Search found 68 matches

by cmr79
Sun Jul 12, 2020 10:41 am
Forum: Personal Finance (Not Investing)
Topic: Max 403b contribution
Replies: 11
Views: 626

Re: Max 403b contribution

I've over-contributed to 403(b)s before for simular reasons. My excess contributions ended up as after-tax contributions that I could roll over into an (unintentional) mega backdoor roth...at least unless you have a crazy generous employer match and will have more than $63,500 in total contributions...
by cmr79
Sun Jul 12, 2020 10:34 am
Forum: Personal Finance (Not Investing)
Topic: pension vs long commute
Replies: 27
Views: 2438

Re: pension vs long commute

Thinking about it from another angle, when OP is 80 and collecting an additional $43 per day from this pension, would he rather trade that for 2 more hours per workday at age 60-65? I agree with earlier posts stating that this is only really worth it if that money makes a difference between scraping...
by cmr79
Tue Jun 16, 2020 2:40 pm
Forum: Personal Consumer Issues
Topic: Tipping on curbside pickup?
Replies: 44
Views: 3664

Re: Tipping on curbside pickup?

I picked up take-out today that I had ordered and paid for online in advance. In-store pickup--I had to get out of my car and go inside the restaurant. I was still asked whether I wanted to "tip my server". Much like the tip jar by the cash register in retail places, I just don't understa...
by cmr79
Tue Jun 16, 2020 2:22 pm
Forum: Personal Consumer Issues
Topic: Need N95 Mask in a Small Size
Replies: 45
Views: 3159

Re: Need N95 Mask in a Small Size

Lots of issues with mask fit. Agree with above posts about looking into more official methods of getting the equipment she needs, but this is another potential workaround for improving the seal of simple surgical masks:

https://www.fixthemask.com/make-it
by cmr79
Sat Jun 13, 2020 7:50 pm
Forum: Personal Consumer Issues
Topic: Tipping on curbside pickup?
Replies: 44
Views: 3664

Re: Tipping on curbside pickup?

I picked up take-out today that I had ordered and paid for online in advance. In-store pickup--I had to get out of my car and go inside the restaurant. I was still asked whether I wanted to "tip my server". Much like the tip jar by the cash register in retail places, I just don't understan...
by cmr79
Sat Jun 13, 2020 10:30 am
Forum: Personal Finance (Not Investing)
Topic: $120,000 in credit card debt
Replies: 72
Views: 9759

Re: $120,000 in credit card debt

I disagree about setting aside 3 months of emergency savings in this case. Debt at this interest rate is an emergency. Get rid of it.

I am not typically a Dave Ramsey Dan, but I second the comment above that he could be helpful to OP.
by cmr79
Thu Jun 11, 2020 7:15 pm
Forum: Personal Finance (Not Investing)
Topic: Relative giving money to start medical practice
Replies: 12
Views: 1689

Re: Relative giving money to start medical practice

Your health system employer doesn't have a non-compete that limits your ability to do this in your small town? Good for you, assuming you do indeed want to be in solo practice. You said you were excited about it and it seems like you are planning to do it with or without the relative's financial ass...
by cmr79
Fri Jun 05, 2020 10:09 am
Forum: Personal Consumer Issues
Topic: Nursing home has requirements for employees' private lives due to covid
Replies: 38
Views: 2800

Re: Nursing home has requirements for employees' private lives due to covid

Sorry, must have deleted a quote there. Did not mean to incorrectly attribute my post to Spirit Rider.
by cmr79
Fri Jun 05, 2020 10:08 am
Forum: Personal Consumer Issues
Topic: Nursing home has requirements for employees' private lives due to covid
Replies: 38
Views: 2800

Re: Nursing home has requirements for employees' private lives due to covid

All minors should be viewed as likely carriers and potential super spreaders. It has been shown that a significant percentage (majority in some clusters) of CV positive results have been asymptomatic. This thread has probably run its course and should be locked at this point. Children as asymptomat...
by cmr79
Thu Jun 04, 2020 8:03 pm
Forum: Personal Consumer Issues
Topic: Nursing home has requirements for employees' private lives due to covid
Replies: 38
Views: 2800

Re: Nursing home has requirements for employees' private lives due to covid

It doesn't sound to me from OP's description that the employer is suggesting guideline-based social distancing, and I can't envision a way for it to be enforceable unless a staff member discloses (i.e. directly or just posts incriminating pictures on social media) that they violated this mandate. I ...
by cmr79
Thu Jun 04, 2020 7:23 pm
Forum: Personal Consumer Issues
Topic: Nursing home has requirements for employees' private lives due to covid
Replies: 38
Views: 2800

Re: Nursing home has requirements for employees' private lives due to covid

I'm an ICU doctor in a large teaching hospital in a state with a significant number of covid-19 cases (though not NYC). My division requested that we limit travel to any extent possible but did not request anything like this, which seems both unnecessary and overly burdensome. SNFs would probably do...
by cmr79
Fri May 29, 2020 9:44 pm
Forum: Personal Consumer Issues
Topic: Lifelong New Yorker relocating to Philly for FIRE?
Replies: 39
Views: 3282

Re: Lifelong New Yorker relocating to Philly for FIRE?

