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    As a former Dean and appointed University Professor and Endowed Department Chair, Dr. David Edward Marcinko MBA was a NYSE broker and investment banker for a decade who was respected for his unique perspectives, balanced contrarian thinking and measured judgment to influence key decision makers in strategic education, health economics, finance, investing and public policy management.

    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

    Later, Dr. Marcinko was a vital and recruited BOD  member of several innovative companies like Physicians Nexus, First Global Financial Advisors and the Physician Services Group Inc; as well as mentor and coach for Deloitte-Touche and other start-up firms in Silicon Valley, CA.

    As a state licensed life, P&C and health insurance agent; and dual SEC registered investment advisor and representative, Marcinko was Founding Dean of the fiduciary and niche focused CERTIFIED MEDICAL PLANNER® chartered professional designation education program; as well as Chief Editor of the three print format HEALTH DICTIONARY SERIES® and online Wiki Project.

    Dr. David E. Marcinko’s professional memberships included: ASHE, AHIMA, ACHE, ACME, ACPE, MGMA, FMMA, FPA and HIMSS. He was a MSFT Beta tester, Google Scholar, “H” Index favorite and one of LinkedIn’s “Top Cited Voices”.

    Marcinko is “ex-officio” and R&D Scholar-on-Sabbatical for iMBA, Inc. who was recently appointed to the MedBlob® [military encrypted medical data warehouse and health information exchange] Advisory Board.

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MEDICAL STUDENTS COMEDY SONGS

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By Dr. David E. Marcinko MBA

***

According to colleague Scott Shreeve MD, music has an amazing way of appealing to basic human emotions. To which I agree.

So, what better way to have a little fun than to watch these medical students strut their entertainment stuff!

***

Talent Bee MD

https://www.bing.com/videos/search?q=medial+students+comedy+songs&&view=detail&mid=AF5AC7ACC5AB1E7C831DAF5AC7ACC5AB1E7C831D&rvsmid=99B4A971FD4434EC68C199B4A971FD4434EC68C1&FORM=VDRVRV

***

M.B.B.S

https://www.bing.com/videos/search?q=MIA%e2%80%98s+Medical+Students+Very+Funny+Song&view=detail&mid=688460D01BF1A8910C79688460D01BF1A8910C79&FORM=VIRE

***

Conclusion

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What is the Secondary Stock Market?

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The Primary versus Secondary Stock Markets

Dr. DEM

By Dr. David E. Marcinko MBA

http://www.CertifiedMedicalPlanner.org

The purchase of common stock in an IPO (initial public offering) is facilitated through the use of members an investment bank underwriting syndicate or selling group. This is known as the primary market and the proceeds of sale go directly to the issuing company.

Six months later however, if a doctor wants to sell his shares, this would be accomplished in the secondary market. The term secondary market refers to trading in outstanding issues as the proceeds do not go to the issuer, but to the current owner of the securities, such as the physician investor.

Therefore, the secondary market provides liquidity to doctors who acquired securities in the primary market. After a doctor has acquired securities in the primary market, he wants to be able to sell the securities at some point in the future in order to acquire other securities, buy a house, or go on a vacation. Such a sale takes place in the secondary market. The medical investor’s ability to convert the asset (securities) into cash is heavily dependent upon the secondary market.

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stock-exchange

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Assessment

All investors would be hesitant to acquire new securities if they felt they would not subsequently have the ability to sell the securities quickly at a fair price in the secondary market.

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

Timeless Art by Pruitt

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My art is now featured on Etsy

I have now stocked my Etsy store with 14 works.

Please come visit me. Take a look around.

“Panhandle Depot” is the first of many

pruitt

[By Darrell K. Pruitt DDS]

The “Panhandle Depot”

Signed and dated, 8×10 print of a high resolution colored pencil painting depicting a Santa Fe locomotive approaching the Panhandle, Texas depot from the East.

