• Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

A Game of Risk


When most people think of investing, they think of buying stocks or setting money aside in an environment account. However, there are a number of less-common, and riskier, investment vehicles you might consider.

Lottery tickets

When I recently wrote about risk here, I mentioned the generally inverse relationship between risk and return, and cautioned that a portfolio without risk will also be generally devoid of potential return. Now I want to look at some non-traditional strategies that come with a little more risk than you may be accustomed to. Please note: I am not “recommending” any of these vehicles. But that’s also not to say that they’re all inherently “bad.” Let’s take a look at some speculative “investment” vehicles, along with a brief thought on the upside and downside of each.

Playing the Lottery

What it is: A pipedream!

Upside: Winning tens of millions of dollars. Losing friends who only want you for your money.

Downside: An almost perfect possibility of losing your entire investment. I cheated a bit here, because playing the lottery isn’t really an investment. It’s a gamble with a house edge so large, not even the greediest casino owner would offer one. The odds of winning one of the big Powerball-type lotteries are somewhere around 1 in 200 million. Whatever you spend on lottery tickets could be better invested in…well…just about anything else.

Cash Value Life Insurance

What it is: With term insurance, you pay a premium, and upon the death of the insured person, you collect money. In cash value insurance, money paid for premiums is placed into an account that is designed to earn income.

Upside: Your payment does twice the work, protecting you in case you die, and earning money you can ultimately withdraw.

Downside: Cash value policies come at a cost—sometimes as high as 5-10 times the cost of term policies. They may come with management fees as well. Do your homework before you delve into a cash-value plan. Find out what it will cost over the term of the plan, exactly what is covered, and under what circumstances you can take money out.

Art, Antiques, and Other Collectibles

What it is: A fun hobby, with the potential for turning into a fortune or a 3-minute segment on television reality show “Pawn Stars”!

Upside: Collectibles do sometimes increase in value, and searching for that long-lost, mint-condition Babe Ruth rookie card can be a fun diversion.

Downside: The few true stories of fortunes made through serendipitous discovery drown out the millions of mundane situations in which the found Rembrandt, the immaculately kept antique car, or the really old coin don’t appreciate much in value or have much of a market. Collect away, by all means, but do it for the entertainment, not for the investment.

Interest-earning savings accounts

What it is: Wait, what’s this doing here? An interest-earning bank account isn’t risky!

Upside: Simple, safe, backed by the government.

Downside: Savings accounts are fine, even admirable, as a savings tool. They are brutal as an investment tool. Inflationary risk—the risk that your investment will not keep pace with inflation and will therefore be devalued—makes a savings account a lesser evil than some of the other items on this list, but an evil nonetheless.

Many of the vehicles covered here fall under a similar category; they are more “pursuits” than genuine investment strategies. Treated as such, it may be fun to drop a dollar or two here and there on a lottery ticket or to buy a coin collection. Just don’t treat those items as investments, and don’t ignore the potential opportunity cost that comes from putting money into a risky hobby that could be better spent on securing your future.

Related Videos
Victor J. Dzau, MD, gives expert advice
Victor J. Dzau, MD, gives expert advice