Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

When a $5,500 decision becomes a $200,000+ loss

Smart Money, MD
Finance
September 24, 2018
Share
Tweet
Share

How much we micromanage our lives is dependent upon our compulsivity and how many goals that we set in life.  Medicine is a profession that attracts some of the most goal-driven people I have ever met.  There are egos, obsessions, intelligence, and diligence all packaged into one unit.  This is simply overwhelming.  Fortunately, these habits tend to evolve with age.  I’ve seen some of the most incendiary personalities in medicine mellow with time — maybe these doctors have rediscovered their life goals over time.

Our financial priorities evolve over time as well.  During two of the years during residency, I opted not to contribute to my Roth IRA account.  This amounted to $11,000 of post-tax monies that I spent for living expenses and student loans.  These decisions were made during a time in my life where I had some understanding of long-term investing but was preoccupied by a seemingly large negative six-figure student loan debt I had to repay.  I used to receive monthly statements on my student loans.  Every month these numbers increased as I deferred interest payments.  These increasing numbers were psychologically abrasive.  I made the decision to reduce my debt to zero, and get my net worth up to zero.  If you threw $5,500 in the stock market in 1980, it’d roughly amount to $295,130 in August of 2018!  If you left $5,500 of your student loans unpaid at 6.8% for 38 years, you’d only have less than $100,000 built up (there are certain factors like forbearance limits that actually prevent you from dragging out loans this long, however).  The right answer at the time probably would have been to contribute to my Roth IRA.

That’s roughly a $200,000 difference for a $5,500 initial investment. For me, it would have been double that for two years of lost investment.

Don’t sweat the small stuff

Sometimes I still kick myself for not investing in a Roth IRA back then.  Over time, this “mistake” will actually amount to big stuff.  It’s human nature to focus on the negative. When you do that, it’s easy to get bogged down on the details.  It is not possible for us to make the “correct” decision every single time.  We all have patients [read: engineers] who micromanage every aspect of their care, and sometimes they actually end up making their care worse.  If you micromanage your finances, you will likely land on your face too.

If this happens to you, realize that you’ve made hundreds of “correct” financial decisions before you make a financial flop.  Sometimes these mistakes right themselves.  Other times they will serve to help us make better choices when they will really count.

Perspective evolves with the size of their wallets

I had coresidents who easily spent $5,500 on a single vacation.  I doubt that they were wondering what their Roth IRAs would have in them in 38 years.  It’s all about perspective, and how much buffer one has to fall back on.  We all have coworkers who don’t bat an eye when they drop $100,000 on a Tesla.  Many of them have mortgages several times the cost of the Tesla and student loans.  I suppose that if you have five times the income of a resident, you are able to stomach an equivalent amount of leverage.  Only their financial advisors will truly know how much wealth is hidden under the veil of nice material wealth.

The moral of the story, if there is one, is that you alone will determine what is more critical to your happiness.  If that means having a stable nest egg in retirement you will make appropriate choices to get there.  If that means owning a fast car while you still have the dexterity to drive it, you can still make it happen.

I used to balk at the cost of a $4 cup of Coke at Disneyland.  Now that Coke is $6 at Disney (and I finally feel that I can afford it), I still opt for water simply because I can afford the calories and sugar!  Maybe psychologically I never wanted the Coke in the first place.

“Smart Money, MD” is an ophthalmologist who blogs at the self-titled site, Smart Money MD.

Image credit: Shutterstock.com

Prev

Medicine has jumped the shark

September 24, 2018 Kevin 2
…
Next

Female physicians and the fiberglass ceiling

September 25, 2018 Kevin 10
…

Tagged as: Practice Management

Post navigation

< Previous Post
Medicine has jumped the shark
Next Post >
Female physicians and the fiberglass ceiling

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Smart Money, MD

  • Is passive income a lie?

    Smart Money, MD
  • What to do financially when you’re a doctor getting a divorce

    Smart Money, MD
  • Doctors in tech cities are losing the rat race

    Smart Money, MD

Related Posts

  • How social media leads to a loss of creativity

    Edwin Leap, MD
  • Welcome to the new normal: practices of 500 physicians or more

    Peter Ubel, MD
  • A secret for my $40,000 health care bills

    Ziyad Nazem
  • 7 reflections on grief and personal loss as told by a medical student

    Tasia Isbell, MD, MPH
  • When it becomes time to embrace fear and loss and let the chaos lead to growth

    Claire Brown
  • Nobody should ever be forced to make a medical decision on the basis of congressional hearings

    Anonymous

More in Finance

  • The business lesson new doctors must unlearn

    Stanley Liu, MD
  • The hidden impact of denials on health care systems

    Diana Ortiz, JD
  • Why physicians are unlike the “average” investor

    David B. Mandell, JD, MBA
  • Signing bonuses and taxes: What physicians should know

    Shane Tenny, CFP
  • 5 steps to ride out a non-compete without uprooting your family

    Stanley Liu, MD
  • What every physician should know before buying into a medical practice

    Dennis Hursh, Esq
  • Most Popular

  • Past Week

    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Closing the gap in respiratory care: How robotics can expand access in underserved communities

      Evgeny Ignatov, MD, RRT | Tech
    • Reclaiming trust in online health advice [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Why so many physicians struggle to feel proud—even when they should

      Jessie Mahoney, MD | Physician
    • If I had to choose: Choosing the patient over the protocol

      Patrick Hudson, MD | Physician
    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
    • Why adults need to rediscover the power of play

      Anthony Fleg, MD | Physician
    • How collaboration across medical disciplines and patient advocacy cured a rare disease [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Closing the gap in respiratory care: How robotics can expand access in underserved communities

      Evgeny Ignatov, MD, RRT | Tech
    • Reclaiming trust in online health advice [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Why so many physicians struggle to feel proud—even when they should

      Jessie Mahoney, MD | Physician
    • If I had to choose: Choosing the patient over the protocol

      Patrick Hudson, MD | Physician
    • How a TV drama exposed the hidden grief of doctors

      Lauren Weintraub, MD | Physician
    • Why adults need to rediscover the power of play

      Anthony Fleg, MD | Physician
    • How collaboration across medical disciplines and patient advocacy cured a rare disease [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...