***

il_570xn_1109931506_siy7

[The painting is based on a photo I took in 1993. The piece was completed in November, 2016]

More: https://www.etsy.com/listing/487534416/panhandle-depot-color-pencil-print

***

 Dental Mission

And, I came across a drawing from a dental mission that I don’t think I have shared.

 dsc02456

“Difficult Extraction”

[Based on a photo I took in 1992 during a dental mission to Tela, Honduras, on the Caribbean coast of Honduras]

***

Conclusion

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The Most Transformational Era in Financial Services Since the 1980s

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A Retro-Spective End-of-Year Look Back

By Dara Albright Media

Epic Infographic Depicting Why 1981 Was a Defining Moment for the Financial Services Industry

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most-transformational-era-in-financial-services-since-the-1980s-final-367x1024

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Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

 Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™ Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

On Hospital-Acquired Conditions

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For 2010-2015

By http://www.MCOL.com

***

***

More: Healthcare Associated Infections [HAIs]

Conclusion

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A Clever Rap Anthem About Electronic Health Records

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On EHRs

A Re-Post Report by Jaan Sidorov

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broken PC

Clever Rap Anthem About Electronic Health Records

Assessment

ZDoggMD makes some good points, slips in a sly reference about one EHR provider and salutes another.

Ten years that have passed since he wrote this article, and we still have a way to go.

Conclusion

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Is this Really: A [Healthcare] Social Media Impact Factor?

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In Medicine?

@nicholas_bagley

***

social-media-impact

via Tom Gauld:@afrakt

 Social media impact factor

More:

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Socio-Economic Factors and Hospital Ratings

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By http://www.MCOL.com

STARS in Michigan

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graphoid121416

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***

How debt affects the income to happiness ratio?

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Debt and Un-Happiness

Rick Kahler MS CFP

By Rick Kahler CFP®

I have written previously about the plethora of research that shows a link between income and happiness.

Most of those studies find that the more money people bring in, the happier they are—until earnings exceed $75,000, at which time the correlation declines.

What I’ve never thought to address when I have reported on these studies is how debt affects the income to happiness ratio. I inherently assumed that the income level was free of consumer debt, meaning the individual lived on what they made. The only debt I assumed was a mortgage payment, that also included property taxes and insurance, of no more than 25% of income. This means a family earning $75,000 has a maximum housing cost of 1,500 per month.

In Rapid City, SD, that will get you a very comfortable, upper middle-class home or rental.

Further, I assumed any increase in income meant no corresponding increase in consumer debt. A few comments from readers who didn’t understand my unwritten assumption opened my eyes.

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broken PC

UNHAPPINESS

***

Example:

One man—I’ll call him Sean—said my data must be flawed.

For him, a significant increase in income when he graduated from college did not increase his well-being but actually created increased ill-being. When Sean graduated from college he was earning $20,000 at his minimum wage job but had no debt. Upon graduation he secured a position paying $70,000 a year, which theoretically should have had him doing a financial happy dance.

Here’s what happened instead:

He upgraded his paid-off clunker for a brand new car, taking on a $45,000 debt with an $823 a month payment. From dorm living at his state school of about $500 a month, he went to a $1,500 a month mortgage payment on a starter home he bought for $225,000 with a $25,000 down payment gifted to him by his grandparents. To furnish the house, he ran up a $20,000 balance on his credit card, which meant monthly payments of $750. His student debt of $80,000 kicked in, with payments of $750 a month. That’s $3,323 a month in additional spending, or $39,876 a year, and a total debt of $345,000. That means his $70,000 new job was actually the equivalent of earning $30,124 a year with no debt.

No wonder he wasn’t happier.

The Studies

A study from Purdue, “Debt and Subjective Well-being: The Other Side of the Income-Happiness Coin,” published in the Journal of Happiness Studies, finds my hunch was right. More income coupled with more debt does not mean more happiness. In fact, as in Sean’s case, it often means just the opposite.

The study specifically targeted the impact of college loan debt on students who had been out of college and in the work force for seven years. The study found the higher the debt to income ratio, the lower the overall happiness.

In another study from the University of Wisconsin-Madison, “Household Debt and Adult Depressive Symptoms,” researchers Lawrence M. Berger, J. Michael Collins, and Laura Cuesta found that consumer debt is positively associated with ill-being and greater depression. The groups most affected by consumer debt are those less educated or who are approaching retirement age.

Assessment

My recommendation for financial well-being is that, if you have to borrow to buy something other than real estate, don’t.

  • Keeping your financial obligations to a sensible amount of long-term housing debt is the best foundation for building financial well-being.
  • Don’t let an increase in income lure you into an increase in debt.

When you keep your consumer debt load small, earning more money is much more likely to increase your overall happiness and well-being.

MORE:

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™    Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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On Pre-Retirement Planning

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By Charles Schwab

A 12-Month Playbook

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retirementcountdown_r5_3

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More:

Conclusion

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Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

The Role of Asset Classes

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By Charles Schwab

Various Asset Classes and Diversification

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infographic_web-1-updated_3

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More:

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

On Doctor Labor Strikes?

