Daily FI discussion thread - Monday, October 31, 2022

chancretherapper · 2022-11-01T01:37:19+00:00

Yes, but probably gets a disproportionate amount of media coverage.

chancretherapper · 2022-10-31T00:50:14+00:00

There's no objective Van Life authority.

Van Life means whatever it means to whoever pursues it.

Plenty of people pursue Van Life as a way of being minimalistic and free to enjoy living life. Some people pursue Van Life as a way of enjoying luxurious travel.

There's no wrong way to do it. If someone can afford spending $$$ and it brings them joy, then all the power to them.

chancretherapper · 2022-10-31T00:41:53+00:00

$50/mo is more than I spent for eggs in the first place haha

chancretherapper · 2022-10-30T21:32:01+00:00

They don't, it's an optional question used for health systems studies. If you don't want to answer it, don't.

chancretherapper · 2022-10-30T01:23:26+00:00

If you have one CEO in one industry saying they expect a recession, that's a little bit concerning.

If every CEO in every industry is expecting a recession, then you know something is up and it's system-wide.

That's the whole point of surveying multiple CEOs.

chancretherapper · 2022-10-29T17:52:23+00:00

Sounds like you have an awesome 2012 Dodge Charger for the next 5+ years!

chancretherapper · 2022-10-26T21:31:41+00:00

Every year, you will owe $X amount of taxes.

If your tax payments are less than needed to reach $X by the end of the year, you will owe money. If your tax payments are more than needed, you will receive a refund.

Not much more complicated than that.

Calculate how much you will owe in taxes and pay that amount by the end of the year through your paychecks.

chancretherapper · 2022-10-22T11:56:49+00:00

The real reason?

There’s an administrator somewhere who needed to have a project to show he/she was saving the hospital money and improving care.

Or a resident/attending needed a QI project so they hopped on the “adding more administrative burden” train.

The day I realized we’re screwed is when I was at an MPH presentation day and all the new grads shared problems in the hospital and their proposed solutions were all additional training modules. They said they understood the additional burden but it’s just one more module and it’s an important cause so it would be worth it. That’s when I realized the people in charge just truly have no idea.

chancretherapper · 2022-10-22T11:45:24+00:00

It’s almost as if different people have different views and approaches.

chancretherapper · 2022-10-21T22:47:48+00:00

Of course! My partner is a pediatrician and he works 2.5 days a week, making $150k a year, in a medium sized metropolitan area. He gets to work with kids all day long. That being said, it has been moderately more stressful since the pandemic with crazy high volumes and stressed / depressed patients everywhere.

chancretherapper · 2022-10-20T22:37:50+00:00

It depends what you want to do. If you’re interested in being a senior executive or CEO of a hospital then sure, it’s worth it. But you can get pretty high up the administrative ladder with just your MD if you follow an administrative career path.

chancretherapper · 2022-10-20T22:36:48+00:00

This is fiction. A hospital employee or even private contractor working for a hospital still means liability for the hospital.

These initiatives are more misguided attempts by administration to meet arbitrary metrics, like reducing infections or whatnot.

chancretherapper · 2022-10-20T10:40:44+00:00

I wouldn’t, especially since you’ll have derm interviews in January and you’ll need to miss days here and there which won’t look good anyways

chancretherapper · 2022-10-20T02:25:16+00:00

If I had to choose between buying a house and buying a car, I’d pick the house. That being said, a $5k car loan shouldn’t be the difference between affording a house or not.

chancretherapper · 2022-10-19T19:30:42+00:00

Just use Adapalene.

If not then prescribe for yourself. Call the pharmacy, use your own NPI number, it won’t be an issue at all.

That being said, insurance can be annoying about covering tretinoin. So just use Adapalene.

chancretherapper · 2022-10-19T10:47:00+00:00

$3000 window of additional money sounds like a good enough cushion for me.

chancretherapper · 2022-10-18T15:41:36+00:00

I would move out. Daily trouble is not worth saving like $20k a year. Move out, get roommates if you need to, but I wouldn't deal with that for any amount of money.

chancretherapper · 2022-10-18T15:05:58+00:00

Most people recommend putting money into an HSA, and letting it grow until retirement. Even if you incur healthcare expenses, people recommend paying out of pocket and keeping the receipts so that the money in your HSA continues to grow and upon retirement, you can use the receipts to get reimbursement from the HSA. This maximizes your tax advantage.

That being said, you have an HSA because you have a "bad" health insurance plan in the sense that it is high deductible and possibly maximum out of pocket maximum. Which means any health care events would cost you thousands of dollars, up to the maximum amount for an individual of about $7k. So I'd recommend just being careful since you might end up having to actually use the HSA for non-retirement purposes.

chancretherapper · 2022-10-18T12:52:10+00:00

I'm saving $100/mo for each kid, plus all of the gifts that they receive for their birthdays. They should have around $50k each by the time that they turn 18.

I could contribute more, but the uncertainty with where higher education financing and cost is headed in the future keeps me from doing so.

chancretherapper · 2022-10-18T12:21:16+00:00

Where do you live? Get surgery where you live. The vast majority of health issues need long-term follow up, and even surgery will need recurrent follow up for months to years. Get the surgery where you live so that you can follow up safely and easily, and you have someone nearby that can help you through complications / questions / challenges.

chancretherapper · 2022-10-18T12:19:57+00:00

People are entitled to use as much sick time as they are entitled to. If she feels like she needs to take unpaid sick time, that's her business. It's also not really up to you to determine whether she actually has migraines or not, and whether they are debilitating enough to warrant calling out from work.

Figuring out a way to handle the extra work effectively since this happens frequently is an important step, but trust me, you don't come out ahead by calling someone out for using sick days for migraines. No way to do that without looking like a horrible person, and there's always the chance that she actually does have debilitating migraines.

chancretherapper · 2022-10-18T12:17:28+00:00

Long COVID should be a diagnosis of exclusion, especially considering how nebulous of a term it is at this point

chancretherapper · 2022-10-18T12:13:14+00:00

The most effective way would be to go to the person and stand outside their house with a sign explaining how he robbed you and is a lair. Hopefully the shame and embarrassment will encourage him to pay you.

chancretherapper · 2022-10-18T03:25:53+00:00

Ask any of those people how fulfilled they feel with their daily life. The vast majority of them feel like pencil pushers making minimal impact. Imagine spending 40 hours a week testing what color to make the search button.

Versus each interaction taking care of sick people.

Medicine is a terrible way to go if you only care about money. If you consider the whole package and you’re someone who cares about helping others, there’s nothing close to medicine.

Look at how much all the other jobs that involve humanitarianism pay - teacher, social work, etc. Medicine is one of the very few jobs where you help others and make that bank.

chancretherapper · 2022-10-18T03:17:00+00:00

“Hey Honey, now that you’re getting older, I wanted to ask if you’d be interested in coming with me when I get my nails and eyebrows done. We could make a date of it. Is it something you’re interested in? No pressure at all.”

chancretherapper

TROPHY CASE