A little surprised by some of these responses. Philadelphia is certainly less expensive than NYC and is generally less expensive than any of the other east coast cities that OP might consider to be geographically close to his family. You can definitely live downtown in Philly and get by without a ca...
by cmr79
Fri May 15, 2020 7:27 pm
Forum: Personal Finance (Not Investing)
Topic: Selling home - low ball negotiation
Replies: 145
Views: 12733

Re: Selling home - low ball negotiation

And yet they do. I think it was Malcolm Gladwell who compiled some data that agents leave their own houses on the market longer and sell for more, controlling for everything else.
This was from Freakonomics...similar style of writing, of course.
by cmr79
Tue May 12, 2020 12:04 pm
Forum: Investing - Theory, News & General
Topic: Healthcare post COVID-19
Replies: 66
Views: 6625

Re: Healthcare post COVID-19

It has changed, in three ways. 2) .... (Coupled with many people who will no longer have insurance after losing their jobs) I think that job-based health insurance will not be the major game in town in the not-too-distant future. It will still be a player, but many in the public will push for other...
by cmr79
Sun May 03, 2020 9:14 am
Forum: Personal Consumer Issues
Topic: Lawn mower recommendation
Replies: 91
Views: 6293

Re: Lawnmower recommendation

I got an Ego battery powered mower last year after exclusively using gas mowers before. It might not mulch overgrown grass as well, but I haven't had any issues with the actual cut quality compared to gas--I haven't had to recut or overlap more--and I haven't been tempted to bag as a result. I have ...
by cmr79
Sun Apr 12, 2020 5:04 pm
Forum: Personal Finance (Not Investing)
Topic: Making offer on a home - jumbo mortgage questions
Replies: 11
Views: 1608

Re: Making offer on a home - jumbo mortgage questions

I just recently (last few weeks) got a jumbo mortgage from Ally. 15 years, rate was around 2.875% without points/credits. The loan amount, our credit and income are all similar to yours, but we only put 15% down and live in a very different part of the country. I found the folks at Ally to be helpfu...
by cmr79
Thu Feb 13, 2020 6:16 pm
Forum: Personal Consumer Issues
Topic: How big of a car do you need for a kid and his/her stuff?
Replies: 66
Views: 3657

Re: How big of a car do you need for a kid and his/her stuff?

How tall are you? We are on the taller side and there isn’t much space in a Civic with a 5 year old. I'm 6'5" and have a Civic sedan with two kids in car seats. As long as both don't need to be rear-facing (I agree with that part), all four of us fit just fine and have enough trunk space to pa...
by cmr79
Thu Feb 13, 2020 5:57 pm
Forum: Personal Finance (Not Investing)
Topic: Just accepted a new job, insurance gap?
Replies: 12
Views: 1031

Re: Just accepted a new job, insurance gap?

It's probably a good time for you to get an independent disability policy as part of your long-term insurance plan (assuming, as others have mentioned, that you don't have a prohibitive pre-existing condition) to protect yourself both now and if your job situation changes in the future. Disability i...
by cmr79
Wed Jan 29, 2020 3:36 pm
Forum: Personal Finance (Not Investing)
Topic: Physician assistant salary?
Replies: 39
Views: 7891

Re: Physician assistant salary?

Under $80k would be a hard sell to recruit a PA or NP even for a M-F, 8-5, no call non-procedural position where I am. Some academic medical center positions with a lot of support might offer in the $75-80k range for a new grad who specifically wants that additional support/training, but I can't ima...
by cmr79
Wed Mar 06, 2019 12:17 pm
Forum: Personal Finance (Not Investing)
Topic: Pharmacist - Need advice
Replies: 27
Views: 2798

Re: Pharmacist - Need advice

I second the opinion about inpatient hospital pharmacy work. I have worked with a number of pharmacists and pharmacy residents in intensive care units, where the pharmacists are integral parts of the medical team and have a much more direct patient care role. Another option that might seem more appe...
by cmr79
Sun Dec 30, 2018 10:50 pm
Forum: Personal Finance (Not Investing)
Topic: Student loans Versus HSA/Medical Bills
Replies: 6
Views: 493