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By staff reporters

And, Medical Unions?strike

Doctors on Strike

[Source: Reddit via Dr. Paul Hilbert, Navarre Fla, via PMNews]

***

MORE:

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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Invite Dr. Marcinko

On Rising Interest Rates

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By Charles Schwab

What They Could Mean for You

The FMOC rose interest rates today.

So, what does this mean for all of us?

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infographic_120916_rising_interest_rates_mean_you_final

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More:

Videos:

Assessment

Be aware that although the FED does indeed control overnight and short-term IRs; it is the market-place that controls longer-term rates. So, don’t fret.

-Dr. David Edward Marcinko MBA

No alt text provided for this image

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

Money and Millennials?

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By TD Waterhouse

Savings Goals

***

***

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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***

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

A Social Security Taxation Synopsis

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By Vanguard Services

Infographic on Social Security Taxation

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social_security_infographic_112016

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Conclusion

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OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™  Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

The State of Provider Directory Accuracy

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Medical Provider Directory Update Requirements

By http://www.MCOL.com

***

graphoid120716

To view this infoGraphoid in a web browser, click here

***

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

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We’re open to all kinds of related subjects on the business of medical practice, healthcare economics and finance, HIT and personal financial planning and investing for doctors and all medical professionals.

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6dfbe983-4a90-4135-af01-c4f1b217db06

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So, if you’d like to comment or be a featured guest on our blog, or know of a great post we should feature or re-print, just let us know by emailing me!

Ann Miller RN MHA

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On Retirement Abroad

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On the new impetus to leave the USA

Rick Kahler MS CFP

By Rick Kahler MSFS CFP®

The recent presidential election was the most contentious and polarizing in modern history.

In the past it hasn’t been unusual to hear people say, “If _________ is elected I am leaving the country,” but I’ve rarely seen anyone actually act on that threat. I have a hunch that since this election more people than ever will seriously consider the option of leaving the US.

In fact, according to InternationalLiving.com, there was a 160% surge in searches for terms like “move overseas” and “expats overseas” the day after the election. Canada’s immigration website reportedly crashed on election night.

This new impetus to leave the US aside, the trend to retire overseas was already underway. The Social Security Administration already sends over 660,000 checks to US citizens living outside our borders. Retirees are looking to foreign locales for lower cost of living, especially more affordable health care, and warmer weather.

International Living

If living abroad appeals to you, the editors at International Living recommend five retirement havens that you may want to seriously consider.

Mexico is a great place to live when it comes to stretching your dollar, as the exchange rate today is 20.07 pesos to $1. Combine that with already low costs for real estate, food, restaurants, entertainment, and transportation, and a retired couple has the spending power to live very well on around $1,800 a month. Many expats choose to live in Mexico’s Colonial Highlands. Three popular towns in the region are San Miguel de Allende, Querétaro, and Guanajuato.

Costa Rica offers a choice of climates from beaches to rainforests to cool mountains. It also provides a low cost of living, excellent healthcare, modern telecommunications, arts, and fine dining. More than 50,000 expats already live here in a variety of established expat communities.

Panama offers a comfortable lifestyle, in part because the nation is much more modern and developed than most visitors expect. In Panama City, all of the amenities of a world-class city are readily available. Yet expats can still find haircuts or taxi rides for only a couple of dollars, and dinner and a bottle of wine for two at one of the finest restaurants in Panama City is only about $40.

Belize offers some big advantages—affordable living, economic stability, a strong retiree program, and a wonderful climate if you like the tropics. Fans of fishing, sailing, swimming, and snorkeling will appreciate its beautiful beaches and coastline. Moreover, it is an English-speaking country. For expats who are ready to move abroad but are daunted by the idea of learning a new language, Belize could be the ideal place.

In considering retirement destinations, Peru probably isn’t the first county to come to mind. We associate it mostly with llamas, mountains, and the amazing Machu Picchu. But after a recent visit, InternationalLiving.com editor Jason Holland described it as “one of the world’s best kept secrets.” He wrote: “Food is cheap—and very tasty. Rents are affordable even for those on super-low budgets—$200 to $400 gets you a nice place in a great neighborhood. The climate is comfortable…the people friendly…there are modern services…and the vibrant mix of music, festivals, indigenous culture, and colonial history is evident everywhere you turn.”

