Critical Risk Management for Physicians Today

Posted on October 20, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

More Difficult than Ever Before

By Brian J. Knabe MD, Certified Medical Planner

www.SavantCapital.com

Historically, the term “risk management” has brought to mind one subject for the practicing physician – medical malpractice. Unfortunately, physicians today face a multitude of other risks which may be more insidious and daunting than malpractice. It is important to recognize these risks, and to have the appropriate procedures and policies in place to mitigate the risks. These risks come from the federal government, state government, insurance companies, patients, employees, and even prospective employees. Some risks, many unique to small businesses and medical practices, include the following:

Medicare recoupment risk – challenges to coding and subsequent billing by the physician.
Medicare fraud. Numerous laws can be used by the federal government to go after the physician, including the Medicare and Medicaid Anti-Fraud and Abuse Statute, the RICO statute, and the Federal False Claims Act. The recently enacted Patient Protection & Affordable Care Act aims to save money by increasing funding for anti-fraud efforts.
Insurance fraud. An inquiry from Medicare to look for fraud in a physician’s practice is often followed by similar efforts by insurance companies.
The HIPPA Act of 1996 creates new definitions and penalties to use against the physician.
Self referral risks. Federal regulations in this area include the Medicare Anti-Fraud and Abuse Statute, the Medicare Safe Harbor Regulations, and the Stark Amendment.
Federal agency risks. These include regulations from the Occupational Health and Safety Agency (OSHA), Health and Human Services (HHS), the Drug Enforcement agency (DEA), and even the Environmental Protection Agency (EPA).
Anti-trust risks. The Department of Justice (DOJ) and Federal Trade Commission (FTC) formulate regulations in this arena.
Managed care contractual risks. Most managed care contracts require the individual physician rather than the professional corporation to sign the contract, thus placing the physician’s personal assets at risk.
Medical malpractice risks. Although the vast majority of claims are paid by the insurance carrier, there can be other adverse consequences for the physician. These include the risk of increased premiums, non-renewal of policies, and difficulty in getting replacement insurance.
Loss of income due to death or disability. Most physicians recognize the importance of life insurance, but the medical professional is actually much more likely to lose income due to disability at some point in his or her career.

http://www.amazon.com/Insurance-Management-Strategies-Physicians-Advisors/dp/0763733423/ref=sr_1_6?ie=UTF8&qid=1375149801&sr=8-6&keywords=marcinko+david

The practicing physician should seek the advice of professionals with expertise in these areas. Every practice should have an experienced attorney on retainer. It is very important to seek advice from fiduciaries – experts who have no conflicts of interest and who can therefore act in the best interest of the client. A Certified Medical Planner is such a fiduciary with training and expertise in these areas.

http://www.CertifiedMedicalPlanner.org

It can be particularly challenging to find an insurance advisor with no conflicts of interest, as this industry is built upon product sales and commissions. One such insurance advisor is Scott Witt, a fee-only insurance advisor with Witt Actuarial Services (www.wittactuarialservices.com).

Others can be found with an internet search for “fee only insurance advisor”.

Conclusion

Your comments on this ME-P are appreciated. How do you select an advisor? Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, be sure to subscribe. 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

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

Sponsors Welcomed: And, credible sponsors and like-minded advertisers are always welcomed.

Link: https://healthcarefinancials.wordpress.com/2007/11/11/advertise

***

Filed under: CMP Program, Experts Invited, Op-Editorials, Practice Management, Risk Management | Tagged: brian knabe, CMS, DOJ, financial advisors, FTC, HHS, HIPAA, insurance agents, Marcinko, medicare, Medicare compliance, National Association of Personal Financial Advisors, OSHA, RICO, www.certifiedmedicalplanner.com | Leave a comment »

SOCIALIZED MEDICINE: Can it Save Healthcare in the USA

Posted on October 20, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Can Socialized Medicine Save U.S. Healthcare?

The U.S. healthcare system is often criticized for its high costs, unequal access, and inconsistent outcomes. With nearly 30 million Americans uninsured and many more underinsured, the question arises: could socialized medicine be the solution to these systemic issues?

Socialized medicine refers to a system where the government owns and operates healthcare facilities and employs medical professionals, funded primarily through taxation. While the term is often used pejoratively in American discourse, countries like the United Kingdom and Sweden have long embraced such models. These systems guarantee universal access to healthcare, regardless of income or employment status.

One of the strongest arguments in favor of socialized medicine is its potential to reduce overall healthcare costs. In the U.S., administrative expenses, profit margins, and fragmented billing systems contribute to exorbitant prices. A centralized system could streamline operations, negotiate better drug prices, and eliminate the need for private insurance middlemen. Countries with socialized systems typically spend less per capita on healthcare while achieving comparable or better health outcomes.

Moreover, socialized medicine could address the issue of healthcare access. In the current U.S. model, losing a job often means losing health insurance. Even with the Affordable Care Act, many Americans face high premiums and deductibles. A government-run system would ensure that healthcare is a right, not a privilege, and that no one is denied care due to financial constraints.

***

However, critics argue that socialized medicine could lead to longer wait times, reduced innovation, and lower quality of care. They point to examples in Canada and the U.K. where patients sometimes wait weeks or months for non-emergency procedures. Additionally, skeptics fear that government control could stifle competition and reduce incentives for medical advancement.

Yet, these concerns may be overstated. Many countries with socialized systems still foster innovation through public-private partnerships and maintain high standards of care. France, for example, combines universal coverage with private providers and consistently ranks among the top healthcare systems globally.

Transitioning to socialized medicine in the U.S. would be a monumental task, requiring political will, public support, and a reimagining of healthcare financing. It would disrupt entrenched interests, including insurance companies and pharmaceutical firms. But if the goal is to create a more equitable, efficient, and humane system, socialized medicine deserves serious consideration.

In conclusion, while not a panacea, socialized medicine offers a compelling framework for addressing the deep-rooted problems in U.S. healthcare. By prioritizing access, affordability, and public health over profit, it could pave the way for a healthier and more just society.

COMMENTS APPRECIATED

EDUCATION: Books

SPEAKING: ME-P Editor Dr. David Edward Marcinko MBA MEd will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit an RFP for speaking engagements: CONTACT: Ann Miller RN MHA at MarcinkoAdvisors@outlook.com -OR- http://www.MarcinkoAssociates.com

Like, Refer and Subscribe

***

Filed under: "Doctors Only", Ask a Doctor, Ethics, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Managed Care, Touring with Marcinko | Tagged: ACA, david marcinko, PP-ACA, socialized healthcare, socialized medicine, US haelthcare, US healthcare | Leave a comment »

Unlock Your Career with Micro-Certifications

Posted on October 19, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Micro-Credentials on the Rise

KNOWLEDGE RICHES IN SPECIALTY NICHES

DR. DAVID EDWARD MARCINKO MBA MEd CMP™

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

Do you ever wish you could acquire specific information for your career activities without having to complete a university Master’s Degree or finish our entire Certified Medical Planner™ professional designation program? Well, Micro-Certifications from the Institute of Medical Business Advisors, Inc., might be the answer. Read on to learn how our three Micro-Certifications offer new opportunities for professional growth in the medical practice, business management, health economics and financial planning, investing and advisory space for physicians, nurses and healthcare professionals.

Micro-Certification Basics

Stock-Brokers, Financial Advisors, Investment Advisors, Accountants, Consultants, Financial Analyists and Financial Planners need to enhance their knowledge skills to better serve the changing and challenging healthcare professional ecosystem. But, it can be difficult to learn and demonstrate mastery of these new skills to employers, clients, physicians or medical prospects. This makes professional advancement difficult. That’s where Micro-Certification and Micro-Credentialing enters the online educational space. It is the process of earning a Micro-Certification, which is like a mini-degree or mini-credential, in a very specific topical area.

Micro-Certification Requirements

Once you’ve completed all of the requirements for our Micro-Certification, you will be awarded proof that you’ve earned it. This might take the form of a paper or digital certificate, which may be a hard document or electronic image, transcript, file, or other official evidence that you’ve completed the necessary work.

Uses of Micro-Certifications

Micro-Certifications may be used to demonstrate to physicians prospective medical clients that you’ve mastered a certain knowledge set. Because of this, Micro-Certifications are useful for those financial service professionals seeking medical clients, employment or career advancement opportunities.

