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You need to protect yourself from the financially devastating epidemic in our nation- outrageous student loan debts!! You need to obtain student loan protection in the event of a disability. This protection will be a safeguard so you will be able to meet your student loan payments!

Disability Insurance offers you the financial protection from many things that could hinder your ability to earn a living. Most people think that disability does not happen to younger people and that most disabilities are due to work-related accidents. Actually, the odds of having a long-term disability (one that lasts 90 days or longer) before age 65 are as significant.  

A few months back I promised to discuss this topic a bit more, discussing the ways affiliations can be built, maintained and expanded in functional medicine practices. Let’s start with a few of the basics.

The primary combination of a good nutritionist and an FM doc is an absolutely “must have” for any functional medicine practice. Nutritionists don’t have to have an FM certification but need to be working in that direction; same with a doc if they don’t have an FM certification.

These two must get comfortable with each other to form an affiliation: More than just sharing referrals, the combination must be part of a clinical practice that is dedicated to expanding the patient experience and overall patient wellness. In my opinion, this is one of the most critical question to ask, and the answer has to be YES.

With this accomplished, the affiliates (I don’t want to use the word “partner” because it has an array of legal meaning) need to talk about their vision for creating this relationship, and discuss in detail their vision for the practice and its patients. Look down the road--Where would you like to be in 12 months? 18? 24??  

Here is a great article put together by National Mortgage News (NMN) highlighting the 10 US cities on the verge of a housing bubble. The data was provided by Attom Data Home Affordability Index. I encourage you to jump over to NMN to get the breakdown on all the data and to learn more about how the rankings were put together. But for now, here is the list.

10.  Nashville Metro, TN
9.  St. George, UT
8.  New York, NY / Newark, NJ
7.  Medford, OR
6.  San Francisco Metro, CA
5.  Seattle Metro, WA
4.  Sacramento, CA
3.  Portland Metro, OR
2.  Seattle Metro, WA
1.  San Antonio, TX 

When most people talk about “social purpose strategy” they usually mention some of the companies that have been most successful to making it part of their branding and marketing.  Patagonia is one of the first to come to mind—their constant commitment to environmental matters and to a manufacturing process that pays fair wages to workers shows concern for working environments and addresses sustainability and global concerns.

Their angle is to emphasize the social benefits their mission (i.e. social purpose strategy) brings to consumers and the world at large.  Patagonia has built this message into every aspect of their product line and image.  It’s a key element of developing a strong customer relationship, to develop and maintain a strong brand loyalty.

Recently I was speaking with a physician friend who regaled me with a wonderful story about volunteer work he did annualy deep in the Central American jungle.  These trips were part of the only annual visit to this remote region made by doctors in his specialty, and there would be long lines awaiting the opening of their mobile clinic every morning they were there.  Treating dozens of patients every day, of all ages, was clearly one of the things he looked forward to every single year. 

Two years ago I fielded a call from a surgeon I knew of but had not met.  Raised locally, she had left the state for undergraduate school, returning to Texas for med school and North Texas for her fellowship.  Heavily recruited, she wanted to stay close to home and her family, and accepted a position with a group of surgeons practicing at one of the area’s stellar hospitals.

But she wasn’t happy, two years into a three year employment agreement.  In fact, she was angry, frustrated, worried, and greatly concerned about her future.  

What had started out as a warm and fuzzy relationship with her group had gone decidedly in the wrong direction.  

The genesis of her story is almost a cliché in the physician recruitment environment.  In the last year of her fellowship, she suddenly started receiving inquiries from established practices or hospital employed groups, pitching a great future, good salary, moving expenses, and even a signing bonus.   Two visits to her soon-to-be employer focused on where to live, meetings with all of the group members, a hospital administrator or two (representing her surgical sites), and a real estate agent to look at homes.  Everybody seemed nice and she liked what she was shown.  Money was discussed, and a contract arrived shortly after the second visit.  She asked for a recommendation on a lawyer to handle the latter. 

For 2017, the US Bureau of Labor Statistics showed an addition of 300,000 healthcare jobs in 2017, despite all the worry and confusion over where the ACA would be heading under the Trump Administration. 

Hospital based jobs were on the decline compared to 2016 (36% lower) but still managed to add 76,000 jobs.  


Graph provided by Becker's Hospital Review 

Full story - news.aamc.org/press-releases/article/applicant-enrollment-2017/ 

Submitted by Cyndi Carer, Berkshire Hathaway HomeServices

How is your State sharing in the migration of the American people?  Are people moving into your state or out of your state?  If you are looking to sell, these questions could impact your asking price.  Ask a residential sales and marketing technician about this factor. Make sure your marketing representative is an expert in the local market trends of your neighborhood. It will vary from neighborhood to neighborhood. 

By Chris Stoner, CFP®, Measured Wealth Private Client Group

1. Debt Reduction
As a result of your extensive medical education, you’ve likely incurred significant debt in the form of loans. The average medical school loan debt balance in the United States is approximately $190,000. Over a 30 year period at a 7% interest rate, this equates to a total cost of $455,048 and a $1,264 monthly payment, which can be a significant drag on your financial well being. While there is no easy solution, the best way to ease this burden is to simply allocate more per month to the loan that is owed. By increasing your monthly payment by just $200 from $1,264 to $1,464 you could reduce your loan duration by 10 years. Debt reduction is a critical step in attaining financial security and starting to build wealth.