Search found 84 matches

by JPM
Sun Dec 01, 2019 4:33 pm
Forum: Personal Consumer Issues
Topic: Who makes good leather and down jacket
Replies: 36
Views: 2390

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: 3725

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: 10492

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: 5626

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: 67
Views: 19661

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: 862

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: 1052

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: 3388

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: 8265

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: 2540

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: 4137
Views: 1183933

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: 3482

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: 21646

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: 4675

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: 4011

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: 1464

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: 10898

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: 5218

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: 5343

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....
by JPM
Wed Sep 11, 2019 7:44 pm
Forum: Personal Investments
Topic: Too Late To Get Back Into Stocks?
Replies: 115
Views: 9942

Re: Too Late To Get Back Into Stocks?

Interest rates are low and at this time forecast to go lower in the immediate future. The federal government is running a highly stimulative trillion dollar deficit this year and there doesn't seem to be any appetite for reducing it next year. Arguable whether this is wise, but for risk assets it's ...
by JPM
Thu Aug 29, 2019 9:18 pm
Forum: Personal Finance (Not Investing)
Topic: While there is a high school question - my daughter wants to graduate early
Replies: 76
Views: 3948

Re: While there is a high school question - my daughter wants to graduate early

Eugene Braunwald's ( Longtime professor of cardiology at Harvard and leader and organizer of the TIMI international research consortium) biographer reported that he was advised by his cousin Eugene Kleiner (Kleiner Perkins founder) to take the GED after second or third year of HS and start college e...
by JPM
Sun Aug 25, 2019 4:57 pm
Forum: Personal Finance (Not Investing)
Topic: Physician first job offer negotiation advice
Replies: 8
Views: 1500

Re: Physician first job offer negotiation advice

She needs an attorney familiar with physician employment contracts. She will need help to negotiate a more reasonable deal. Does not sound like a deal I would consider. A lowball pay offer with a burdensome restrictive covenant is dangerous. New grads usually are hired with a salary guarantee and in...
by JPM
Tue Aug 20, 2019 7:59 am
Forum: Personal Consumer Issues
Topic: Chicago - What to see, do & eat in two days
Replies: 71
Views: 4086

Re: Chicago - What to see, do & eat in two days

Depends on what you and your kids like. The Museum Campus is about 2.5 miles southeast from your hotel. It has the Adler Planetarium (aimed at preteen and younger), the Shedd aquarium, and the Field natural history museum. Natural history museum is my favorite in the city. If you or your wife is a c...
by JPM
Thu Aug 15, 2019 9:00 pm
Forum: Personal Finance (Not Investing)
Topic: When to move into retirement
Replies: 72
Views: 5890

Re: When to move into retirement

Among my retired friends the happiest are those who retired to an absorbing interest. One doctor retired from suburban practice to practice in a welfare clinic in another state where he will live near his grandchildren. Many retired doctors volunteer at free clinics or community health centers in re...
by JPM
Wed Aug 14, 2019 8:41 pm
Forum: Personal Finance (Not Investing)
Topic: Provider choosing to bill as out of network
Replies: 43
Views: 3754

Re: Provider choosing to bill as out of network

Any doctor who did something like this would jeopardize his/her employment in a large group and perhaps jeopardize the group's Blue Cross contract. Continuation of the group's contract with BC would probably be contingent on dismissing the doctor. My first thought is that this is part of an embezzle...
by JPM
Sun Aug 11, 2019 8:25 am
Forum: Personal Finance (Not Investing)
Topic: NP degree worth the investment?
Replies: 62
Views: 5688

Re: NP degree worth the investment?

NP pay rates probably vary a lot by region and somewhat less by specialty. In our midwestern exurban locale, NPs in primary care start at c $100-130K but their limit depends on their arrangement. Productivity is measured as "relative value units" AKA RVUs. An RVU= approximately $100 gross revenue fo...
by JPM
Thu Aug 08, 2019 9:36 pm
Forum: Personal Consumer Issues
Topic: Should college student major in environmental science?
Replies: 50
Views: 3303

Re: Should college student major in environmental science?

Two old guys. One collected water samples for the EPA and retired with a nice government pension. He liked the outdoor work when young but health issues developed in middle age and had to go to indoor work. Marked time until the pension. Second worked in compliance for steel mfg when young, later a ...
by JPM
Sat Aug 03, 2019 8:46 pm
Forum: Investing - Theory, News & General
Topic: When taking RMD, better when market "high" or "low"
Replies: 28
Views: 2465

Re: When taking RMD, better when market "high" or "low"

Buy low. Sell high. Simple. Not easy
by JPM
Thu Aug 01, 2019 8:55 pm
Forum: Personal Finance (Not Investing)
Topic: Bloomberg: Forget Tech, Medicine Still Pays More
Replies: 124
Views: 9867