Examples of iMBA, Inc., Micro-Certifications

Here are the three most popular Micro-Certification course from the Institute of Medical Business Advisors, Inc:

1. Health Insurance and Managed Care: To keep up with the ever-changing field of health care physician advice, you must learn new medical practice business models in order to attract and assist physicians and nurse clients. By bringing together the most up-to-date business and medical prctice models [Medicare, Medicaid, PP-ACA, POSs, EPOs, HMOs, PPOs, IPA’s, PPMCs, Accountable Care Organizations, Concierge Medicine, Value Based Care, Physician Pay-for-Performance Initiatives, Hospitalists, Retail and Whole-Sale Medicine, Health Savings Accounts and Medical Unions, etc], this iMBA Inc., Mini-Certification offers a wealth of essential information that will help you understand the ever-changing practices in the next generation of health insurance and managed medical care.
2. Health Economics and Finance: Medical economics, finance, managerial and cost accounting is an integral component of the health care industrial complex. It is broad-based and covers many other industries: insurance, mathematics and statistics, public and population health, provider recruitment and retention, health policy, forecasting, aging and long-term care, and Venture Capital are all commingled arenas. It is essential knowledge that all financial services professionals seeking to serve in the healthcare advisory niche space should possess.
3. Health Information Technology and Security: There is a myth that all physician focused financial advisors understand Health Information Technology [HIT]. In truth, it is often economically misused or financially misunderstood. Moreover, an emerging national HIT architecture often puts the financial advisor or financial planner in a position of maximum uncertainty and minimum productivity regarding issues like: Electronic Medical Records [EMRs] or Electronic Health Records [EHRs], mobile health, tele-health or tele-medicine, Artificial Intelligence [AI], benefits managers and human resource professionals.

Other Topics include: economics, finance, investing, marketing, advertising, sales, start-ups, business plan creation, financial planning and entrepreneurship, etc.

How to Start Learning and Earning Recognition for Your Knowledge

Now that you’re familiar with Micro-Credentialing, you might consider earning a Micro-Certification with us. We offer 3 official Micro-Certificates by completing a one month online course, with a live instructor consisting of twelve asynchronous lessons/online classes [3/wk X 4/weeks = 12 classes]. The earned official completion certificate can be used to demonstrate mastery of a specific skill set and shared with current or future employers, current clients or medical niche financial advisory prospects.

Mini-Certification Tuition, Books and Related Fees

The tuition for each Mini-Certification live online course is $1,250 with the purchase of one required dictionary handbook. Other additional guides, white-papers, videos, files and e-content are all supplied without charge. Alternative courses may be developed in the future subject to demand and may change without notice.

***

Contact: For more information, or to speak with an academic representative, please contact Ann Miller RN MHA CMP™ at Email: MarcinkoAdvisors@msn.com [24/7].

***

Filed under: "Advisors Only", "Ask-an-Advisor", Book Reviews, Career Development, CMP Program, Experts Invited, Financial Planning, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Investing, Op-Editorials, Touring with Marcinko | Tagged: accountants, certifications, certified medical planner, CMP, financial advisors, financial planners, investment advisors, Marcinko, micro, micro-certifications, micro-credentials | Leave a comment »

Understanding 4 Key Financial Psychological Biases

Posted on October 19, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The following are 4 common financial psychological biases. Some are learned while others are genetically determined (and often socially reinforced). While this essay focuses on the financial and investing implications of these biases, they are prevalent in most areas in life.

STOCK MARKET: https://medicalexecutivepost.com/2024/10/13/stock-market-a-zero-sum-bias/

Loss aversion affected many investors during the stock market crash of 2007-08 or the flash crash of May 6, 2010 also known as the crash of 2:45. During the crash, many people decided they couldn’t afford to lose more and sold their investments.

Of course, this caused the investors to sell at market troughs and miss the quick, dramatic recovery.

Overconfident investing happens when we believe we can out-smart other investors via market timing or through quick, frequent trading.

Data convincingly shows that people who trade most often under-perform the market by a significant margin over time.

Mental accounting takes place when we assign different values to money depending on where we got it.

For instance, even though we may have an aggressive saving goal for the year, it is likely easier for us to save money that we worked for than money that was given to us as a gift.

Herd mentality makes it very hard for humans to not take action when everyone around us does.

For example, we may hear stories of people making significant profits buying, fixing up, and flipping homes and have the desire to get in on the action, even though we have no experience in real estate.

CITE: https://www.r2library.com/Resource/Title/0826102549

COMMENTS APPRECIATED

Thank You

***

Filed under: "Ask-an-Advisor", "Doctors Only", Accounting, Alternative Investments, Career Development, Ethics, Glossary Terms, Investing, Marcinko Associates | Tagged: biases, Cognitive Biases, finance, Flash Crash, herd mentality, Investing, investment, loss aversion, Marcinko, mental accounting, over confident investing, real estate, real-estate, S&P 500 | Leave a comment »

DENTISTRY: Stress, Burnout, Divorce and Practice Turmoil

Posted on October 19, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters and A.I.

***

***

Dentistry is often perceived as a stable and rewarding profession, yet beneath the surface lies a troubling reality: dentists face disproportionately high levels of stress, burnout, divorce, practice turmoil, and even suicide. These issues stem from a complex interplay of emotional, financial, and professional pressures that uniquely affect dental practitioners.

Emotional and Psychological Strain

Dentists frequently operate in high-stakes environments where precision is paramount. The pressure to deliver flawless results while managing patient anxiety and discomfort can be overwhelming. Many patients fear dental procedures, and this fear often manifests as hostility or distrust, placing emotional strain on the dentist. Over time, the cumulative effect of these interactions can lead to compassion fatigue and emotional exhaustion.

The Amazing Future of Dentistry and Oral Health

Isolation and Professional Loneliness

Unlike other medical professionals who often work in collaborative hospital settings, dentists typically operate in solo or small group practices. This isolation can limit opportunities for peer support and professional camaraderie. Without a strong support network, dentists may struggle to process the emotional toll of their work, increasing their vulnerability to depression and burnout.

Financial and Business Pressures

Running a dental practice involves more than clinical expertise—it requires business acumen. Dentists must manage overhead costs, staff salaries, insurance reimbursements, and patient billing. The financial burden of student loans, often exceeding six figures, adds to the stress. Economic downturns or shifts in healthcare policy can destabilize practices, leading to turmoil and uncertainty.

***

Work-Life Imbalance and Marital Strain

The demanding nature of dentistry often spills into personal life. Long hours, administrative responsibilities, and the emotional weight of patient care can leave little time or energy for family. This imbalance contributes to high divorce rates among dentists. The stress of maintaining a successful practice while nurturing personal relationships can become untenable, especially without adequate coping mechanisms.

Burnout and Suicide Risk

Burnout in dentistry is alarmingly common. A study by the American Dental Association found that 84% of dentists report experiencing burnout at some point in their careers.

Breaking the Cycle

METAVERSE: Dentistry and Dental Education

Addressing these challenges requires systemic change. Mental health support, peer mentorship, and business education should be integrated into dental training. Encouraging open conversations about stress and providing resources for emotional well-being can help reduce stigma and promote resilience.

By acknowledging the hidden struggles of dentistry, the profession can move toward a healthier, more sustainable future.

COMMENTS APPRECIATED

Like, Refer and Subscribe

***

Filed under: Ask a Doctor, Career Development, CMP Program, Ethics, Health Economics, Practice Management | Tagged: ADA, American Dental Association, CMP, DDS, demtal suicide, dental burn out, dental stress, disabled, DMD, health-wellness, nursing homes | Leave a comment »

Understanding Doctorate Degrees: A Clear Guide

Posted on October 18, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

Is the Doctor – In?

SPONSOR: http://www.CertifiedMedicalPlanner.org

INFO-GRAPHIC

***

***

What Is a Doctorate Degree?

Doctorate, or doctoral, is an umbrella term for many degrees — PhD among them — at the height of the academic ladder. Doctorate degrees fall under two categories, and here is where the confusion often lies.

The first category, Research (also referred to as Academic) includes, among others:

Doctor of Philosophy (PhD)
Doctor of Business Administration (DBA)
Doctor of Education (EdD)
Doctor of Theology (ThD)

The second category, Applied (also referred to as Professional) includes, among others:

Doctor of Medicine (MD)
Doctor of Podiatric Medicine (DPM)
Doctor Of Osteopathic Medicine (DO)
Doctor of Dental Surgery (DDS)
Doctor of Optometry (OD)
Doctor of Psychology (PsyD)
Juris Doctor (JD)

As you can see, applied doctorates are generally paired with very specific careers – medical doctors, podiatrists, dentists, optometrists, psychologists, and law professionals.

When it comes to outlining the differences between a PhD and doctorate, the real question should be, “What is the difference between a PhD and an applied doctorate?” The answer, again, can be found in the program outcomes. The online Doctor of Psychology at UAGC, for example, lists outcomes that are heavily focused on the ability to put theory into practice in a professional setting. For example:

Apply best practices in the field regarding professional values, ethics, attitudes, and behaviors
Exhibit culturally diverse standards in working professionally with individuals, groups, and communities who represent various cultural and personal backgrounds
Utilize a comprehensive psychology knowledge base grounded in theoretical models, evidence-based methods, and research in the discipline
Integrate leadership skills appropriate in the field of psychology
Critically evaluate applied psychology research methods, trends, and concepts

Bottom line: As the PhD is more academic, research-focused, and heavy on theory, an applied doctorate degree is intended to master a subject in both theory and practice.

Can a PhD Be Called a Doctor?

The debate over whether a PhD graduate should be called a doctor has existed for decades, and if you’re a member of this exclusive club, you’ll no doubt hear both sides of the argument during your lifetime. After all, if a PhD is a doctor, can a person with a doctoral degree in music – the Doctor of Musical Arts (DMA) – be called a doctor as well?

