Search found 115 matches

by JPM
Sat May 16, 2020 2:22 pm
Forum: Personal Finance (Not Investing)
Topic: Roth 403b vs traditional 403b?
Replies: 11
Views: 360

Re: Roth 403b vs traditional 403b?

It depends. Can you accurately predict future tax rates? Inflation rates? Do you know that you will be able to retire on your schedule and still want to do so? Can you and your mate each expect a long life or do you have health issues or a short-lived ancestry casting doubt on a long life? You have ...
by JPM
Fri May 15, 2020 4:01 pm
Forum: Personal Finance (Not Investing)
Topic: Turning 30. Living 30s without regrets
Replies: 87
Views: 9393

Re: Turning 30. Living 30s without regrets

Things that worked out for me that began in my thirties; #1; Marriage Encounter. DW and I did our intro to ME at 31 and formed a marriage study group with four other couples engaged in ME. The group is still continuing and active and has been since August 1980. Couples have come and gone and we have...
by JPM
Fri May 15, 2020 11:23 am
Forum: Personal Consumer Issues
Topic: What to do with canned chicken?
Replies: 45
Views: 3312

Re: What to do with canned chicken?

Have made chicken curry and chicken Korma with canned chicken from Sam's, comes out good. I like the bbq chicken ideas too. None of these has to be too spicy though they can be made so, but if you want spicy there are more Thai and Indian dishes available.
by JPM
Fri May 15, 2020 11:12 am
Forum: Investing - Theory, News & General
Topic: Healthcare post COVID-19
Replies: 57
Views: 5258

Re: Healthcare post COVID-19

We have to suspect that many primary care practices with 50-60+% overhead costs will fail financially in the next few years unless the regulatory burdens are lifted rapidly or we get medicare for everybody sooner than I expect. Some medical subspecialties will fail as well. Twenty percent unemployme...
by JPM
Mon May 11, 2020 6:04 pm
Forum: Personal Finance (Not Investing)
Topic: Unhappy with job (MD) - need perspective
Replies: 27
Views: 4348

Re: Unhappy with job (MD) - need perspective

Agree with the above post suggesting your getting some psychotherapy. The psychological stress of medical training is not always anticipated. You are naturally in over your head during those years, frequently with responsibility beyond your level of knowledge and experience . I trained in the sevent...
by JPM
Sun May 10, 2020 4:51 pm
Forum: Personal Finance (Not Investing)
Topic: $5k - $7k to replace engine, or get something else? (loan on car)
Replies: 105
Views: 6298

Re: $5k - $7k to replace engine, or get something else? (loan on car)

If you have been using the dealer for your maintenance work, ask the service shop chief mechanic if he or she can help you get a reasonable deal on a replacement engine. The mechanics in the service shops have been dealing with TL engine problems for years and can often help customers with replacing...
by JPM
Sat May 09, 2020 4:07 pm
Forum: Personal Investments
Topic: $250,000 Debt, High-Income Potential, beginner starting from ZERO
Replies: 37
Views: 3900

Re: $250,000 Debt, High-Income Potential, beginner starting from ZERO

First priority is to master the medicine as completely as you can. Any other priority pales in significance. That is your human capital and residency is when you begin to establish its value. The quality of your residency and your performance there determine what doors open for you for your next ste...
by JPM
Sat May 09, 2020 11:18 am
Forum: Personal Consumer Issues
Topic: COVID-19 has revealed the stark deficiencies in long-term care facilities regardless of ratings.
Replies: 80
Views: 5319

Re: COVID-19 has revealed the stark deficiencies in long-term care facilities regardless of ratings.