Re: Bloomberg: Forget Tech, Medicine Still Pays More

I am familiar with a family of intelligent people with SAT scores 1300-1500 range, maybe some a little higher. They are finance, legal, and medical professionals. One of the finance pros recruited for his NYC investment bank among STEM grads. The ability to do statistical math rapidly in your head i...
by JPM
Sun Jul 28, 2019 3:58 pm
Forum: Investing - Theory, News & General
Topic: Why Mr. Bogle prefers U.S stocks
Replies: 241
Views: 19525

Re: Why Mr. Bogle prefers U.S stocks

I admit that I am not a finance expert, but it seems to me that not only has US GDP per capita been substantially higher than that of the other developed countries, but its GDP growth rate has been higher as well. Since 1990 US GDP in constant dollars had risen c 100% and Germany's, the EU's best pe...
by JPM
Sun Jul 28, 2019 1:50 pm
Forum: Personal Finance (Not Investing)
Topic: Long-Term Care Decision
Replies: 330
Views: 16671

Re: Long-Term Care Decision

Lots of things to consider when purchasing an LTCi policy. Might be worth an hour with an eldercare attorney to translate the insurance jargon into plain English and to explain what the tradeoffs are in terms of cost, coverage, restrictions, waiting periods, and COL adjustments. AS time has gone on,...
by JPM
Sat Jul 27, 2019 9:12 am
Forum: Personal Finance (Not Investing)
Topic: Why I don't think I should get long term care insurance right now
Replies: 164
Views: 12351

Re: Why I don't think I should get long term care insurance right now

At this point LTCi is a luxury good and few people can comfortably afford it. Insurers don't like it because experience has shown that actuarial methods have turned out not to be very applicable to this type of insurance. Past experience in this area of business has not projected accurately into the...
by JPM
Wed Jul 17, 2019 9:04 pm
Forum: Personal Consumer Issues
Topic: "Objective" Importance of Keeping Your Physicians?
Replies: 63
Views: 5474

Re: "Objective" Importance of Keeping Your Physicians?

In 1997 I had an adverse result on a heart test and decided thereupon that it would be wise for me to see a doctor that I respect enough to follow orders whether I agree with them or not. I picked someone fitting that bill whom I had already known for over 20 years as of then. Fortunately I am in a ...
by JPM
Sat Jul 06, 2019 1:51 pm
Forum: Personal Finance (Not Investing)
Topic: Elderly grandparents moving in with parents; what should they plan for?
Replies: 63
Views: 5658

Re: Elderly grandparents moving in with parents; what should they plan for?

Many of the replies on this thread have been dire in viewpoint, but it doesn't always work out that way. Depends a lot on the health and mental status and disposition of the elderly person. Second the advice on powers of attorney for healthcare and property. Elderhealth lawyers are very helpful as l...
by JPM
Thu Jul 04, 2019 1:12 pm
Forum: Personal Finance (Not Investing)
Topic: Big Hospital Bill - Any way to negotiate ?
Replies: 130
Views: 8910

Re: Big Hospital Bill - Anyway to negociate ?

From 1985 to 1996 years ago I had a HDHP with a $5000 deductible. Had to pay it twice for surgeries on DW and DS one year and twice for employees over those years, but overall the HD plan saved me money over the eleven year period. When you choose the HD plan, this is the deal you make. Taking the H...
by JPM
Sun Jun 23, 2019 9:50 am
Forum: Personal Investments
Topic: Resident Physician
Replies: 33
Views: 5028

Re: Resident Physician

Most important thing at this stage of your career is mastery of your profession and maximizing your skill level. That said, the target date is fine. If your employer offers a Roth 403b that is the best vehicle IMO. You are young, probably in the lowest tax bracket you will ever see, and can look for...
by JPM
Thu Jun 20, 2019 8:14 pm
Forum: Personal Finance (Not Investing)
Topic: Social Security Penalty for working past 70 ?
Replies: 8
Views: 1644

Re: Social Security Penalty for working past 70 ?

If your wife has rolled her IRA and prior pension moneys into her current employer's retirement plan, she may be able to take advantage of an exception to the RMD requirement. A current employee over 70.5 does not have to take RMD from the current employer's plan if the employee does not own more th...
by JPM
Sat Jun 15, 2019 12:01 pm
Forum: Personal Consumer Issues
Topic: Walking Cities, potential for retirees
Replies: 102
Views: 10988

Re: Walking Cities, potential for retirees

Downtown Sarasota fits most of your criteria. Library check Whole Foods Check Beach check Marina check Shorts and sandals check, maybe not in January Churches Check Arts check Theater check Restaurants check Live music check Any and all of the above are an easy walk from any of the others. Local col...
by JPM
Sun Jun 09, 2019 3:44 pm
Forum: Personal Consumer Issues
Topic: I'm thinking about buying a supercar anyone here done this and feedback?
Replies: 241
Views: 15481

Re: I'm thinking about buying an exotic supercar anyone here done this and feedback?