Those in favor argue that having “Dr.” attached to your name indicates that you are an expert and should be held in higher regard. For some, the debate is at the heart of modern gender disparity. For example, on social media and in some academic circles, there is an argument that female PhD holders should use the “Dr.” title in order to reject the notion that women are less worthy of adding the title to their name once they have earned a doctoral degree.

The American Psychological Association has, for years, challenged the Associated Press (AP) and other news outlets to broaden its use of “Dr.” beyond those that practice medicine – MDs, podiatrists, dentists, etc. – in its reporting. However, the organization was rebuked, as the AP argued that, “It comes down to a basic distinction. Psychologists earn PhDs, and AP style allows the ‘Dr.’ title only for those with medical degrees.”

The AP has, thus far, refused to change their style guide when it comes to the “doctor question.”

COMMENTS APPRECIATED

Refer and Subscribe

***

***

Filed under: "Doctors Only", Career Development, CMP Program, Experts Invited, Glossary Terms, iMBA, Inc., Op-Editorials, Professional Liability, Quality Initiatives | Tagged: American Psychological Association, AP, APA, Associated Press, CMP, DBA, DCS, DDS, DMA, DMD, DNP, DNSc, DO, doctor, DPM, DSc, EdD, education, EngD, higher-education, JD, MD, MEd, news, OD, PhD, Psy.D, research, ThD, UAGC | Leave a comment »

FINANCIAL PLANNERS: Part Time Employment Difficulties

Posted on October 18, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

Why It Is Difficult to Be a Part-Time Financial Planner Today

In theory, part-time financial planning offers flexibility and work-life balance, making it an attractive option for professionals seeking reduced hours. However, in practice, the role of a financial planner has evolved into a demanding, full-time commitment. The complexity of financial markets, client expectations, regulatory requirements, and technological advancements make part-time financial planning increasingly difficult to sustain.

One of the primary challenges is client relationship management. Financial planning is deeply personal and trust-based. Clients expect consistent communication, timely updates, and proactive advice. A part-time planner may struggle to maintain the same level of responsiveness as full-time counterparts, especially during volatile market conditions or life-changing events like retirement, divorce, or inheritance. Delayed responses or limited availability can erode client confidence and damage long-term relationships.

***

Another obstacle is the rapid pace of financial change. Tax laws, investment products, insurance regulations, and retirement planning strategies are constantly evolving. Staying current requires ongoing education, certifications, and industry engagement. For part-time planners, keeping up with these changes while managing clients and administrative tasks can be overwhelming. Falling behind risks offering outdated or suboptimal advice, which could lead to compliance issues or client dissatisfaction.

Regulatory compliance adds another layer of complexity. Financial planners must adhere to strict standards set by organizations like FINRA, the SEC, and state regulators. These include documentation, disclosures, fiduciary responsibilities, and continuing education. Compliance is non-negotiable and time-consuming, regardless of hours worked. Part-time planners face the same scrutiny and liability as full-time professionals, but with fewer hours to manage the workload.

Technology, while a powerful tool, also presents challenges. Clients increasingly expect digital access to their portfolios, real-time updates, and virtual meetings. Managing these platforms requires technical proficiency and regular maintenance. Part-time planners may find it difficult to keep systems updated, troubleshoot issues, or provide tech support, especially if they lack dedicated staff.

Business development is another hurdle. Building and maintaining a client base requires networking, marketing, and referrals. Part-time planners often have limited time to attend events, follow up with leads, or cultivate relationships. This can hinder growth and make it difficult to compete with full-time advisors who are more visible and accessible.

Finally, there’s the issue of income and scalability. Many financial planners earn through commissions, assets under management (AUM), or fee-based models. Part-time work often means fewer clients and lower revenue, which can make it hard to justify the costs of licensing, insurance, software, and office space. Without scale, profitability becomes a challenge.

In conclusion, while the idea of part-time financial planning may seem appealing, the realities of the profession make it difficult to execute effectively. The demands of client care, compliance, education, and business development require consistent attention and availability. Unless the industry adapts to support flexible models, part-time financial planners will continue to face significant barriers to success.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Advisors Only", "Ask-an-Advisor", Career Development, CMP Program, Financial Planning, Glossary Terms, Portfolio Management | Tagged: AUM, CFP, CMP, CPA, CRM, fee based, fee only, financial advisors, financial planner, financial plannig, FINRA, Marcinko, marketing, SEC | Leave a comment »

Essential Glossary of Health Insurance Terms

Posted on October 17, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

GLOSSARY OF TERMS

Click to access mike-stahl-phd-mba.pdf

ORDER HERE: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

THANK YOU

***

Filed under: Book Reviews, Glossary Terms, Health Insurance, Health Law & Policy, Managed Care | Tagged: David Edward Marcinko, dictionary of health insurance and managed care, health insurance glossary, insurance glossary, managed care dictionary | Leave a comment »

Understanding the Tele-Medicine Paradox in Healthcare

Posted on October 17, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA MEd

***

***

A paradox is a logically self-contradictory statement or a statement that runs contrary to one’s expectation. It is a statement that, despite apparently valid reasoning from true or apparently true premises, leads to a seemingly self-contradictory or a logically unacceptable conclusion. A paradox usually involves contradictory-yet-interrelated elements that exist simultaneously and persist over time. They result in “persistent contradiction between interdependent elements” leading to a lasting “unity of opposites”.

THE TELE-MEDICINE PARADOX

Classic Definition: Refers specifically to the treatment of various medical conditions without seeing the patient in person. Healthcare providers may use electronic and internet platforms like live video, audio, PCs, tablets, or instant messaging to address a patient’s concerns and diagnose their condition remotely.

Modern Circumstance: This may include giving medical advice, walking them through at-home exercises, or recommending them to a local provider or facility. Even more exciting is the emergence of telemedicine apps which give patients access to care right from their phones or computer screens.

Historical Digital Health and Tele-Medicine?

Paradox Examples: Treating certain conditions remotely can be challenging. Tele-medicine is often used to treat common illnesses, manage chronic conditions, or provide specialist services. If a patient is dealing with an emergent or serious condition, the remote provider suggests they seek in-person medical care.

COMMENTS APPRECIATED

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit an RFP for speaking engagements: CONTACT: Ann Miller RN MHA at MarcinkoAdvisors@outlook.com -OR- http://www.MarcinkoAssociates.com

Like and Subscribe

***

Filed under: Ask a Doctor, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, iMBA, Inc., Information Technology, Marcinko Associates, Research & Development, Touring with Marcinko | Tagged: AI, Artificial Intelligence Medicine, david marcinko, health, health care, healthcare, medicine, mental health, paradox, paradoxical, tele-medicine, tele-medicine paradox, wellness | Leave a comment »

Understanding Medical Office Cancellation Fees

Posted on October 17, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA MEd

***

***

Can a physician medical provider charge an office cancellation fee?

According to the American Medical Association’s Code of Medical Ethics, physicians can charge fees for “missed appointments or appointments not cancelled in advance in keeping with the published policy of the practice”, and they should “clearly notify patients in advance of fees charge” (Opinion 11.3. 2) [28].

And so, if you miss a doctor’s appointment these days, you could get hit with a “no-show” fee of up to $150 — or more for some specialties.

Is it legal for an insurance company to charge a cancellation fee?

These practices are typically legal. They help businesses ensure they can recoup the lost revenue due to no-shows or last-minute cancellations.

Cancellation fees are permitted, but seldom collected absent unusual circumstances, such as a great deal of work having been provided.

QUESTION: As a doctor [MD, DO, DPM or DDS], do you charge an office cancellation fee? If so, how much is it?

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Doctors Only", Ask a Doctor, Ethics, Experts Invited, Funding Basics, Glossary Terms, Managed Care, Marcinko Associates, Risk Management | Tagged: AMA, cancellation fees, DDS, DO, DPM, Marcinko, MD, medical ethics, medical office, medical office cancellation fees, no show fees | Leave a comment »

MEDICAL PRACTICE: Part-Time Physician Employment Difficulties

Posted on October 17, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Why It Is Difficult to Practice Medicine Part-Time Today?

In the past, part-time medical practice offered physicians a flexible way to balance professional responsibilities with personal or family commitments. Today, however, the healthcare environment has evolved in ways that make part-time medicine increasingly challenging. From administrative burdens to economic pressures and patient expectations, the obstacles are both systemic and personal.

One of the most significant barriers is the rise in administrative complexity. Physicians are now required to navigate electronic health records (EHRs), comply with insurance documentation, and meet regulatory standards such as HIPAA and MACRA. These tasks consume hours of non-clinical time, which is difficult to compress into a part-time schedule. Even seeing fewer patients doesn’t exempt part-time doctors from the same documentation and compliance requirements as their full-time counterparts.