Agree with TN_boy. Few people enter care facilities voluntarily. Few plan for the eventuality. In our home area, there is an excellent, and pricey, CCRC. Friends there like it and when they have needed the Nursing Home area for postacute rehab, they have been satisfied with their care. Nursing homes...
by JPM
Sun May 03, 2020 8:01 pm
Forum: Personal Investments
Topic: DAD Trying to accumulate wealth for his lil Girl (Special Needs)
Replies: 27
Views: 3785

Re: DAD Trying to accumulate wealth for his lil Girl (Special Needs)

Having a special needs kid changes planning for the family. Term insurance and invest the rest counts on family wealth building to a point where insurance is moot by the time of parental death. That gamble may pay off, may not. There are cases where paying up for insurance is worth the cost. We have...
by JPM
Fri May 01, 2020 6:49 am
Forum: Personal Finance (Not Investing)
Topic: Looking for advice in deciding to take a new role
Replies: 5
Views: 485

Re: Looking for advice in deciding to take a new role

Making $176,000 this year at your current company and $190,000 at Newco. Doesn't seem like enough to entice you to jump into a situation with visible limits on your growth potential and , as you describe it, less learning opportunity. If you are young (20s-late 30s), going where you can learn the mo...
by JPM
Sun Apr 26, 2020 10:52 am
Forum: Personal Finance (Not Investing)
Topic: I need financial/general advice
Replies: 47
Views: 2901

Re: I need financial/general advice

Some people do not want a conventional life. A few make a success of unconventional lives but not nearly as many as fantasize about one or even opt to try it. Most Bogleheads would probably quit that crummy thankless job, finish the AA ASAP, and start State U in the fall with some of that $150,000 a...
by JPM
Fri Apr 24, 2020 7:05 pm
Forum: Personal Finance (Not Investing)
Topic: Moving out of NYC due to pandemic
Replies: 164
Views: 12684

Re: Moving out of NYC due to pandemic

Consider Indiana or Wisconsin. Both doctor friendly in terms of pay rates and insurance hassles. Indiana low taxes, Wisconsin higher taxes but Wi has better public services and better Medicaid rates. Cultural riches cannot compare to NYC but what can? Chicago in easy striking distance of populous so...
by JPM
Sat Apr 11, 2020 8:46 am
Forum: Personal Finance (Not Investing)
Topic: Wealth Preservation With Decades of Institutional Care
Replies: 69
Views: 3546

Re: Wealth Preservation With Decades of Institutional Care

Impressions on nursing home issues; I have cared for dozens of people who lived for decades in nursing homes but they were all people with serious mental illness whose onset was long before reasonably effective treatments were available for their problems. Or still not responsive to treatment. Some ...
by JPM
Thu Mar 26, 2020 8:20 pm
Forum: US Chapters
Topic: How Is Your Job Being Impacted By The Current Crisis?
Replies: 503
Views: 50397

Re: How Is Your Job Being Impacted By The Current Crisis?

Exurban midwestern internist. Outpatient clinic traffic down by 80-90% mostly us asking diabetics, chronic lung and heart patients, and patients on immunosuppressive treatments to postpone appointments for 4-6 weeks. We are set up to do video visits, but doing them requires a good deal of tech savvy...
by JPM
Sat Feb 15, 2020 2:19 pm
Forum: Personal Consumer Issues
Topic: Recommended biology/life science related majors and careers?
Replies: 51
Views: 3397

Re: Recommended biology/life science related majors and careers?

I live in an area with a lot of biomedical industrial operations. The biologists, engineers, MDs, and other technical professionals who have worked in industry developing medical testing and treatments have often had great careers that filled them with pride in the things they developed and enabled ...
by JPM
Sat Feb 08, 2020 7:30 am
Forum: Personal Consumer Issues
Topic: What is the best concert you ever witnessed?
Replies: 385
Views: 27374

Re: What is the best concert you ever witnessed?

Best ever is Barenboim doing Mozart piano concerti at the CSO c 1995. Our balcony seats' line of sight was right down the keyboard. Watching a virtuoso play that stuff was amazing. Quick and accurate without an error creating beautiful sound. Country, Mary Chapin Carpenter at the small Northlight th...
by JPM
Fri Jan 31, 2020 1:36 pm
Forum: Personal Finance (Not Investing)
Topic: What is the best path to get into MED School for a high school senior?
Replies: 72
Views: 6392

Re: What is the best path to get into MED School for a high school senior?

