#185 Physicians Don’t Need to Move the Financial Goalposts to Win

#185 Physicians Don’t Need to Move the Financial Goalposts to Win

Author: Nate Reineke September 16, 2026 Duration: 30:09

Dessert comes after the vegetables. A seven year old goes along with this because at seven the broccoli takes four minutes and the ice cream shows up in the same hour.

You have been eating vegetables since you were twenty-two.

The lake house for three weeks with your brother's family, all four grandparents in one place while they can still get on a plane, the summer where nobody is covering anybody's shift. Every one of those is sitting on the far side of a plate that somebody keeps refilling, and the ice cream is scheduled for your early sixties, but by that time your kids will be in their late twenties and your parents will have stopped flying.

My great grandfather ran cattle for fifty years and ate his dessert first, every day, before the meal. He was not a man anybody would have called undisciplined.

The pie did not cost him the ranch, and the week at the lake is not going to cost you your retirement.

This week we answer your colleagues' questions:

In “asking for a friend,” we answer, “What is inflation and how does it affect me?”

An Emergency Medicine Doc in Colorado asks: "We have 1.1M in assets and are on track to retire by 60 but I haven’t seen anyone in my group make it past 57 before getting a less demanding job and I still have 50k in private student loans. Can we afford to re-do our basement and go on a vacation?"

A Radiologist in Missouri says, “My company offers a cash balance plan, and I currently contribute $60k per year, but could increase that. Should I contribute more?”

A Dermatologist in Georgia asks, “I am 38, make 800k a year now, but I just went through a divorce and only have about 100k saved for retirement due to switching jobs multiple times before I qualified for retirement benefits. Can I retire before I am 70?”

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
#154 Doctor Dilemma: Pension Plan or Higher Compensation [not-audio_url] [/not-audio_url]

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#152 A Physician's PE Dilemma: Cross the Finish Line or Another Lap? [not-audio_url] [/not-audio_url]

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#148 New Year, New 401K Catch-Up Contribution Rules for Doctors [not-audio_url] [/not-audio_url]

Duration: 27:58
It’s New Year’s Eve! We hope that you have had a wonderful 2025. As we look ahead to 2026, you may be making resolutions or setting goals for yourself. This is a time we all reflect on what changes we’d like to make. As…
#147 What End-of-Year Tax Breaks Should Physicians Utilize? [not-audio_url] [/not-audio_url]

Duration: 33:35
The holiday season brings many fun traditions, like going to see the lights, opening Advent calendars, baking, or shopping for the perfect gift. Since the holidays also signal the end of the year, it can be a time to thi…
#146 Are Mega Backdoor Roths Mega Awesome for Doctors? [not-audio_url] [/not-audio_url]

Duration: 25:03
That benefits packet you skimmed might hide a major opportunity. When it comes to saving for retirement, it can seem like there are a million account types, and it is becoming more common for employers to offer even more…