***

Another challenge is financial viability. Many physicians are paid based on productivity metrics, such as Relative Value Units (RVUs), which reward volume over quality. Part-time practitioners often struggle to meet these benchmarks, resulting in lower compensation and reduced benefits. Additionally, malpractice insurance premiums and licensing fees remain fixed regardless of hours worked, further eroding the financial appeal of part-time practice.

Continuity of care is also a concern. Patients increasingly expect immediate access to their providers, especially in primary care and specialties like psychiatry or pediatrics. Part-time physicians may not be available for urgent issues, leading to fragmented care and dissatisfaction. This can strain relationships with patients and colleagues who must cover gaps in availability.

From a professional standpoint, part-time physicians may face limited career advancement. Leadership roles, academic appointments, and research opportunities often favor full-time commitment. There’s also a perception—sometimes unfair—that part-time doctors are less dedicated or less competent, which can affect peer respect and influence within medical institutions.

Technology, while beneficial, adds another layer of complexity. Telemedicine, remote monitoring, and digital communication tools have expanded access but also increased the expectation for constant availability. Part-time physicians may find it difficult to manage asynchronous messages, follow-ups, and virtual visits without extending their work hours beyond what they intended.

***

Lastly, burnout and work-life balance—ironically one of the reasons doctors seek part-time roles—can still be elusive. The pressure to maintain clinical excellence, stay updated with medical advancements, and meet patient needs doesn’t diminish with reduced hours. In fact, squeezing these responsibilities into fewer days can intensify stress rather than alleviate it.

In conclusion, while part-time medical practice may seem like a solution to modern work-life challenges, the reality is far more complex. The structure of today’s healthcare system, combined with economic, technological, and cultural pressures, makes it difficult for physicians to thrive in part-time roles. Addressing these challenges will require systemic reform, flexible compensation models, and a cultural shift in how we value and support diverse medical careers.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: Ask a Doctor, Managed Care, Marcinko Associates, Practice Management, Practice Worth, Professional Liability | Tagged: AI, artificial intelligence, DO, doctor employment, doctors, DPM, eHR, EHRs, EMRs, health, HIPPA, MACRA, Marcinko, MD, medical practice, part time doctor's office, part time doctors, part time medical practice, part time physicians, physician employment, physicians, RVUs, Technology | 1 Comment »

Stock Markets, Commodities and Crypto-Currency

Posted on October 16, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters and A.I.

***

***

Stocks: Stock Market Indexes recovered yesterday from their losses, though the Dow remained in the red.
Commodities: Gold is rising above $4,200 to another new all-time high. Meanwhile, oil dropped to nearly a five-month low as trade tensions raised the specter of slowing economic growth.
Crypto: Bitcoin, ethereum, and altcoins of all shapes and sizes remain repressed after a massive selloff last weekend erased billions in crypto positions.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", economics, finance, Funding Basics, Glossary Terms, Investing, Portfolio Management | Tagged: altcoins, Bitcoin, commoditires, crypto, crypto-currency, DJIA, DOW, Ethereum, gold, oil, stock markets | Leave a comment »

The Role of Market Makers in Financial Markets

Posted on October 16, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

A Market Maker exists to “create a market” for specific company securities by being willing to buy and sell those securities at a specified displayed price and quantity to broker-dealer firms that are members of the exchange.

These firms help keep financial markets liquid by making it easier for investors to buy and sell securities–they ensure that there is always someone to buy and sell to at the time of trade.

COMMENTS APPRECIATED

Subscribe and Like

***

Filed under: "Ask-an-Advisor", Financial Planning, Funding Basics, Glossary Terms, Investing, Marcinko Associates | Tagged: create a market, Financial Markets, liquidity, Marcinko, market, market maker, markets, stock market makers | Leave a comment »

Exploring the Dark Web: Myths & Realities

Posted on October 15, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporter and and A.I.

***

***

The Dark Web: A Hidden Layer of the Internet

The internet is often described as an iceberg. The surface—what most users interact with daily—is the “surface web,” consisting of indexed websites accessible through standard search engines like Google or Bing. Beneath this lies the “deep web,” which includes content not indexed by search engines, such as private databases, academic journals, and password-protected sites. But even deeper still is the “dark web,” a hidden realm of the internet that requires special software to access and is often shrouded in mystery and controversy.

The dark web is accessible only through anonymizing networks like Tor (The Onion Router), which mask users’ identities and locations. This anonymity is both its greatest strength and most significant risk. Originally developed by the U.S. Navy to protect sensitive communications, Tor now serves as a gateway to a decentralized network where users can operate beyond the reach of traditional surveillance and censorship.

While the dark web is often associated with illegal activity—such as drug trafficking, weapons sales, and identity theft—it also serves legitimate purposes. Journalists, whistleblowers, and political dissidents in oppressive regimes use it to communicate safely and share information without fear of retaliation. Platforms like SecureDrop allow sources to submit documents anonymously to media outlets, helping expose corruption and injustice.

However, the dark web’s reputation is largely shaped by its criminal underbelly. Marketplaces like Silk Road, AlphaBay, and Hansa have been notorious for facilitating illicit trade. These platforms often use cryptocurrencies like Bitcoin to enable anonymous transactions. Law enforcement agencies around the world have responded with crackdowns, leading to arrests and shutdowns, but new sites frequently emerge to take their place.

The dual nature of the dark web presents a complex ethical dilemma. On one hand, it offers a haven for free speech and privacy in an increasingly monitored digital world. On the other, it enables activities that threaten public safety and national security. Governments and cybersecurity experts continue to grapple with how to regulate this space without infringing on civil liberties.

Understanding the dark web requires a nuanced perspective. It is not inherently evil, nor is it entirely virtuous. Like any tool, its impact depends on how it is used. As technology evolves, so too will the dark web, and society must remain vigilant in balancing the need for privacy with the imperative to prevent harm.

TOR: https://www.torproject.org/about/history/

In conclusion, the dark web is a multifaceted component of the internet that challenges our notions of freedom, security, and ethics. It serves as both a refuge for the vulnerable and a playground for the unscrupulous. As we navigate this hidden frontier, education and awareness are key to ensuring that its potential is harnessed responsibly.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", business, Information Technology, Risk Management | Tagged: Alpha Bay, Bitcoin, cybersecurity, dark web, deep web, digital marketing, Hansa, hidden internet, internet, onion router, search engines, SecureDrop, seo, silk road, surface web, Technology, Tor, world wide web, www | Leave a comment »

How Dark Patterns Manipulate Your Online Choices

Posted on October 15, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Physicians and All Web Surfers Beware!

By Staff Reporters

***

Dark Patterns are tricks used in websites and apps that make you do things that you didn’t mean to, like buying or signing up for something. The purpose of this site is to spread awareness and to shame companies that use them.

****

WTF is dark pattern design? | TechCrunch

***

PODCAST: https://www.darkpatterns.org/

YOUR COMMENTS ARE APPRECIATED.

***

RISK MANAGEMENT: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

Thank You

***

Filed under: "Ask-an-Advisor", Breaking News, Ethics, Glossary Terms, Risk Management | Tagged: app tricks, Dark Patterns, website tricks | Leave a comment »

What is the S&P 500 Stock Index?

Posted on October 15, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A.I. and Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The S&P 500, short for the Standard & Poor’s 500 Index, is one of the most widely followed stock market indices in the world. It tracks the performance of 500 of the largest publicly traded companies in the United States, offering a broad snapshot of the overall health and direction of the U.S. economy. Created in 1957 by the financial services company Standard & Poor’s, the index has become a benchmark for investors, analysts, and economists alike.

Composition and Criteria The S&P 500 includes companies from a wide range of industries, such as technology, healthcare, finance, energy, and consumer goods. To be included in the index, a company must meet specific criteria: it must be based in the U.S., have a market capitalization of at least $14.5 billion (as of 2025), be highly liquid, and have a public float of at least 50% of its shares. Additionally, the company must have positive earnings in the most recent quarter and over the sum of its most recent four quarters.

Some of the most recognizable names in the S&P 500 include Apple, Microsoft, Amazon, Johnson & Johnson, JPMorgan Chase, and ExxonMobil. These companies are selected by a committee that reviews eligibility and ensures the index remains representative of the broader market.

How It Works The S&P 500 is a market-capitalization-weighted index, meaning that companies with larger market values have a greater influence on the index’s performance. For example, a significant movement in Apple’s stock price will affect the index more than a similar movement in a smaller company’s stock. This weighting system helps reflect the real impact of large corporations on the economy.

The index is updated in real time during trading hours and is used by investors to gauge market trends. It also serves as the basis for many investment products, such as mutual funds and exchange-traded funds (ETFs), which aim to replicate its performance.

VIX: https://medicalexecutivepost.com/2025/10/12/vix-the-stock-market-fear-gauge/

Why It Matters The S&P 500 is considered a leading indicator of U.S. equity markets and the economy as a whole. When the index rises, it often signals investor confidence and economic growth. Conversely, a decline may indicate uncertainty or economic slowdown. Because it includes companies from diverse sectors, the S&P 500 provides a more balanced view than narrower indices like the Dow Jones Industrial Average, which only tracks 30 companies.

