

     

     

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    Do you ever get accused of cynicism?

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    Jim, with regards to being cynical, I don’t think I’ve ever been told that before.   But medicine has taught me three things:  1) preventing a problem is much better than trying to fix it after it becomes a disaster, 2) even if the worst case scenario is unlikely, that’s what you should focus on because as long as that doesn’t happen things are not that bad.  3)  Unfortunately much of the population is more motivated by minor short-term problems than by preventing things before they become disasters and so I have to keep reminding them about the things that are going to lead to the disasters…    I guess that could make me sound like a cynic.

    If you don’t believe that politicians make their laws regarding specialist interest groups to favor their donors than I think you ought to participate in more of your specialties political action committees.   When Ophtho PACs meet with politicians, the politicians honestly don’t know what the difference between an ophthalmologist and an optometrist is and yet they’re deciding our scope of practice.  This is on a much larger scale with regards to healthcare in general.  We know we could get much cheaper drug prices if medicare negotiated with drug companies (the VA generally pays 1/10th – 1/2 the cost for the same brand-name meds that medicare pays), yet the gov’t doesn’t do it, they continue to instead just cut physician reimbursements.  I can’t think of a less cynical reason for this other than pharma has more money to influence politicians.

    in reply to: Jared Kushner paying no taxes #158190 Reply
    Liked by MPMD
    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018

    While Kushner’s RE depreciation deductions might not be surprising for readers of this site, it is certainly news that the president’s son in law and adviser paid no federal income tax. Keep in mind Kushner played an important role in shaping Trump’s tax plan, which is even more favorable for real estate developers than the previous tax code.

    If you put together this story with the recent one on Trump’s estate tax fraud (https://www.nytimes.com/interactive/2018/10/02/us/politics/donald-trump-tax-schemes-fred-trump.html), it’s becomes clear that there are many legal and illegal methods the Trump family has used to avoid paying federal taxes.

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    So what about the new tax law do you think was improperly influenced by Mr. Kushner? And you do know how the legislative process works, right?  Congress has to pass the law. Are you suggesting that somehow the clever extended Trump family fooled both houses of Congress into doing something they did not see as beneficial to the country? I don’t know about you, but I have been pretty happy with the beneficial effect the tax law has had on the economy.

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    I actually have not been happy with the effect the tax law has had.   My understanding is that during a recession the government should lower taxes, increase public and private spending, and if necessary, go into debt in order to stimulate the economy.  During an economic boom, the government should increase revenue and decrease unnecessary spending in order to pay off that debt so that they have some money saved to help us get through the next economic downturn.

    Unfortunately, as we know, most of the public has a poor understanding of saving for the long term and our gov’t reflects that.  Our current government and voting public has decided, “to hell with the rising debt, we want more short term gains.”    Trump is also upset at the Fed for raising interest rates for the same reason: short term gains = political gains.  If they have no incentive to care about the long-term, we will have big problems.

     

    in reply to: Jared Kushner paying no taxes #158188 Reply
    Avatar Dusn 
    Participant
    Status: Physician
    Posts: 198
    Joined: 01/02/2018

    No one said this was illegal. I think the NYT is trying to shed light on a practice that is not familiar to most Americans and may not be seen as fair to the general public…

    Click to expand…

    Really, you think the NYT’s interest was educational? No political motivation at all?

    Click to expand…

    I think the NYT’s interest was to make money by selling a news story.   A few weeks ago the Times published an article about how Rosenstein had considered invoking the 25th amendment to remove Trump from office.  It would have given Trump the perfect excuse to fire Rosenstein and replace him with someone who would shut down the Mueller investigation.  Would a news organization prioritizing a liberal agenda do that?  No.  Would a news organization prioritizing making money do that? Yes.      I think the media secretly loves Trump.   News organizations are doing better than they ever have.  And Trump loves seeing his name and face in the news so… it’s a win-win.

    And the huge tax incentives for real estate investors is not because real estate tycoons are doing some great thing for America, it’s because politicians get money from them.   Why aren’t physicians allowed to tax deduct their student loans?  The argument is that our income is too high but really it’s because doctors with student loans don’t give much money to politicians.  Why don’t physicians (and similar service professionals) qualify for the 20% pass through deduction in the new tax bill?  We don’t give politicians enough money.  Why are physician reimbursements getting cut while pharmaceutical reimbursements are sky high?  Because drug companies give more money to politicians…

     

     

     

    in reply to: Jared Kushner paying no taxes #157408 Reply
    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018

    Vanguard’s website is moving so slowly for me right now that I’m having trouble tax loss harvesting.