Re: Student loans Versus HSA/Medical Bills

I'm assuming that since you're considering making a lump sum payment on the loans that you dont expect to be eligible for any sort of repayment. Have you considered consolidating to improve on the relatively high interest? You could set aside extra money to shorten the repayment period which might i...
by cmr79
Sun Dec 30, 2018 10:38 pm
Forum: Personal Investments
Topic: How Much is Too Much
Replies: 31
Views: 4180

Re: How Much is Too Much

OP, What are your goals and how much do you anticipate needing to save each year to get there? Maxing your available retirement space is great if it's appropriate to meet your goals, but there area lot of decent reasons to not max or to put money that might potentially be used for a non-retirement p...
by cmr79
Wed Dec 19, 2018 1:07 am
Forum: Personal Consumer Issues
Topic: Omega watch expenses
Replies: 38
Views: 3286

Re: Omega watch expenses

I have a Citizen Eco drive. After about 15 years, the battery that the solar cell charges lost it's ability to fully charge, so the watch dies overnight if not continually exposed to light. It's more expensive to fix than to replace...I did like it until that point, though. There's no perfect answer...
by cmr79
Fri Nov 23, 2018 4:32 pm
Forum: Personal Consumer Issues
Topic: "consultation fee": standard for preventative colonoscopy?
Replies: 81
Views: 6306

Re: "consultation fee": standard for preventative colonoscopy?

I am a little confused, though perhaps I hadn't been paying close enough attention to other posts in this thread. I thought the discussion was about why some people were having a same day pre-procedural H&P and others were being required to come in for an office visit with the proceduralist prio...
by cmr79
Thu Nov 22, 2018 8:22 am
Forum: Personal Consumer Issues
Topic: "consultation fee": standard for preventative colonoscopy?
Replies: 81
Views: 6306

Re: "consultation fee": standard for preventative colonoscopy?

The GI group needs to do a history and physical within 30 days of the procedure regardless. If they do it the same day, they can't charge separately for it, which is why some of the respondants have and some haven't. It sounds like there is significant heterogeniety (maybe geographically) in whethe...
by cmr79
Thu Nov 22, 2018 12:22 am
Forum: Personal Consumer Issues
Topic: Help me winterize my Civic
Replies: 14
Views: 1409

Re: Help me winterize my Civic

I live in the NE in an area with hills and have a Civic. Several years ago I bought a set of snow tires (Blizzaks) on separate wheels--just put them on today, in fact. They make a big difference. I think that I "know how to drive in snow", and the roads around me are usually well-plowed. I...
by cmr79
Wed Oct 24, 2018 11:46 pm
Forum: Personal Consumer Issues
Topic: "consultation fee": standard for preventative colonoscopy?
Replies: 81
Views: 6306

Re: "consultation fee": standard for preventative colonoscopy?

The GI group needs to do a history and physical within 30 days of the procedure regardless. If they do it the same day, they can't charge separately for it, which is why some of the respondants have and some haven't. It sounds like there is significant heterogeniety (maybe geographically) in whether...
by cmr79
Wed Sep 12, 2018 9:56 pm
Forum: Personal Investments
Topic: Flipping a home Resident Physician flipping a home while in debt? help me weigh my pros and cons
Replies: 21
Views: 1761

Re: Flipping a home Resident Physician flipping a home while in debt? help me weigh my pros and cons

This seems like a stay the course situation. You're afraid of missing out on the hot real estate market, sure, but there appears to be a lot more downside (time, financial, stress) here than upside. If you really want to get involved in real estate, why not wait until you're established as an attend...
by cmr79
Wed Sep 05, 2018 6:57 am
Forum: Personal Finance (Not Investing)
Topic: How much to spend on rent in high COL area?
Replies: 15
Views: 1799

Re: How much to spend on rent in high COL area?

Agree that OP's (gross) income to rent ratio is low enough to fall within most "rules of thumb" for housing costs. In general, though, I don't think any of these apply well to VHCOL locations...arguments about the economics about living in these locations aside, I'm not sure it's reasonabl...
by cmr79
Tue Jul 31, 2018 10:07 pm
Forum: Personal Consumer Issues
Topic: Do You Purchase "Medical Evacuation Insurance" When You Travel?
Replies: 185
Views: 14409

Re: Do You Purchase "Medical Evacuation Insurance" When You Travel?