Investment and Strategy Many investors use the S&P 500 as a benchmark to measure the performance of their portfolios. Passive investment strategies, such as index funds, aim to match the returns of the S&P 500 rather than beat it. This approach has gained popularity due to its low fees and consistent long-term performance.

In summary, the S&P 500 is more than just a number—it’s a powerful tool that reflects the pulse of the American economy. By tracking the performance of 500 major companies, it offers insights into market trends, investor sentiment, and economic health. Whether you’re a seasoned investor or just starting out, understanding the S&P 500 is essential to navigating the world of finance.

VIX Today: 20.81USD▲ +1.78 (+9.35%) today

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", business, economics, finance, Glossary Terms, Investing, Marcinko Associates, Portfolio Management | Tagged: ETFs, finance, Investing, Marcinko, market-capitalization-weighted index, personal-finance, portfolio construction, S&P 500, Standard & Poor’s 500 index, stock market, stocks, VIX | Leave a comment »

NOBEL PRIZE: Economics 2025

Posted on October 14, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

STOCKHOLM (AP) — Three researchers who probed the process of business innovation won the Nobel memorial prize in economics Monday for explaining how new products and inventions promote economic growth and human welfare, even as they leave older companies in the dust.

Their work was credited with helping economists better understand how ideas and technology succeed by disrupting established ways — a process as old as steam locomotives replacing horse-drawn wagons and as contemporary as e-commerce shuttering shopping malls.

The award was shared by Dutch-born Joel Mokyr, 79, who is at Northwestern University; Philippe Aghion, 69, who works at the Collège de France and the London School of Economics; and Canadian-born Peter Howitt, 79, who is at Brown University.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", economics, Ethics, Glossary Terms, Health Economics | Tagged: economics, Joel Mokyr, Nobel prize, Nobel Prize Economics, Peter Howitt, Philippe Aghion | Leave a comment »

Understanding Investment Fees: A Guide for Physicians

Posted on October 14, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: http://www.MarcinkoAssociates.com

By Dr. David Edward Marcinko MBA MEd CMP™

***

***

MEDICAL COLLEAGUES BEWARE!

Investment fees still matter for physicians and all of us, despite dropping dramatically over the past several decades due to computer automation, algorithms and artificial intelligence, etc. And, they can make a big difference to your financial health. So, before buying any investment thru a financial advisor, planner, manager, stock broker, etc., it’s vital to understand these two often confusing costs.

***

***

Fee Only: Paid directly by clients for their services and can’t receive other sources of compensation, such as payments from fund providers. Act as a fiduciary, meaning they are obligated to put their clients’ interests first

Fee Based: Paid by clients but also via other sources, such as commissions from financial products that clients purchase. Brokers and dealers (registered representatives) are simply required to sell products that are “suitable” for their clients. Not a fiduciary.

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit a RFP for speaking engagements: MarcinkoAdvisors@outlook.com

COMMENTS APPRECIATED

Refer, Like and Subscribe

***

Filed under: "Ask-an-Advisor", "Doctors Only", Accounting, CMP Program, Financial Planning, Funding Basics, Glossary Terms, iMBA, Inc., Investing, Marcinko Associates, Risk Management | Tagged: certified medical planner, CFP, CMP, fee based, fee only, fiduciary, financial planner, investment advisor, investment fees, Marcinko, stock broker | 1 Comment »

Understanding Male Personality Types: Alpha to Zeta

Posted on October 14, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By AI and Staff Reporters

***

***

Alpha Male and Beta Male are terms for men derived from the designations of alpha and beta animals in ethology. They may also be used with other genders, such as women, or additionally use other letters of the Greek alphabet (such as sigma. The popularization of these terms to describe humans has been widely criticized by scientists. Both terms have been frequently used in internet memes.

The term beta is used as a pejorative self-identifier among some members of the manosphere, particularly incels, who do not believe they are assertive and/or traditionally masculine, and feel overlooked by women. It is also used to negatively describe other men who are not deemed to be assertive, particularly with women. In internet culture, the term sigma male is also frequently used, gaining popularity in the late 2010s, but has since been used jokingly, often being used with incel.

Note: Incel is a portmateau of “involuntary celibate”) is a term associated with an online subculture of mostly male and heterosexual people who define themselves as unable to find a romantic or sexual despite desiring one. They often blame, objectify and denigrate women and girls as a result.

PORTMANTEAU: https://medicalexecutivepost.com/2019/06/25/what-is-a-portmanteau/

Delta Males are very responsible and keep the world moving. Highly adaptable, deltas are known for their competence and work ethic rather than their leadership and ambition. Delta Males love learning new skills for the sake of improving themselves, not for power or extrinsic successes. Because of this, they often have a very healthy work-life balance. They’re dependable and unpretentious. Common personality traits: hardworking, loyal and responsible. Careers they excel at are accountant, dentist, engineer and firefighter. If you’re a delta male, your work often speaks for itself. People trust you, so consider being more proactive and taking initiative at work; you’ll be rewarded for it and won’t necessarily need to be in the spotlight.

Gammas Males tend to be insecure about status and may overestimate their status. They’re unhappy with their position, so they try to convince themselves that they’re Sigmas. A Gamma Male is described as intelligent, romantic, and empathetic. While he has some female traits, he has difficulty understanding and dating women. But, unlike alphas, gammas avoid conflict at all costs and care deeply about what other people think of them. They lack the leadership skills and confidence to be on top.

Omega Males are skilled introverts who don’t need external validation. Pop culture portrays them as the shyer, more reserved yin to the zeta male’s yang. They’re independent and very comfortable in their own company. They’d rather spend time coming up with (usually brilliant) new ideas and inventions of their own instead of socializing with others. They have uncouth but delightful senses of humor and their theories often change the world for the better. Common personality traits are self-motivated, strategic and quiet. Careers they excel at are chemist, composer, inventor and mathematician. If you’re an omega male, your ideas are likely ingenious.

Sigma Males are rebellious leaders with lots of life experience while delta males are responsible companions who you want by your side. Common personality traits are nurturing and wise. Careers they excel at are entrepreneur, philosopher, professor, or therapist.

Zeta Males are one-of-a-kind progressives. There’s a reason the zeta male is the least talked about personality type in pop culture. They’re rare nonconformists who don’t care what other people think. They know themselves and refuse to change to fit into the rigid social standards of society. Zeta males are fierce creatives who blaze new paths for themselves and others. Zeta Males are nonconformist creatives, gamma males are charismatic nomads, and omega males are sharp intellectuals with boundless ideas. Careers they excel at are actor, artist, musician or writer. Common personality traits are creative, independent and self-aware.

QUESTION: Doctors, Agents, Accountants and Financial Advisors: What is your male personality type?

COMMENTS APPRECIATED

EDUCATIONAL TEXTBOOKS: https://tinyurl.com/4zdxuuwf

Like and Subscribe

***

Filed under: Ask a Doctor, business, Career Development, curated experts,, Ethics, Glossary Terms, LifeStyle, Management, mental health | Tagged: alpha, beta, ddelta, feminism, gamma, incel, manosphere, memes, mental health, misogyny, omega, Portmanteau, psychology, Relationships, sigma, zeta | Leave a comment »

CRYPTO-CURRENCY: Crisis Risks

Posted on October 14, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters and A.I.

SPONSOR: http://www.CertifiedMedialPlanner.org

***

The Looming Cryptocurrency Crisis: Risks on the Horizon

Cryptocurrency has revolutionized the financial landscape, offering decentralized alternatives to traditional banking and investment systems. However, as digital assets become more integrated into global markets, concerns about a potential future cryptocurrency crisis are mounting. From regulatory uncertainty to systemic vulnerabilities, the risks associated with crypto are increasingly being scrutinized by economists, governments, and investors.

One of the most pressing concerns is regulatory instability. Cryptocurrencies operate in a fragmented legal environment, with different countries adopting varying stances—from full embrace to outright bans. The lack of unified global regulation creates loopholes that can be exploited for money laundering, tax evasion, and fraud. If major economies suddenly impose strict regulations or sanctions, it could trigger a rapid devaluation of crypto assets and erode investor confidence.

Another risk stems from market volatility and speculative behavior. Unlike traditional assets backed by tangible value or government guarantees, cryptocurrencies are often driven by hype, social media trends, and speculative trading. This creates a fragile ecosystem where prices can swing wildly. A sudden crash—similar to the 2022 Terra/Luna collapse—could wipe out billions in investor wealth and destabilize related financial institutions.

***

Technological vulnerabilities also pose a threat. While blockchain is considered secure, the platforms built on it are not immune to hacks, bugs, or exploitation. High-profile breaches of exchanges and wallets have already resulted in massive losses. As crypto adoption grows, so does the incentive for cybercriminals to target these systems. A coordinated attack on a major exchange or blockchain network could have cascading effects across the entire crypto economy. Geopolitical tensions may also catalyze a crisis. For instance, recent reports suggest that aggressive trade policies—such as the U.S. imposing 100% tariffs on Chinese imports—can indirectly impact crypto markets by shaking investor sentiment and triggering sell-offs.

