• 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

The Brutal Effect of Lifestyle Inflation on Your Finances


Trying to emulate the big spenders all around you can destroy a sound financial plan.

In the Tale of 4 Physicians, we analyzed the impact of different spending budgets on wealth creation. Each of our 4 physicians was married with 2 kids and had a household income of $300,000. In the second post in this series, we explored the financial impact of Dr. Anderson working after achieving FI. Next up is Dr. Benson.

Dr. B had the second lowest annual spending at $120,000. Dr. B heard that Dr. A was considering an early retirement after 11 years in practice and he promptly scoffed at the idea. With a net savings rate of 44%, Dr. B was already saving way more than most of his peers. And spending less. But Dr. B got an uneasy feeling when he parked his 3-Series Beamer next to the 5-Series and 7-Series performance vehicles in the physician’s lot.

Logging into Facebook, he saw his colleagues and their families vacationing in New Zealand and enjoying new pontoons at their lake homes and Dr. B started to feel inadequate. It seemed half the kids in his upscale neighborhood were in private school and how many of their parents were doctors? The insurance salesman / financial advisor next door had 3 kids in private school, for crying out loud. And a new RV!

Dr. B and his wife decided it was time for a lifestyle upgrade. They’ve never seen Dr. Dahlgren’s balance sheet, but he’s obviously doing quite well. I mean, even his kids fly first class when they go skiing in the Alps. So from now on, Dr. B is going to live more like Dr. D.

Let’s dig into the numbers. Here is a look at where Dr. B’s and Dr. D’s $300,000 salary has been going.

To keep things fair, we’ll assume Dr. B got the same market return that Dr. A saw over the 11 years that it took her to become FI, a return that outpaced inflation by 4%. His nest egg after those 11 years is worth about $1.5 million in today’s dollars. By golly, he’s rich! Time to start spending like it, so let’s assume his spending from this point on will match Dr. D’s $200,000 and see how that changes Dr. B’s future.

Dr. B was on track to be financially independent in the next 6 to 9 years with a nest egg of $3 million. By upping the spending, he can expect to work another 17 to 42 years to get the larger required nest egg of $5 million.

Keep in mind, we are starting from a baseline of having already been an attending physician for 11 years, which would put him in his early forties or older at the beginning of this exercise. With excellent market returns, he may still be able to retire close to 59.5 when he will have access to the 401(k), but it’s best not to rely on 6% real (8% to 9% nominal) returns.

What if Dr. B waited to upgrade his lifestyle until he retired? In other words, how long would it take Dr. B to amass a $5 million dollar net worth if he continued his current spending of $120,000 per year? You’ve seen enough Excel for one post, so I’ll spare you the math and give you the answer. It’s 12, 15 or 20 years at 2%, 4%, and 6% real returns.

In this case, we’re no longer relying on stellar returns to have the ability to retire. You could call this a benefit of “delayed gratification” although spending $120,000 a year couldn’t possibly be considered a life of depravity, and not everyone will be happier indulging in $200,000 of annual spending. Not everyone is comfortable living the Lifestyles of the Rich and Famous.

Also, remember that Dr. B has 2 children. If his family is spending $200,000 per year while the kids live at home, those kids will be accustomed to a life of luxury. While some people may want that for their children, I think it can be a setup for disappointment and financial difficulties later on when they are on their own. I think it may be best to wait until the kids are self-supporting or at least living away from home before rewarding yourself with a big lifestyle upgrade.

Before you start upgrading your lifestyle, consider the consequences. They can be brutal.

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