Much good advice on this thread. My only cavil is with the disparagement of bio as an undergrad major. While true that only fulfilling the minimum math and science requirements is adequate for consideration for admission, lack of an undergrad bio background can adversely affect med school performanc...
by JPM
Sat Jan 25, 2020 9:21 am
Forum: Personal Finance (Not Investing)
Topic: I am not very good at my job
Replies: 48
Views: 7954

Re: I am not very good at my job

Sometimes people who are distracted and unfocused have adult ADD. People who are highly intelligent can often get thru school and lower level professional work by dint of intellect but at higher levels when focus and perseverance are needed for achievement ADD gets in the way. ADD people often have ...
by JPM
Thu Jan 23, 2020 7:39 am
Forum: Personal Finance (Not Investing)
Topic: Career change at 47
Replies: 116
Views: 11279

Re: Career change at 47

A CPA in a nearby town started out as a truck driver and put himself thru school driving trucks as and independent owner-operator and at other times as an employee. Now he is one of the leading small business and professional CPAs in the area. He has a saturday morning call-in radio show where he ta...
by JPM
Wed Jan 22, 2020 11:16 pm
Forum: Personal Finance (Not Investing)
Topic: Career change at 47
Replies: 116
Views: 11279

Re: Career change at 47

Guys i know who were happy in second acts: RN. Left business career, went to RN school, started as RN at 57, still working at 75 in home health care Special ed teacher. Left business career, had bypass surgery, started teaching the next year at 62, taught until age 75 and retired again. Two retired ...
by JPM
Wed Jan 15, 2020 8:50 pm
Forum: Personal Consumer Issues
Topic: strong role model books for 8 YO girl
Replies: 53
Views: 3419

Re: strong role model books for 8 YO girl

Children's biographies should be within reach of a bright 8 year old. "Boss Ket" by Rosamond Young is a bio of Charles Kettering, electrical engineer and founder of DELCO. It follows his development as an engineer developing automotive products and then his development as a businessman founding DELC...
by JPM
Fri Jan 10, 2020 11:34 am
Forum: Personal Finance (Not Investing)
Topic: Piano & college admissions
Replies: 101
Views: 6954

Re: Piano & college admissions

Music is the greatest hobby IMO. Very few people make a good living at it, but many enjoy it as a relaxing hobby. As mentioned above, unless you are a superstar high school musician or play an unusual orchestral instrument, unlikely to make a difference in admission to a competitive college. Not imp...
by JPM
Wed Jan 08, 2020 6:05 pm
Forum: Personal Consumer Issues
Topic: Irrational Fear of Injury in Small Car?
Replies: 124
Views: 8079

Re: Irrational Fear of Injury in Small Car?

Random thoughts on being safe as a driver/passenger. In 1965 I was a front seat passenger in a Mustang with a new driver at the wheel. Someone had stolen a stop sign (a popular teenage prank in those days) so my buddy, unfamiliar with the locality, crossed a moderately busy half-mile through street ...
by JPM
Sat Jan 04, 2020 6:07 pm
Forum: Personal Finance (Not Investing)
Topic: Medical school at 34 - Is this financial suicide?
Replies: 116
Views: 10220

Re: Medical school at 34 - Is this financial suicide?