The interconnection with traditional finance is another area of concern. As banks and hedge funds increasingly invest in crypto, the line between decentralized finance and conventional markets blurs. This integration means that a crypto collapse could spill over into broader financial systems, potentially triggering a global crisis. The 2023 banking collapses, which were partially linked to crypto exposure, serve as a warning of how intertwined these systems have become.

Geopolitical tensions may also catalyze a crisis. For instance, recent reports suggest that aggressive trade policies—such as the U.S. imposing 100% tariffs on Chinese imports—can indirectly impact crypto markets by shaking investor sentiment and triggering sell-offs. In such scenarios, cryptocurrencies may not serve as the safe haven they were once believed to be.

Lastly, overreliance on stablecoins and algorithmic assets introduces systemic risk. Many investors use stablecoins to hedge volatility, but these assets are only as stable as their underlying reserves and governance. If a major stablecoin fails, it could lead to a liquidity crunch and panic across exchanges and DeFi platforms.

In conclusion, while cryptocurrency offers transformative potential, it also carries significant risks that could culminate in a future crisis. To mitigate these dangers, stakeholders must push for clearer regulations, stronger technological safeguards, and more transparent financial practices. Without proactive measures, the next financial meltdown may not come from Wall Street—but from the blockchain.

NOTE: A crypto mogul has been found dead inside his luxury car in Ukraine after the digital currency market nosedived. Konstantin Galich, 32, also known as Kostya Kudo, has died after one of the worst turmoils shook the cryptocurrency market. The entrepreneur, who became a well-known figure in the crypto industry, was reportedly found with a gunshot wound to his head in his black Lamborghini parked up in Kyiv’s Obolonskyi neighbourhood. His death was later confirmed on his Telegram channel in a post saying ‘Konstantin Kudo tragically passed away. The causes are being investigated. We will keep you posted on any further news.’

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", Alternative Investments, finance, Glossary Terms, Portfolio Management | Tagged: AI, Bitcoin, block chain, blockchain, crypto, crypto-currency, cryptocurrency, DeFi, digital assets, finance, konstantin galich, kostya kudo, terra/lina collapse, Wall Street | Leave a comment »

Essential Critical Thinking Skills for Financial Advisors

Posted on October 13, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

FOR ETHICAL PHYSICIAN CLIENT ACQUISITION SUCCESS

By Dr. David Edward Marcinko; MBA MEd CMP™

***

***

SPONSOR: http://www.CertifiedMedicalPlanner.org

Critical thinking allows a Financial Advisor [FA] to analyze information and make an objective judgment. By impartially evaluating the facts related to a matter, Financial Planners [FPs] can draw realistic conclusions that will help make a sound decision. The ability of being able to properly analyze a situation and come up with a logical and reasonable conclusion is highly valued by employers, as well as current and potential clients.

Now, according to Indeed, we present the six main critical thinking and examples that will help you evaluate your own thought process as a FA, FP or Wealth Manager, etc.

What is critical thinking?

Critical thinking is the ability to objectively analyze information and draw a rational conclusion. It involves gathering information on a subject and determining which pieces of information apply to the subject and which don’t, based on deductive reasoning. The ability to think critically helps people in both their personal and professional lives and is valued by most clients and employers.

Why do employers value critical thinking?

Critical thinking skills are a valuable asset for an employee, as employers, brokerages and Registered Investment Advisors [RIAs] typically appreciate candidates who can correctly assess a situation and come up with a logical resolution. Time is a valuable resource for most managers, and an employee able to make correct decisions without supervision will save both that manager and the whole company much valuable time.

***

Six main types of critical thinking skills

There are six main critical thinking skills you can develop to successfully analyze facts and situations and come up with logical conclusions:

1. Analytical thinking

Being able to properly analyze information is the most important aspect of critical thinking. This implies gathering information and interpreting it, but also skeptically evaluating data. When researching a work topic, analytical thinking helps you separate the information that applies to your situation from that which doesn’t.

2. Good communication

Whether you are gathering information or convincing others that your conclusions are correct, good communication is crucial in the process. Asking people to share their ideas and information with you and showing your critical thinking can help step further towards success. If you’re making a work-related decision, proper communication with your coworkers can help you gather the information you need to make the right choice.

3. Creative thinking

Being able to discover certain patterns of information and make abstract connections between seemingly unrelated data helps improve your critical thinking. When analyzing a work procedure or process, you can creatively come up with ways to make it faster and more efficient. Creativity is a skill that can be strengthened over time and is valuable in every position, experience level and industry.

4. Open-mindedness

Previous education and life experiences leave their mark on a person’s ability to objectively evaluate certain situations. By acknowledging these biases, you can improve your critical thinking and overall decision process. For example, if you plan to conduct a meeting in a certain way and your firm suggests using a different strategy, you should let them speak and adjust your approach based on their input.

5. Ability to solve problems

The ability to correctly analyze a problem and work on implementing a solution is another valuable skill.

6. Asking thoughtful questions:

In both private and professional situations, asking the right questions is a crucial step in formulating correct conclusions. Questions can be categorized in various forms as mentioned below:

***

* Open-ended questions

Asking open-ended questions can help the person you’re communicating with provide you with relevant and necessary information. These are questions that don’t allow a simple “yes” or “no” as an answer, requiring the respondent to elaborate on the answer.

* Outcome-based questions

When you feel like another person’s experience and skills could help you work more effectively, consider asking outcome-based questions. Asking someone how they would act in a certain hypothetical situation, such as a stock market correction, can give you an insight into their perspective, helping you see things you hadn’t thought about before.

Reflective questions

You can gain insight by asking a client to reflect and evaluate an experience and explain their thought processes during that time. This can help you develop your critical thinking by providing you real-world examples.

* Structural questions

An easy way to understand something is to ask how something works. Any working system results from a long process of trial and error, and properly understanding the steps that needed to be taken for a positive result could help you be more efficient in your own endeavors.

CONCLUSION

Critical thinking is like a muscle that can be exercised and built over time. It is a skill that can help propel your career to new heights. You’ll be able to solve workplace issues, use trial and error to troubleshoot ideas, and more.

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit a RFP for speaking engagements: MarcinkoAdvisors@outlook.com

COMMENTS APPRECIATED

Read, Subscribe, Like and Refer

***

Filed under: "Advisors Only", "Ask-an-Advisor", Career Development, CMP Program, Experts Invited, Financial Planning, Investing, Managed Care, Marcinko Associates, Marketing & Advertising, Op-Editorials, Sponsors | Tagged: CFPs, creative thinking, critical thinking skills, decision-making, education, FAs, financial advisors, financial planners, FPs, indeed, learning, life, Marcinko, problems, questions, RIA, thinking, what, when, why | Leave a comment »

OCTOBER: The 2025 Stock Market Crash

Posted on October 13, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A.I. and Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The October 2025 Stock Market Crash: A Perfect Storm of Geopolitics and Investor Panic

The weekend of October 10–12, 2025, marked one of the most dramatic downturns in global financial markets in recent memory. What began as a series of unsettling headlines quickly snowballed into a full-blown market crash, sending shockwaves through economies and portfolios worldwide. This event was not the result of a single catalyst but rather a convergence of geopolitical tensions, speculative excess, and investor psychology.

At the heart of the crisis was a sudden escalation in U.S.–China trade relations. President Donald Trump abruptly canceled a scheduled diplomatic meeting with Chinese President Xi Jinping and announced a sweeping 100% tariff on all Chinese imports. This move reignited fears of a prolonged trade war, reminiscent of the economic standoff that rattled markets in the late 2010s. Investors, already jittery from months of uncertainty, interpreted the announcement as a signal of deteriorating global cooperation and retaliatory economic measures to come.

VIX: https://medicalexecutivepost.com/2025/10/12/vix-the-stock-market-fear-gauge/

The impact was immediate and severe. Major U.S. indices plummeted: the S&P 500 dropped 2.7%, the Nasdaq fell 3.6%, and the Dow Jones Industrial Average lost 1.9%. These declines marked the worst single-day performance since April and triggered automatic trading halts in several sectors. The selloff was not confined to the United States; European and Asian markets mirrored the panic, with steep losses across the board.

Compounding the crisis was a massive liquidation in the cryptocurrency market. As traditional assets tumbled, investors rushed to offload digital holdings, leading to the largest crypto wipeout in history. Trillions of dollars in value evaporated within hours, further destabilizing investor confidence and draining liquidity from the broader financial system.

Another underlying factor was growing concern over the valuation of artificial intelligence (AI) stocks. The International Monetary Fund (IMF) had recently issued a warning that the AI sector was exhibiting signs of a speculative bubble, drawing parallels to the dot-com era. With many AI companies trading at astronomical price-to-earnings ratios, the crash exposed the fragility of investor sentiment and the dangers of overexuberance in emerging technologies.