In our neighborhood there is a neurosurgeon who covers 5-6 hospitals spread over about 60 miles of interstate between Illinois and Wisconsin. He was always getting stopped for speeding between surgeries/emergencies in his ordinary Mercedes. He bought a very distinctive Maserati so that he would be i...
by JPM
Fri Jun 07, 2019 8:44 pm
Forum: Personal Consumer Issues
Topic: Gift for niece who is graduating as a Physician Assistant.
Replies: 33
Views: 3357

Re: Gift for niece who is graduating as a Physician Assistant.

IMO a Proctor Harvey stethoscope from Tycos is a better instrument than the Littmann. Better sound quality and transmission. More expensive, c $300. If she has hearing issues, the electric Littmann is very good. A pearl necklace. Women NPs and PAs who wear them seem to be treated with more respect, ...
by JPM
Fri Jun 07, 2019 11:02 am
Forum: Investing - Theory, News & General
Topic: Thank you, Taylor Larimore!
Replies: 49
Views: 6536

Re: Thank you, Taylor Larimore!

Thank you Taylor and your comrades. And my dad and my uncles and their friends whose service and sacrifices made possible for me and my children lives they never dreamed of.
by JPM
Sun Jun 02, 2019 10:22 am
Forum: Personal Finance (Not Investing)
Topic: What is/ was your career and would you recommend it now?
Replies: 484
Views: 55934

Re: What is/ was your career and would you recommend it now?

General internist in small midwestern industrial city for 40 years. Fortunate that my locale developed well economically rather than fell apart as many midwestern industrial towns have done over the past 40 years. Interesting and varied practice treating my friends and neighbors. Solving diagnostic ...
by JPM
Sat May 11, 2019 4:52 pm
Forum: Personal Finance (Not Investing)
Topic: Growing old without kids or younger caring relatives
Replies: 123
Views: 27989

Re: Growing old without kids or younger caring relatives

In our area there is an excellent luxe continuing care community for a few hundred of the relatively rich. Independent to assisted to nursing home. Some end up going back and forth between nursing home and asslsted living when they need to rehab from some medical adventure. The independent and assis...
by JPM
Fri May 10, 2019 1:04 pm
Forum: Personal Consumer Issues
Topic: Hearing getting bad, which Hearing Aids would you recommend ??
Replies: 36
Views: 2830

Re: Hearing getting bad, which Hearing Aids would you recommend ??

Directional function on the rechargeable Siemens seems to work well for DW.
by JPM
Fri May 10, 2019 11:11 am
Forum: Personal Consumer Issues
Topic: Hearing getting bad, which Hearing Aids would you recommend ??
Replies: 36
Views: 2830

Re: Hearing getting bad, which Hearing Aids would you recommend ??

Hearing aid technology has improved a lot over the past 5-10 years. Simple amplification is relatively cheap, can be had at Sam's or Costco inexpensively. Good for one-on-one conversations but also amplifies background noise when background noise is present. $1500-2500 around here. Directional featu...
by JPM
Tue May 07, 2019 10:02 am
Forum: Personal Consumer Issues
Topic: College/life prep for young kids
Replies: 79
Views: 6925

Re: College/life prep for young kids

We did a lot wrong as parents. I prefer not to go into them. A few things we did that worked out: 1: Read to them from the time they were small children, starting with kiddie books. When older read childrens' biographies of business and professional people, well-written childrens' books on science, ...
by JPM
Sun May 05, 2019 5:26 pm
Forum: Personal Finance (Not Investing)
Topic: PPO vs HMO
Replies: 18
Views: 1590

Re: PPO vs HMO

With the HMO the deal, explicit or not, is that you get a discount on pricing and in return you accept restrictions on venues for testing and treatment that the insurer takes seriously. The providers of services in the HMO plans have accepted a discount deal from the insurer and the insurer shares t...
by JPM
Sun May 05, 2019 2:32 pm
Forum: Personal Finance (Not Investing)
Topic: College Tours and Open Houses
Replies: 40
Views: 2587

Re: College Tours and Open Houses

In regard to the disparagement of fraternities on this thread, may I put in a dissent. My kids are middle aged now. My sons were both in fraternities as was I, though not the same one. I finished undergrad 49 years ago. During undergrad we helped each other academically and practically. The great ma...
by JPM
Tue Apr 23, 2019 9:34 pm
Forum: Personal Consumer Issues
Topic: Nonfinancial value of state university vs private college (USC)?
Replies: 64
Views: 3465

Re: Nonfinancial value of state university vs private college (USC)?

Sent 2 kids to U of Chicago. The banker benefited greatly because the big banks recruit there for their trading desks but not at state schools. So he got recruited at least in part because he went there. The attorney not so much. It's where he went to law school that made the difference for him. He ...
by JPM
Fri Apr 19, 2019 7:44 pm
Forum: Investing - Theory, News & General
Topic: This could be the biggest risk that retirees face?
Replies: 117
Views: 9309

Re: This could be the biggest risk that retirees face?

In 1900 the average life expectancy of a 65 year old man was 12 years. By 1970 it had increased to 13 years. Now ( or 2017 at least) it is 18 years with a small (2.5year) differential favoring SES groups with higher education and income, probably the group most heavily represented on this site. In 2...