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mayflower

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Assessment

Before you decide to move outside of the US, do thorough research. Find out about tax laws and residency requirements in both the US and your possible destinations. Live in your chosen country for a several-month trial period. Most importantly, consider carefully the emotional and practical ramifications of moving away from family and your familiar surroundings. Retiring abroad may be the right choice for you, but it is not a decision to make lightly.

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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PP-ACA Change or Repeal for 2017?

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Potential Component Changes

By http://www.MCOL.com

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infographic

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MORE: Podcast: Third Quarter Health Plan Financial Reports

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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The Amazing Future of Dentistry and Oral Health

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Bert Mesko

By Bertalan Meskó, MD PhD

The Amazing Future of Dentistry and Oral Health

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Conclusion

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Product DetailsProduct DetailsProduct Details

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On Children Who Lack Essential Healthcare

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By http://www.MCOL.com

More than 1 in 4 Youngsters in the USA

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Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

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A Survey of Top American Fears

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Rick Kahler MS CFP

 

By Rick Kahler MSFS CFP®

Not long ago, one of Americans’ top fears was public speaking. Apparently Toastmasters is working; this fear didn’t even make this year’s Top 10 list.

Survey of American Fears

Chapman University recently completed its third Survey of American Fears, as reported in an October 12 article in Science Daily. Based on responses to questions about 65 potential fears from more than 1,500 adult participants, here are the top 10 things Americans fear:

  1. Corruption of government officials (same top fear as 2015)
  2. Terrorist attacks
  3. Not having enough money for the future
  4. Being a victim of terror
  5. Government restrictions on firearms and ammunition
  6. People I love dying
  7. Economic or financial collapse
  8. Identity theft
  9. People I love becoming seriously ill
  10. The Affordable Health Care Act/”Obamacare”

Four of these top fears (numbers 3, 7, 8, and 10) relate directly to financial health

The survey additionally identified four attitudes essential to motivating ourselves to protect against a fear:

  1. This can happen to me.
  2. This is serious.
  3. I can actually do something to help myself.
  4. Taking action will make a difference.

Let’s apply these attitudes to just one of the top fears: not having enough money for the future.

There’s a good reason this fear made the top ten. Around 70% of all Americans live paycheck to paycheck. Faced with a sudden need for $1,000, 75% would need to sell something or borrow to come up with the money. Around 48% would need to sell something or borrow just to come up with $400. Clearly, many Americans are not saving for emergencies and retirement.

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fear

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Motivation

Let’s look at the first motivator, This can happen to me. We are a nation of optimists. Many have money scripts like “The money will always be there,” and “Social Security and future government programs will provide for me.” We don’t consider realities such as the meager living Social Security would provide or whether taxpayers can or will support expanding aid programs. Thinking happy thoughts won’t create emergency reserves or retirement investments.

Which brings us to This is serious. If you are not investing enough money from each paycheck to continue your standard of living into retirement, it is really serious. If you retire unprepared and underfunded, it will be too late to save. And continuing to work won’t be an option for 8 out of 10 because of health reasons or inability to find a job. This is serious.

I can actually do something to help myself. Today, while you have a job and your health, you can make changes. You can get creative to reduce your standard of living and begin to save and invest. You can change your diet and take better care of your health so you can work longer. You can go back to school and reeducate yourself so you stay relevant in the workforce. You can make double and triple payments on your debts and become debt free. You can relocate to an area with a lower cost of living. You can even focus on rebuilding great relationships with your kids so they may let you move in with them in your last years.

Taking action will make a difference. Indeed it will—and starting now is key. Someday is today. Search online for printed materials, online courses, local classes, or professionals that can help you create spending plans that work, get out of debt, creatively cut expenses, increase your income, and maximize your investment growth.

Assessment

There is a lot you can do to help yourself, and your most important action is to take a first step. 

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

 Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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Family Caregivers Costs

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By http://www.MCOL.com

Out-of-Pocket Expenses

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graphoid112316

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Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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Daniel Vande Lune MD on How HCQIA provided immunity is misused by hospitals for sham peer-review

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Originally posted on Disrupted Physician

PUBLISHER’S NOTE: From time-to-time the ME-P might re-post an essay or opinion of vital interest to our readers and industrial ecosystem. This article is one of those times from an Award Winning Blogger and physician colleague from the Disrupted Physician. Feel free to visit his website directly and support his work as you deem fit.

https://www.gofundme.com/PHPReform

Langan MD

 The Ability for Hospitals to Hide behind the Immunity of HCQIA and the Abuse and Coercion by the PHP: my story and caveats.