Perhaps most telling was the psychological shift among investors. The weekend saw widespread capitulation, with many choosing to exit the market entirely rather than weather further volatility. This behavior—marked by fear-driven decision-making and herd mentality—is often a hallmark of deeper financial crises. It underscores the importance of trust and stability in maintaining market equilibrium.

Abbvie: https://medicalexecutivepost.com/2024/09/04/abbvie-the-economic-recession/

In conclusion, the October 2025 stock market crash was a multifaceted event driven by geopolitical shocks, speculative risk, and emotional contagion. It serves as a stark reminder of how interconnected and fragile global markets have become. As policymakers and investors assess the damage, the focus must shift toward restoring confidence, recalibrating risk, and ensuring that future growth is built on sustainable foundations rather than speculative fervor.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", economics, Financial Planning, Investing, Portfolio Management, Touring with Marcinko | Tagged: 2025 crash, AbbVie, AI, david marcinko, DJIA, Donald Trump, DOW, economy, finance, IMF, Investing, NASDAQ, october crash, S&P 500, stock market crash, stocks, Xi JinPing | Leave a comment »

ACUTE CARE MEDICINE: Defined

Posted on October 12, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A.I. and Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

ACUTE CARE MEDICINE

Classic: Acute care is a branch of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery. In medical terms, care for acute health conditions is the opposite from chronic care, or longer term care.

Modern: Acute care is active, short-term treatment for a severe injury or episode related to illness, an urgent medical condition or recovery from surgery.

HOSPITAL: https://medicalexecutivepost.com/2008/12/08/the-acute-care-inpatient-hospital/

***

Examples: The following are considered acute care facilities:

Hospital (General Acute Care as well as Psychiatric, Specialized and Rehabilitation Hospitals; and Long Term Acute Care or LTAC)
Ambulatory Care Facility.
Home Health Agency.
End Stage Renal Disease Facility (dialysis center)
Hospice.

EMERGENT CARE: https://medicalexecutivepost.com/2025/05/03/medicine-emergent-care/

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: Ask a Doctor, CMP Program, Glossary Terms, Health Insurance, Managed Care | Tagged: acute care medicine, acute care medicine ER, ambulatory care, ASC, CMP, DO, ED, ER, ESRD, Health Insurance, healthcare, hospice, illness, LTAC, medicine, sickness, surgery | Leave a comment »

Understanding Stockbrokers: Roles and Responsibilities

Posted on October 12, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

DEFINITION

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Buying or selling stocks requires access to one of the major exchanges, such as the New York Stock Exchange (NYSE) or the National Association of Securities Dealers Automated Quotations (NASDAQ). To trade on these exchanges, you must be a member of the exchange or belong to a member firm. Member firms and many individuals who work for them are licensed as brokers or broker-dealers by the Financial Industry Regulatory Authority (FINRA).

INSURANCE AGENT: https://medicalexecutivepost.com/2025/04/27/insurance-agents-v-brokers/

And so, a stockbroker executes orders in the market on behalf of clients. A stockbroker may also be known as a registered representative or investment advisor. Most stockbrokers work for a brokerage firm and handle transactions for several individual and institutional customers. Stockbrokers are often paid on commission, although compensation methods vary by employer.

Remember: SBs work for their firm and not the client. Stock brokers are not fiduciaries.

FINANCIAL ADVISOR: https://medicalexecutivepost.com/2025/04/01/financial-advisors-vital-critical-thinking-skills-to-master/

COMMENTS APPRECIATED

The Medical Executive-Post is a news and information aggregator and social media professional network for medical and financial service professionals.

Feel free to submit education content to the site as well as links, text posts, images, opinions and videos which are then voted up or down by other members. Comments and dialog are especially welcomed.

Daily posts are organized by subject. ME-P administrators moderate the activity. Moderation may also conducted by community-specific moderators who are unpaid volunteers.

Like and Refer

Invite Dr. Marcinko

***

Filed under: "Ask-an-Advisor", Financial Planning, Glossary Terms, Investing, Portfolio Management | Tagged: adviser, DOW, FINRA, insurance agent, investment advisor, NASDAQ, National Association of Securities Dealers Automated Quotations, New York Stock Exchange, NYSE, registered representative, SEC, stock broker | Leave a comment »

VIX: The Stock Market “Fear Gauge”

Posted on October 12, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A.I. and Staff Reporters

***

***

The VIX, or CBOE Volatility Index, is often called the “fear gauge” of the stock market. It measures the market’s expectations for volatility over the next 30 days, based on options prices for the S&P 500.

MORE: https://medicalexecutivepost.com/2025/06/30/vix-fear-index-down/

When the VIX is high, it typically signals investor anxiety or uncertainty; when it’s low, it suggests confidence and stability.

Current VIX Snapshot 10/12/25

Price: $21.66 USD
Change: +5.23 (up 31.83%)
Previous Close: $16.43 USD
Mike Burry: https://www.msn.com/en-us/money/markets/michael-burry-warns-of-a-market-collapse-ahead/ar-AA1Oi09s?ocid=U521DHP&pc=U521&cvid=68eab56ca2074b65b06724e8838f8c7a&ei=19

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", finance, Glossary Terms, Portfolio Management | Tagged: stock market, S&P 500, VIX, CBOE, fear gauge | Leave a comment »

Austrian vs Keynesian Economics Explained

Posted on October 11, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Austrian Economics vs. Keynesian Economics in One Simple Chart

Courtesy of Jeff Deist

***

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.

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
ADVISORS: www.CertifiedMedicalPlanner.org
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
Dictionary of Health Economics and Finance
Dictionary of Health Information Technology and Security
Dictionary of Health Insurance and Managed Care

***

Filed under: "Ask-an-Advisor", Experts Invited, Financial Planning, Funding Basics, Glossary Terms, Health Economics | Tagged: Austrian Economics, economics, fed, Federal Reserve, FOMC, interest rates, Jeff Deist, Keynes, Keynesian Economics, Keynesian versus Austrian Economics | 1 Comment »

The Psychology of Eye Contact: A Study on Honesty

Posted on October 11, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

“BIG BROTHER” IS WATCHING

[From the Newcastle Division of Psychology]

By Dr. David Edward Marcinko MBA

***

It’s no surprise that people are more honest when they know that they’re being watched. But what about just reminding them of the idea of being watched, without them actually being watched?

For years, people at the University of Newcastle’s Division of Psychology have an honor (or trust) system where they are requested to deposit payment for coffee in an “honesty box.” There was a note saying how much they should pay.

In 2006, Melissa Bateson and colleagues decided to do a little experiment: they placed an image above the note. They alternate between two pictures: one week they would use a picture of eyes and the other week, flowers.

After 10 weeks, they plotted the amount of money received versus drinks consumed and found that people paid nearly three times as much for their drinks when eyes were displayed!

***

[Click to enlarge image]

***

Assessment

Your thoughts are appreciated.

MORE FOR DOCTORS:

“Insurance & Risk Management Strategies for Doctors” https://tinyurl.com/ydx9kd93

“Fiduciary Financial Planning for Physicians” https://tinyurl.com/y7f5pnox

“Business of Medical Practice 2.0” https://tinyurl.com/yb3x6wr8

***

Filed under: iMBA, Inc. | Tagged: HONEST BOX EXPERIMENT, Melissa Bateson, Newcastle Division of Psychology | 1 Comment »

ALTERNATIVE INVESTMENTS: Asset Classes Defined

Posted on October 11, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A. I. and Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Here is a broad menu of asset classes and alternative investments to consider:

ALTERNATE INVESTMENTS: 401[k] Accounts

Real Assets

Real Estate: Rental properties, REITs (Real Estate Investment Trusts), land, commercial buildings.
Commodities: Gold, silver, oil, natural gas, agricultural products.
Collectibles: Art, vintage cars, rare coins, wine, sports memorabilia.

Private Market Investments

Private Equity: Investing in private companies, often through venture capital or buyout funds.
Venture Capital: Early-stage investments in startups with high growth potential.
Angel Investing: Direct investment in startups, usually by individuals.

Intellectual Property & Royalties

Music Royalties: Buying rights to songs and earning income from plays or licensing.
Patents & Trademarks: Licensing intellectual property for recurring revenue.

Structured Products & Alternatives

Hedge Funds: Pooled funds using advanced strategies like short selling, derivatives, and leverage.
Structured Notes: Debt securities with embedded derivatives for customized risk-return profiles.
Options & Futures: Derivatives for speculation or hedging.

Impact & Sustainable Investing

ESG Funds: Focused on environmental, social, and governance criteria.
Green Bonds: Bonds that fund environmentally friendly projects.
Social Impact Funds: Investments aimed at generating positive societal outcomes.

Tangible Assets

Precious Metals: Physical gold, silver, platinum.
Farmland & Timberland: Income from agriculture or forestry.
Infrastructure: Toll roads, airports, energy grids—often via specialized funds.

Income-Producing Alternatives

Peer-to-Peer Lending: Lending money via platforms like LendingClub or Prosper.
Annuities: Insurance products that provide guaranteed income streams.
Royalties from Books or Software: Passive income from intellectual property.

