#182 Are Annuities Really a Bad Deal for Physicians?

#182 Are Annuities Really a Bad Deal for Physicians?

Author: Nate Reineke August 26, 2026 Duration: 27:35

Nobody books the all-inclusive because the food is better.
They book it because it takes the risk out of the trip. No bad rental in the wrong part of town and no hour-long drive to anything worth eating.

An annuity is the all-inclusive resort of retirement.

The right side of the menu is blank, but it’s “would you like fish or chicken” for seven days, and the pre-packaged excursions are the closest thing to spontaneity you will get all week (ask me about the fish bowl my son and I “snorkeled” in at the Aulani hotel in Hawaii last year).

The bracelet they snap on at check-in also doesn't come off, and the money you already paid isn't coming back on the night you'd rather drive into town for tacos.

Being worry-free about prices all week is not the same as the week being cheap. You paid for every one of those meals before you got on the plane, and you paid extra for the part where you don't have to think about it.

Guarantees have a price, so what does handing that risk over actually cost your family?

This week we go through what an immediate fixed annuity actually is: what the buyer hands over, what the insurance company takes on, and where the money goes at the end.


We also answer your colleagues' questions.

An Internal Medicine Doc in Oregon asks, “If we make a $125k contribution to our child's 529 account, will we owe gift taxes?”

A double-doc family in Texas says, “We are currently renting but want to buy a home in the near future. We also have ~$150k of federal student loans and are not pursuing PSLF. Should we use extra cash to save for a down payment or should we pay off our loans quicker?”

Are you ready to turn worries about taxes and investing into a plan for college and retirement? If you’re evaluating your options and want to learn more, visit physicianfamily.com and click 'Get Started' or you can ask a question of your own by emailing podcast@physicianfamily.com.

See marketing disclosures at physicianfamily.com/disclosures


Finding a clear path through financial planning feels uniquely challenging when your career is in medicine and your heart is at home with family. The Physician Family Finances Podcast exists in that specific, demanding space. Host Nate Reineke, alongside co-host Chelsea Jones, brings their experience as Certified Financial Planner™ professionals directly to conversations with physician parents. They understand the dual pressures of managing a practice, caring for kids, and making smart long-term decisions with your earnings. Each episode moves beyond generic advice to tackle the real questions you face, from navigating student loan strategies and investment options tailored to a physician's timeline to planning for retirement without sacrificing your family's present. This isn't about quick tips; it's about building a sustainable framework that aligns with your values and goals. Tune in for a candid, practical discussion that makes complex topics like tax laws and wealth building accessible, so you can gain confidence and clarity with your finances. The entire podcast is built on the principle that securing your future should feel like an achievable part of your life's work, not an overwhelming distraction from it.
Author: Language: English Episodes: 50

Physician Family Finances Podcast
Podcast Episodes
#171 Is Vanguard Really the Gold Standard for Physician Families? [not-audio_url] [/not-audio_url]

Duration: 18:22
What would you do with an uninterrupted four-hour block of quiet time? Nate shares how a family flight to Hawaii turned into a deep dive into the wartime history of Vanguard and its legendary founder, Jack Bogle. Nate hi…
#169 Is Physician Workplace Insurance Enough to Protect Your Family? [not-audio_url] [/not-audio_url]

Duration: 32:35
As a busy physician mom or dad, you put everything into your practice and your kids, meaning you want to make sure you're doing the absolute right thing with the money you earn. But when it comes to safeguarding your fam…
#168 Why Your Physician Portfolio Doesn't Need to Be Busy [not-audio_url] [/not-audio_url]

Duration: 27:01
Between managing a packed clinic and a chaotic home life, the last thing any physician needs is a financial statement that looks as cluttered as a playroom floor. Nate and Kyle tackle a question from a Washington dermato…
#167 Are Physicians Itchy About High-Yield Savings Accounts? [not-audio_url] [/not-audio_url]

Duration: 26:01
It’s time to talk about the "cash itch,” that restless feeling doctors get when a healthy high-yield savings account starts to look like a missed opportunity. Nate Reineke and Chelsea Jones dive into a dilemma from a rad…
#166 Physician Mothers Need To Put On Their Oxygen Mask First [not-audio_url] [/not-audio_url]

Duration: 18:10
As we head into Mother’s Day this weekend, we reflect on everything moms do for us. In today’s world, more and more parents are supporting their children for longer. Nate Reineke looks at the question “What should my kid…
#165 Does Tax-Free Growth Beat Liquidity for Docs? [not-audio_url] [/not-audio_url]

Duration: 27:10
When you’re sitting in the 37% tax bracket, the opportunity to shield more wealth from the IRS through a Mega Backdoor Roth feels like a no-brainer. But is the promise of tax-free growth worth the price of locking your m…