Echoing the above posts: I've never purchased medevac insurance or needed to seek medical care in a foreign country, but I've also received patients transferred back to the US via these services. In my experience, they are usually medically stable, have received adequatd treatment for either an acut...
by cmr79
Fri Jun 15, 2018 7:46 pm
Forum: Personal Investments
Topic: 28 with a wife and new baby
Replies: 31
Views: 2453

Re: 28 with a wife and new baby

At your current rate of savings and spending, assuming a 4% real return on retirement investments and FI = investments of 25x annual spending, you'd be FI in about 12 years (= 37,000 + FV(0.04, 12, -73400). If you were to cut down to $54900 after this year, then it'd take about 15.5 years. Your ages...
by cmr79
Fri Jun 15, 2018 7:26 pm
Forum: Personal Investments
Topic: 28 with a wife and new baby
Replies: 31
Views: 2453

Re: 28 with a wife and new baby

I might have missed it somewhere, but how much do you expect to be able to save towards retirement next year? Assuming your income and costs stay relatively stable (a big assumption, and obviously not likely to be true if you have more kids or you wife stops working to stay at home), I don't see why...
by cmr79
Sun Jun 03, 2018 2:48 pm
Forum: Personal Finance (Not Investing)
Topic: Can a physician work in tech while practicing as well?
Replies: 57
Views: 4931

Re: Can a physician work in tech while practicing as well?

If you were willing to pursue your informatics/coding interest with a research focus and had a mentor and some sort of clearly defined starter project to focus on, one convenient way to pursue this would be to submit for F32 and then potentially K23 or K08 funding to support your degree program and ...
by cmr79
Sun Apr 15, 2018 12:59 pm
Forum: Personal Finance (Not Investing)
Topic: How to Invest College/Med School Fund?
Replies: 7
Views: 652

Re: How to Invest College/Med School Fund?

If that's what this money is designated for, why keep taking substantial risk when you've won the game today? These are inflexible short- to medium-term expenses, so losing 25-40% would cause me a lot more angst than trying to grab additional yield beyond what is already needed to keep up with highe...
by cmr79
Thu May 11, 2017 8:34 pm
Forum: Personal Investments
Topic: 529 Planning as related to medical school
Replies: 12
Views: 3974

Re: 529 Planning as related to medical school

Unfortunately, there aren't any standardized programs that would make it easy to compile a list for this. Most medical schools--or at least most that are known for research--some have separate programs that applicants need to specify interest in during the application process, some offer "track...
by cmr79
Wed May 10, 2017 10:08 pm
Forum: Personal Investments
Topic: 529 Planning as related to medical school
Replies: 12
Views: 3974

Re: 529 Planning as related to medical school

I don't see much of a point in not paying for the remainder of her undergrad expenses tax free from the 529 now. Most MSTP programs (the fully NIH funded MD-PhD programs) are small and incredibly competitive, so I would not bank on this for financial planning--gravy if it happens, of course, but it ...
by cmr79
Tue May 02, 2017 11:33 pm
Forum: Personal Investments
Topic: Roth IRA
Replies: 8
Views: 1079

Re: Roth IRA

I don't think you need to rebalance anything more than annually anyway. Vanguard has an excellent range of low cost funds across all asset classes. What you should pick depends on your IPS and other investments. If you don't have one, start here: https://www.bogleheads.org/wiki/Investment_policy_sta...
by cmr79
Tue May 02, 2017 8:07 am
Forum: Personal Finance (Not Investing)
Topic: Student Loan help- REPAYE
Replies: 6
Views: 1105

Re: Student Loan help- REPAYE

It may or may not be required; it depends on whether all of OP's loans are direct fed loans or not. I had to consolidate for all of my loans to qualify. I only had the standard subsidized/unsubsidized loans, but a while ago even some of those were not through the "direct" program. OP is le...
by cmr79
Mon May 01, 2017 10:41 pm
Forum: Personal Finance (Not Investing)
Topic: Student Loan help- REPAYE
Replies: 6
Views: 1105

Re: Student Loan help- REPAYE

I don't think there's enough information here for anyone to answer your question adequately. The income based repayment modalities (IBR, PAYE, REPAYE) have subtle differences, but the timing of starting repayment and whether you should use one of these repayment options vs refinance can't really be ...
by cmr79
Wed Jan 25, 2017 11:24 pm
Forum: Personal Finance (Not Investing)
Topic: Optimizing Student Loan Repayment Strategy
Replies: 8
Views: 1076