    After you’ve tax loss harvested well over $3000 is there a point in continuing to TLH every loss?   I guess you’d want enough to count for future tax years but won’t you always have short term losses to TLH?  At what point do decide you’ve TLH’ed enough for the year?

    in reply to: Dow Jones drop #156625 Reply
    Avatar Dusn 
    Participant
    Status: Physician
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    Joined: 01/02/2018
    Splash Refinancing Bonus

    Yes.  Consume less meat and dairy.  Livestock, especially cows, are an incredibly inefficient use of Earth’s resources:

    https://timeforchange.org/are-cows-cause-of-global-warming-meat-methane-CO2

    NASA’s website on Global Warming: https://climate.nasa.gov/evidence/

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    But steak and hamburgers are so tasty…. ?

     

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    That’s how you know it’s bad.  Everything that tastes good is bad.

    in reply to: Climate change and its effect on personal finance #156039 Reply
    Liked by Zaphod
    Avatar Dusn 
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    Yes.  Consume less meat and dairy.  Livestock, especially cows, are an incredibly inefficient use of Earth’s resources:

    https://timeforchange.org/are-cows-cause-of-global-warming-meat-methane-CO2

    NASA’s website on Global Warming: https://climate.nasa.gov/evidence/

    in reply to: Climate change and its effect on personal finance #155970 Reply
    Liked by Zaphod, Anne
    Avatar Dusn 
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    I think the clock on humankind started ticking ever since we invented nuclear weapons. The weapons will gradually continue to spread and eventually (probably within 100 years) someone crazy enough will use them again. I fully believe climate change scientists and think we should plan for global warming but actually think we’d be lucky if it were the worst of our worries.

    in reply to: Climate change and its effect on personal finance #155783 Reply
    Avatar Dusn 
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    I have a close relative who is IR and has a very cush lifestyle.  However, most do not.  I think the trick is getting into an academic center with a large IR dept where call is split amongst many attendings and they have fellows taking primary call.  Of course you need the CV to get such a job, so more motivation to work hard during your training.   You could also work for the VA.    Either way you’d be sacrificing some pay for the lifestyle but you’d probably still be making more than enough and more  than most other doctors.

    in reply to: How do I get over missing out on life during training? #155671 Reply
    Avatar Dusn 
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    Hey now, Eagleeyes, without those corn subsidies to the farmers how would our patients afford those cheap high fructose corn syrup foods that keeps diabetes rampant and our clinics so busy?   What about the starvation epidemic in the US?

    in reply to: Effective tax increase – irritating #153174 Reply
    Liked by iradoc
    Avatar Dusn 
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    Thank you Rogue Dad!   For those of you who used daycare  — how long did it take before the kid stopped frequently getting sick?  In terms of frequency and seriousness of sicknesses do you think it matters if the kid is 4 months old or older (such as 1 year old)  before starting daycare… will they generally get sick less often and less severely if they start daycare older or is it something they all have to go through at some point so it doesn’t matter?

    I realize that the answers will probably be opinions (unless someone knows of studies out there?)  but it’s still useful to hear experiences.

    in reply to: Is a Nanny a Necessity-Two Working Spouses #153171 Reply
    Avatar Dusn 
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    I would think a smart political party would want nothing to do with healthcare, will kick in down the road, and blame it on the other party.  Every solution will have major problems, people will be upset, and you’re just taking ownership of the hot potato.

    I just wish they had made the tax code simpler and closed a lot of loopholes.  The amount of effort we all spend figuring out taxes contributes nothing to society.

    in reply to: Effective tax increase – irritating #153082 Reply
    Avatar Dusn 
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    We’re thinking Daycare also.   But for those of you who did daycare (especially as early as 4 weeks, AlexxT),  how did you find last minute nanny coverage or manage when the child got sick?  I’ve heard that kids get sick all the time the first few months they are in daycare and the idea of repeatedly cancelling full days of clinic and trying to reschedule them on an already full schedule sounds so painful.

    in reply to: Is a Nanny a Necessity-Two Working Spouses #152990 Reply
    Avatar Dusn 
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    Is NY no longer in the running for “Best 529”?

    in reply to: Best 529 investment plan #152679 Reply
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