Random thoughts on pursuing a late life career change into medicine: Have known and in most cases worked with a few men and women for whom medicine was a second career. A former Catholic priest became an ophthalmologist after starting med school at 40. This was back in the forties and fifties when t...
by JPM
Fri Jan 03, 2020 3:11 pm
Forum: Personal Finance (Not Investing)
Topic: When to Collect SS
Replies: 55
Views: 3159

Re: When to Collect SS

Here is a way of looking at it apart from having to accurately predict your death date. You can look at life expectancy calculators for a rough estimate. You can look at a simplified unscientific set of questions that relate, though not proportionately, to life expectancy. Are you kind of fat? Or re...
by JPM
Wed Jan 01, 2020 1:40 pm
Forum: Personal Finance (Not Investing)
Topic: Does it Always Make Sense to Convert to Roth
Replies: 15
Views: 2074

Re: Does it Always Make Sense to Convert to Roth

Seems to me that whether a Roth conversion works out over time depends a lot on unpredictable returns on the invested money, unpredictable future tax rates and brackets for the investor. Even a large Roth conversion at high tax rates c 2010 paid off if invested in equities that tripled over the 9 ye...
by JPM
Tue Dec 31, 2019 3:19 pm
Forum: Personal Finance (Not Investing)
Topic: demented mother's online spending
Replies: 126
Views: 11401

Re: demented mother's online spending

Dementia involves more than loss of memory. Doctors routinely test cognition on the medicare "Wellness" exam done once yearly, or should do it in order to be in accord with the listed medicare requirement. It may be a simple 3 question test of orientation (What is the day, month, year, where are we?...
by JPM
Sat Dec 28, 2019 9:17 am
Forum: Personal Consumer Issues
Topic: Time to replace the Water Heater - Lots of Questions - Help!
Replies: 77
Views: 5739

Re: Time to replace the Water Heater - Lots of Questions - Help!

We had good experience with Rinnai as a product for the last 18 years in our big suburban home. Still in use 2 years after we sold it to young friends with a big family. Had the large capacity one as we were in a 5 bdrm home at the time. Plenty of hot water whenever needed. Lived in Chicagoland c 45...
by JPM
Mon Dec 23, 2019 5:05 pm
Forum: Personal Consumer Issues
Topic: Day Trip to Downtown Chicago
Replies: 62
Views: 3646

Re: Day Trip to Downtown Chicago

The architectural boat tour is fabulous for adults, especially if you have a working knowledge of Chicago history. If you don't have that knowledge, "Nature's Metropolis" is helpful. Our grandkids 10 and 12 were very bored by the boat tour, the 14 year old mildly or politely interested. Not sure if ...
by JPM
Mon Dec 23, 2019 10:43 am
Forum: Personal Investments
Topic: New Dual Physican Couple
Replies: 60
Views: 6475

Re: New Dual Physican Couple

Have known a few doctors who built fortunes in local real estate investments. The common denominator has been having a local property manager who did all the leg work for a goodly fee. No hands on work for the doctor nvestors in any of the cases. It doesn't make sense to spend your time doing the pl...
by JPM
Sun Dec 22, 2019 9:24 am
Forum: Investing - Theory, News & General
Topic: What is your AA, given your age? and, Why?
Replies: 284
Views: 36484

Re: What is your AA, given your age? and, Why?

DW and I both 71. 50/50. My 403b exempt from RMD as am still working for nonprofit in a semiretired status. DW retired, has government pension. DW pension and my own SS cover 88% of our routine monthly expenses including premia on LTCI. As long as the employer continues to treat me well, will contin...
by JPM
Sun Dec 01, 2019 4:33 pm
Forum: Personal Consumer Issues
Topic: Who makes good leather and down jacket
Replies: 36
Views: 2663

Re: Who makes good leather and down jacket

Five years ago I picked up a used but very warm knee length lined Eddie Bauer lambskin leather coat at SalvationArmy for $40. It weighs about 10 pounds. They don't make them new anymore as far as I know.
by JPM
Sun Nov 10, 2019 11:25 am
Forum: Personal Finance (Not Investing)
Topic: Tale of 2 doctor job opportunities
Replies: 41
Views: 3901

Re: Tale of 2 doctor job opportunities

Small PP groups usually break up over spousal interference or differences over the appropriate balance between professional and commercial values in the operation of the practice. Some break up over the income split if the senior members want to make money off the junior members' work. To grow and p...
by JPM
Sun Oct 20, 2019 8:02 am
Forum: Investing - Theory, News & General
Topic: Investing for the "great sag" - Dalio
Replies: 65
Views: 11189