Re: Optimizing Student Loan Repayment Strategy

EmergDoc has spent a lot of time dealing with this topic on his blog; I'm guessing you've checked it out before given that you said you've been lurking for a while, but in case you missed it, here was a post with a med school loan flow chart that I thought was particularly interesting: http://whitec...
by cmr79
Mon Sep 19, 2016 12:50 pm
Forum: Personal Finance (Not Investing)
Topic: Why not take a loan for a car
Replies: 58
Views: 6737

Re: Why not take a loan for a car

The last two times I've purchased vehicles, I negotiated prices before discussing how I was going to pay. Once I had a price, I asked whether I could get any discount by either paying cash or by financing. Both times I was told no. I ended up paying cash once and financing once, and I agree it makes...
by cmr79
Tue Sep 13, 2016 10:48 am
Forum: Personal Finance (Not Investing)
Topic: What shape is your net worth curve?
Replies: 45
Views: 8180

Re: What shape is your net worth curve?

Mine is roughly J-shaped...but I started tracking while still in school with a rapidly decreasing net worth. Not so long ago I might have gone with a U instead of J.
by cmr79
Tue Sep 13, 2016 6:08 am
Forum: Personal Finance (Not Investing)
Topic: Getting out of upside down car
Replies: 60
Views: 6086

Re: Getting out of upside down car

Another vote for keeping your car and getting snow tires. Several threads here debating the merits of individual types, but with four snows, you should be fine. I prefer my Civic with snow tires to my spouse's Forester with all season tires, and there are some interesting comparison videos of tire t...
by cmr79
Sun Jun 12, 2016 9:11 pm
Forum: Personal Investments
Topic: Married, filing separately - Physician in fellowship training
Replies: 6
Views: 1169

Re: Married, filing separately - Physician in fellowship training

It would, but I hedge. My wife and I both max our 403b accounts (although we have Roth 403b options and are unlikely to be in our current tax bracket ever again) to push down IBR payments. Knowing we're going to be doing back door Roth IRAs later in life, though, I'd rather put money into a Roth IRA...
by cmr79
Sun Jun 12, 2016 8:55 am
Forum: Personal Investments
Topic: Married, filing separately - Physician in fellowship training
Replies: 6
Views: 1169

Re: Married, filing separately - Physician in fellowship training

Also a physician in training who has used MFS at times to minimize IBR payments for PSLF purposes. You are still allowed to contribute to a non-deductible IRA when MFS, so you can still do a backdoor Roth IRA.
by cmr79
Sat Jun 04, 2016 10:47 pm
Forum: Personal Investments
Topic: Auto Loan Vs. Investing
Replies: 36
Views: 3867

Re: Auto Loan Vs. Investing

Hard to argue for a 3% auto loan in OP's situation...I think there are very valid arguments for the more common sub-inflation auto loans for many people, however.
by cmr79
Thu Feb 04, 2016 7:21 am
Forum: Personal Finance (Not Investing)
Topic: 45% of Income On Rent
Replies: 39
Views: 4345

Re: 45% of Income On Rent

If I'm understanding this correctly, de to the 1/2 month transfer fee you won't even break even with the cheaper 1BR for about 4 months. Since your lease is through August, that doesn't seem to make it worth the hassle of moving for potential savings of about $500 overall. I would just look for some...
by cmr79
Mon Dec 28, 2015 8:23 pm
Forum: Personal Finance (Not Investing)
Topic: Disability Insurance - Employer vs. Private Plan
Replies: 13
Views: 1637

Re: Disability Insurance - Employer vs. Private Plan

EmergDoc has some excellent physician-oriented posts on disability insurance that I think would translate well to your situation. Check out his site at whitecoatinvestor.com. I recently went through this process myself and ended up with a policy from Principal with the riders recommended on EmergDoc...
by cmr79
Sun Nov 29, 2015 2:50 pm
Forum: Personal Finance (Not Investing)
Topic: Roth vs Student loans - A variation of a common question
Replies: 5
Views: 1009

Re: Roth vs Student loans - A variation of a common question

The ideal strategy for you can become very nuanced depending on your situation and future plans, as it does for most residents. For example, I assume you have significant Stafford and PLUS loans since you mentioned some at 7.9%, so have you considered whether or not you might work for a 401(c)3 nonp...
by cmr79
Sat Nov 21, 2015 2:42 pm
Forum: Personal Finance (Not Investing)
Topic: Roth conversion a possibility if we file Married Separately?
Replies: 11
Views: 1098

Re: Roth conversion a possibility if we file Married Separately?

Agree with the response above. If your wife has enough income to push her into the highest marginal bracket, it seems like the added tax costs for shrinking the size of the lower brackets by switching to MFS would be significant since it halves the size of those brackets compared to MFJ. I haven't d...