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Why Better Retirement Plans Could Solve the Rural Physician Shortage


Rural hospitals face an increasingly difficult task when it comes to recruiting physicians. However, the problem could be alleviated if those healthcare organizations offered a new pension plan.

The other day I attended an event held at a rural hospital in Southern California. At the event, I listened to a talk on the topic of population health and the future. During the presentation, the speaker engaged the audience, which was made up of hospital staff members. The staff members spoke about the difficulty of getting physicians to come work in such a rural area. It quickly became very clear that the hospital does not have enough physicians.

It’s one thing to read statistics about how the US shortage of physicians will grow to about 90,000 by 2025. It’s another thing to hear about it from a room full people, whose job it is to deliver healthcare to the local rural population. This is not an isolated issue; studies show the number one problem for rural healthcare organizations is physician recruitment and retention.

The good news is, the solution to overcome this problem can be found by solving a different problem. Reliable studies show the number one concern for all US physicians is having enough money for retirement. Healthcare organizations can solve their physician recruitment and retention problems by offering physicians lifetime tax-free pension plans. Moreover, the pension plans today are affordable. Unlike the old, outdated, and expensive pension plans of yesteryear, today’s new pension plans can be less expensive than ordinary retirement plans because they are funded with special bank financing. The financing is designed specifically for this purpose, and it makes the new pension plans affordable to most healthcare organizations. To physicians in their late 40s or 50s, who are concerned about being able to retire, a lifetime pension is, in the words of the Godfather, an offer he or she cannot refuse.

Here is the takeaway:

• There is a shortage of physicians.

• Physicians are concerned about having enough money to retire.

• Healthcare organizations who offer a bank-financed pension plan can more easily attract and retain the physicians they need.

If you have questions send an email to David@TheAlemianFile.com.

One last thing, I have a special invitation for you. On Wednesday, March 30, at 8 pm Eastern/5pm Pacific, save the date:

My friends at Next Generation Trust Services are presenting a live webinar on self-directed IRAs. I’ll be on the webinar too talking about the Seven Retirement Killers. We’ll have a live open question and answer period, and you can ask me any question about retirement you like. It’ll be a great opportunity for us to interact together in a live open forum.

Please register for How to Avoid the 7 Retirement Killers Webinar on March 30 at 8 pm Eastern at:


In the meantime, check out and “LIKE” The Alemian File Facebook page, or simply go to the TheAlemianFile.com. Absolutely, make sure you come back here next week to Physician’s Money Digest for another edition of The Alemian File.

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