Re: Investing for the "great sag" - Dalio

Doom and gloom counterpoints: Financial conditions are very good at the moment. Interest rates are low and do not appear set to move higher any time soon. Feds are running a trillion dollar deficit this year on plan and it looks like the deficit will come out even higher than planned. With a lag, it...
by JPM
Mon Oct 14, 2019 4:39 pm
Forum: Personal Consumer Issues
Topic: Doctors charging for things outside of insurance, is this Kosher?
Replies: 55
Views: 6003

Re: Doctors charging for things outside of insurance, is this Kosher?

In OP's place I would do all I could to maximize sperm production on the appointed day and say a prayer or two that I didn't need to have the surgical procedure. The prospect of that surgery would bother me a lot more than the $275 reservation fee. Fertility treatments, as far as I know, are still a...
by JPM
Sat Oct 05, 2019 6:37 pm
Forum: Personal Consumer Issues
Topic: Hospital wants me to prepay for procedure. Normal?
Replies: 84
Views: 23039

Re: Hospital wants me to prepay for procedure. Normal?

Bad debt is a large problem in the medical world. Not deductible either, just a dead weight loss. People will sign the agreement to pay and never actually pay as agreed. Not unheard of for an insurance company to give an "approval" for a course of treatment and later renege on the "approval". Health...
by JPM
Fri Oct 04, 2019 12:11 pm
Forum: Personal Finance (Not Investing)
Topic: Transitioning Job - Question about Tail Coverage [Medical malpractice]
Replies: 9
Views: 983

Re: Transitioning Job - Question about Tail Coverage

Consider having your new employer pay the tail for you as part of your new employment contract if your old coverage was on a claims made basis.
by JPM
Thu Oct 03, 2019 8:51 pm
Forum: Personal Finance (Not Investing)
Topic: Accurate long-term disability statistics
Replies: 14
Views: 1181

Re: Accurate long-term disability statistics

Over the past 40 years, several friends and colleagues have become disabled through illness or injury. Those with occupation-specific disability insurance and their families made out well. Those without it ended up broke and living in their kids' basements or in nursing homes. Those who had the disa...
by JPM
Sat Sep 28, 2019 11:10 am
Forum: Personal Finance (Not Investing)
Topic: Convince me not to raid my Roth to buy first condo
Replies: 46
Views: 3532

Re: Convince me not to raid my Roth to buy first condo

Dan Barnabic wrote a series of pieces on condo purchase evaluations for Marketwatch's Retirementors series in 2014-5. You can probably find some or all of them with a simple search. It has the basics of what to look for and what to look out for and financial considerations when purchasing a condo. B...
by JPM
Fri Sep 27, 2019 11:50 pm
Forum: Personal Consumer Issues
Topic: First car for child
Replies: 129
Views: 9211

Re: First car for child

Agree F150 or Explorer. I gave full size bronco, 5 years old when DS#1 turned 16, shared it with DS#2 the next year. DD got 5 year old Explorer when she came of age 8 years later. The big Bronco saved DS#2 life at least once.
by JPM
Wed Sep 25, 2019 2:24 pm
Forum: Personal Consumer Issues
Topic: Thought provoking non-fiction for 3rd grader
Replies: 51
Views: 2801

Re: Thought provoking non-fiction for 3rd grader

I used to read to my kids a lot when they were young. They are late thirties to mid 40s now, but some of these are still available. "How things work" is great for kids. "Atomic Pioneers" is kind of a science primer with brief lives of scientists and descriptions of their discoveries and the principl...
by JPM
Tue Sep 24, 2019 10:46 am
Forum: Personal Consumer Issues
Topic: What Book Are You Currently Reading? Part VI
Replies: 4383
Views: 1251695