I have been asked to write a guest blog and whole heartedly agreed. I am not afraid to tell my story ……

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Guest Post: Dr. Daniel Vande Lune, MD discusses how HCQIA provided immunity is misused by hospitals for sham peer-review — Disrupted Physician

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Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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What’s a “Tombstone”Ad?

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Tombstone Advertising and the Securities Prospectus

DEM tie

By Dr. David E. Marcinko MBA CMP™

Despite certain SEC restriction, some idea of potential demand for a new securities issue can be gauged and have a bearing on pricing decisions.

For example, as CEO of a medical instrument company, or interested investor, would you rather see a great deal of interest in a potential new issue or not very much interest?

http://www.CertifiedMedicalPlanner.org

cmp

There is however, one kind of advertisement that the underwriter can publish during the cooling off period. It’s known as a tombstone ad. The ad makes it clear that it is only an announcement and does not constitute an offer to sell or solicit the issue, and that such an offering can only be made by prospectus.  SEC Rule 134 of the 1933 Act itself, refers to a tombstone ad as “communication not deemed a prospectus” because it makes reference to the prospectus in the ad. Tombstones have received their name because of the sparse nature of details found in them. However, the most popular use of the tombstone ad is to announce the effectiveness of a new issue, after it has been successfully issued. This promotes the success of both the underwriter, as well as the company.

http://www.HealthDictionarySeries.org

HDS

Since distributing securities involves potential liability to the investment bank, it will do everything possible to protect itself. So, near the end of the cooling off period, a meeting is held between the underwriter and the corporation. It is known as a due diligence meeting. At this meeting they both discuss amendments that are going to be necessary to make the registration statement complete and accurate. The corporate officers and the underwriters sign the final registration statement. They have civil liability for damages that result from omissions of material facts or misstatements of fact. They also have criminal liability if the distribution is done by use of fraudulent, manipulative, or deceptive means. Due diligence takes on a whole new meaning when incarceration from a half-hearted underwriting effort; can occur. The investment bank strives to ensure that there have been no material changes to the issuer or the terms of the issue since the registration statement was filed.

Again, as a physician, how would you feel if you were an investment banker raising capital for a new pharmaceutical company that had developed a drug product that was highly marketable. But, on the day after the issue was effective, there was a major news story indicating that the company was being sued for patent infringement? What effect do you think that would have on the market price of this new issue? It would probably plunge. How could this situation have been prevented? The due diligence meeting is more than a cocktail party or a gathering in a smoke filled room. Otherwise, the company would require specially trained people, to do a patent search lessening the likelihood of this scenario. At the due diligence meeting, work is done on the preparation of the final prospectus, but the investment bank does not set the public offering price or the effective date at this meeting. The SEC will eventually set the effective date for the registration and it is on that date that the final offering price will be determined.

Once the SEC sets the effective date, sales may be executed and money can be accepted by the investment bank. It is at this time that the final prospectus, similar to the red herring but without the red ink and with the missing numbers, is issued. A prospectus is an abbreviated form of the registration statement, distributed to purchasers, on and after the effective date of the registration. It is not the same as the registration statement. A typical registration statement consists of papers that stand more than a foot high; rarely does a prospectus go beyond 40 or 50 pages. All purchasers will receive a final prospectus and then it becomes permissible for the underwriter to provide sales literature.

Two Requirements

In addition to the requirement that a prospectus must be delivered to a purchaser of new issues no later than with confirmation of the trade, there are two other requirements which physicians, medical professionals and healthcare executive investors should know.

90-day: When an issuer has an initial public offering (IPO), there is generally a lack of publicly available material relating to the operations of that issuer.  Because of this, the SEC requires that all members of the underwriting group make available a prospectus on an IPO for a period of 90 days after the effective date. 

40-day: Once an issuer has gone public, there are a number of routine filings that must be made with the SEC so there is publicly available information regarding the financial condition of that issuer. Since additional information is now available, the SEC requires that, on all issues other than IPOs, any member of the underwriting group must make available a prospectus for a period of 40 days after the effective date.

Assessment

In the event that the investment bankers misgauged the marketplace, and the issue moves quite slowly, it is possible that information contained in the prospectus would be rendered obsolete by the SEC. Specifically, the SEC requires that any prospectus used more than 9 months after the effective date, may not have any financial information more than 16 months old. It can however, be amended or stickered, with updated information, as needed. 

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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