Re: What Book Are You Currently Reading? Part VI

Blood Pure and Eloquent by Max Wintrobe. Twentieth Century history of the development of hematology and early work on cancer chemotherapy. Excellent read and gives a clear idea of the worldwide scope and time dimension of the medical research enterprise for those with any interest in the subject. Re...
by JPM
Tue Sep 24, 2019 10:10 am
Forum: Personal Consumer Issues
Topic: Where do you buy parts for DIY Auto repairs
Replies: 46
Views: 3725

Re: Where do you buy parts for DIY Auto repairs

In addition to some of the above, have used the local junkyard as I did with my dad 60 years ago. You may need to borrow or rent a tool for something like a seatbelt anchor for the junkyard extraction and the at-home installation, but can't beat the prices around here. If you keep your car a long ti...
by JPM
Tue Sep 24, 2019 9:56 am
Forum: Personal Consumer Issues
Topic: Deleted
Replies: 262
Views: 22226

Re: A 'really good book' you did NOT enjoy

Agree War and Peace.
Don't really care for Hemingway in general but did like Farewell to Arms.

Some books that are hard to read off the page can come alive when read aloud, James Joyce's Ulysses especially for me.
by JPM
Tue Sep 24, 2019 8:03 am
Forum: Personal Consumer Issues
Topic: Elite liberal art colleges or bigger selective universities?
Replies: 59
Views: 5128

Re: Elite liberal art colleges or bigger selective universities?

As far as med school admissions are concerned, it probably makes no difference whether LAC or Ivy. College performance and MCAT are the main determinants. As far as success in medicine it definitely makes no difference at all. Once you start med school, everybody starts at the same starting line. Yo...
by JPM
Sun Sep 22, 2019 4:00 pm
Forum: Personal Consumer Issues
Topic: Traveling to Riyadh for Business
Replies: 46
Views: 4180

Re: Traveling to Riyadh for Business

Young relative worked in KSA for a few years. His Saudi friends advised him to grow facial hair in the Saudi style with the mustache-goatee and wear sunglasses and a business suit at the airport and he would look like any other Saudi businessman coming or going on a western business trip. His friend...
by JPM
Sat Sep 21, 2019 5:59 pm
Forum: Personal Finance (Not Investing)
Topic: Medicare: HELP! From In-Patient to Permanent Nursing Home Care
Replies: 19
Views: 1530

Re: Medicare: HELP! From In-Patient to Permanent Nursing Home Care

Assuming your dad is admitted to the hospital, medicare rules determine whether he qualifies for regular admission or observation. If he is dehydrated enough to require IV fluids in hospital that may suffice for regular admission status. Has to be some form of treatment that cannot be done at home t...
by JPM
Sat Sep 21, 2019 5:08 pm
Forum: Personal Consumer Issues
Topic: How hard is it to get into college?
Replies: 167
Views: 11793

Re: How hard is it to get into college?

I went to a 4th rate college myself, that being all I could afford. Did some cheap Juco credits too. DW did cheap Juco AA then cheap commuter State U for BS then a long career as an educator. DS #1 always wanted to do business and finance, wanted to go to Super U. Preferred Penn, but waitlisted ther...
by JPM
Fri Sep 20, 2019 11:46 am
Forum: Personal Finance (Not Investing)
Topic: Friend has cancer. What should be the next steps?
Replies: 65
Views: 5384

Re: Friend has cancer. What should be the next steps?

Given the age of your friend and the grim prognosis, this is presumably glioblastoma multiforme. Among cases with which I am familiar, the shortest life from diagnosis was six months and the longest 5 years. The 18 month estimate is probably a good guess. A good friend has been in treatment for it n...
by JPM
Wed Sep 18, 2019 8:36 am
Forum: Personal Consumer Issues
Topic: $2k repairs on $12K car
Replies: 81
Views: 5661

Re: $2k repairs on $12K car

Rather than looking at the blue book value of $12,000 consider what it is worth to you. Cars last a long time with adequate maintenance now. 10-15 years and 200,000 miles is not unreasonable. But if you like having new cars and the new features, you wouldn't want to keep cars for 10-15 years anyway....