ETFs: Alternatively Weighted Investments

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Advisors Only", "Ask-an-Advisor", Alternative Investments, business, finance, Marcinko Associates, Portfolio Management | Tagged: alternate investments, annuities, asset classes, commodities, ESG funds, farmland, futures, green bonds, hedge funds, Marcinko, options, precious metals, private markets, real assets, royalties, Trademarks | Leave a comment »

Understanding Paradox vs. Oxymoron

Posted on October 10, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

DEFINITIONS

***

***

Difference between Paradox and Oxymoron

According to Mackenzie Marcinko PhD, many people tend to confuse a paradox with an oxymoron, and it’s not hard to see why. Most oxymoron examples appear to be compressed version of a paradox, in which it is used to add a dramatic effect and to emphasize contrasting thoughts. Although they may seem greatly similar in form, there are slight differences that set them apart.

A paradox consists of a statement with opposing definitions, while an oxymoron combines two contradictory terms to form a new meaning. But because an oxymoron can play out with just two words, it is often used to describe a given object or idea imaginatively.

As for a paradox, the statement itself makes you question whether something is true or false. It appears to contradict the truth, but if given a closer look, the truth is there but is merely implied.

COMMENTS APPRECIATED

The Medical Executive-Post is a news and information aggregator and social media professional network for medical and financial service professionals. Feel free to submit education content to the site as well as links, text posts, images, opinions and videos which are then voted up or down by other members. Comments and dialog are especially welcomed. Daily posts are organized by subject. ME-P administrators moderate the activity. Moderation may also conducted by community-specific moderators who are unpaid volunteers.

Refer and Like

***

Filed under: "Ask-an-Advisor", Ethics, Glossary Terms | Tagged: contradiction, definition, linguistics, logic, Marcinko, oxymoron, paradox | Leave a comment »

What is the Dow Jones Industrial Average?

Posted on October 10, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

DEFINED

By A.I. and Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The Dow Jones Industrial Average (DJIA), often referred to simply as “the Dow,” is one of the oldest and most well-known stock market indices in the world. It was created in 1896 by Charles Dow, the co-founder of The Wall Street Journal, and is designed to represent the performance of the broader U.S. stock market, specifically focusing on 30 large, publicly traded companies. These companies are considered leaders in their respective industries and serve as a barometer for the overall health of the U.S. economy.

The Composition of the DJIA

The DJIA includes 30 companies, which are selected by the editors of The Wall Street Journal based on various factors such as market influence, reputation, and the stability of the company. These companies represent a wide array of sectors, including technology, finance, healthcare, consumer goods, and energy. Notably, the companies chosen for the DJIA are not necessarily the largest companies in the U.S. by market capitalization, but rather those that are most indicative of the broader economy. Some of the prominent companies listed in the DJIA include names like Apple, Microsoft, Coca-Cola, and Johnson & Johnson.

However, the list of 30 companies is not static. Over time, companies may be added or removed to reflect changes in the economic landscape. For example, if a company experiences significant decline or no longer represents a leading sector, it might be replaced with another company that better reflects modern economic trends. This periodic reshuffling ensures that the DJIA continues to be a relevant measure of economic activity.

How the DJIA is Calculated

The DJIA is a price-weighted index, which means that the value of the index is determined by the share price of the component companies, rather than their market capitalization. To calculate the DJIA, the sum of the stock prices of all 30 companies is divided by a special divisor. This divisor adjusts for stock splits, dividends, and other corporate actions to maintain the integrity of the index over time. The price-weighted method means that higher-priced stocks have a greater impact on the movement of the index, regardless of the overall size or economic weight of the company.

For instance, if a company with a higher stock price like Apple experiences a significant change in value, it will influence the DJIA more than a company with a lower stock price, even if the latter has a larger market capitalization. This makes the DJIA somewhat different from other indices, like the S&P 500, which is weighted by market cap and gives more weight to larger companies in terms of their economic impact.

Significance of the DJIA

The DJIA is widely regarded as a barometer of the U.S. stock market’s performance. Investors and analysts closely monitor the movements of the Dow to gauge the overall health of the economy. When the DJIA rises, it generally suggests that investors are optimistic about the economic outlook and that large companies are performing well. Conversely, when the DJIA falls, it often signals economic uncertainty or a downturn in market conditions.

Despite being a narrow index, with only 30 companies, the DJIA holds substantial sway in financial markets. It is widely covered in the media and is often cited in discussions about the state of the economy. In fact, the performance of the DJIA is considered a key indicator of investor sentiment and economic confidence.

However, the DJIA has its limitations. Since it only includes 30 companies, it does not necessarily represent the broader market or capture the performance of smaller companies. Other indices, like the S&P 500, which includes 500 companies, offer a more comprehensive view of the market’s performance.

Conclusion

The Dow Jones Industrial Average is a key metric for understanding the state of the U.S. economy and the stock market. Although it has evolved over the years, it continues to provide valuable insights into the performance of large, influential companies. While it is not a perfect reflection of the market as a whole, the DJIA remains one of the most important and widely recognized indices in global finance. Through its historical significance and its role in shaping market sentiment, the Dow has cemented its place as a cornerstone of financial analysis.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: economics, finance, Financial Planning, Funding Basics, Glossary Terms, iMBA, Inc., Investing, Marcinko Associates, Portfolio Management | Tagged: 30 companie, business, Charles Dow, DJIA, DOW, Dow Jones Industrial Average, finance, Investing, Marcinko, narrow index, NASDAQ, price weighted index, S&P 500, stock markets, stocks, Wall Street Journal, WSJ | Leave a comment »

Understanding Behavioral Finance Paradoxes

Posted on October 9, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

“THE INVESTOR’S CHIEF problem—even his worst enemy—is likely to be himself.” So wrote Benjamin Graham, the father of modern investment analysis.

With these words, written in 1949, Graham acknowledged the reality that investors are human. Though he had written an 800 page book on techniques to analyze stocks and bonds, Graham understood that investing is as much about human psychology as it is about numerical analysis.

In the decades since Graham’s passing, an entire field has emerged at the intersection of psychology and finance. Known as behavioral finance, its pioneers include Daniel Kahneman, Amos Tversky and Richard Thaler. Together, they and their peers have identified countless human foibles that interfere with our ability to make good financial decisions. These include hindsight bias, recency bias and overconfidence, among others. On my bookshelf, I have at least as many volumes on behavioral finance as I do on pure financial analysis, so I certainly put stock in these ideas.

At the same time, I think we’re being too hard on ourselves when we lay all of these biases at our feet. We shouldn’t conclude that we’re deficient because we’re so susceptible to biases. Rather, the problem is that finance isn’t a scientific field like math or physics. At best, it’s like chaos theory. Yes, there is some underlying logic, but it’s usually so hard to observe and understand that it might as well be random. The world of personal finance is bedeviled by paradoxes, so no individual—no matter how rational—can always make optimal decisions.

As we plan for our financial future, I think it’s helpful to be cognizant of these paradoxes. While there’s nothing we can do to control or change them, there is great value in being aware of them, so we can approach them with the right tools and the right mindset.

Here are just seven of the paradoxes that can bedevil financial decision-making:

There’s the paradox that all of the greatest fortunes—Carnegie, Rockefeller, Buffett, Gates—have been made by owning just one stock. And yet the best advice for individual investors is to do the opposite: to own broadly diversified index funds.
There’s the paradox that the stock market may appear overvalued and yet it could become even more overvalued before it eventually declines. And when it does decline, it may be to a level that is even higher than where it is today.
There’s the paradox that we make plans based on our understanding of the rules—and yet Congress can change the rules on us at any time, as it did just last year.
There’s the paradox that we base our plans on historical averages—average stock market returns, average interest rates, average inflation rates and so on—and yet we only lead one life, so none of us will experience the average.
There’s the paradox that we continue to be attracted to the prestige of high-cost colleges, even though a rational analysis that looks at return on investment tells us that lower-cost state schools are usually the better bet.
There’s the paradox that early retirement seems so appealing—and has even turned into a movement—and yet the reality of early retirement suggests that we might be better off staying at our desks.
There’s the paradox that retirees’ worst fear is outliving their money and yet few choose the financial product that is purpose-built to solve that problem: the single-premium immediate annuity.

How should you respond to these paradoxes? As you plan for your financial future, embrace the concept of “loosely held views.”

In other words, make financial plans, but continuously update your views, question your assumptions and rethink your priorities.

COMMENTS APPRECIATED

Subscribe, Refer and Like

***

https://www.amazon.com/Comprehensive-Financial-Planning-Strategies-Advisors/dp/1482240289/ref=sr_1_1?ie=UTF8&qid=1418580820&sr=8-1&keywords=david+marcinko

***

Filed under: "Ask-an-Advisor", Accounting, Financial Planning, Funding Basics, Glossary Terms, Investing, Taxation, Touring with Marcinko | Tagged: annuity, Ben Graham, Buffett, Carnegies, Daniel Kahneman, diversificayion, economics, finance, financial, Financial Planning, Gates, growth investing, Index Funds, Investing, Marcinko, Mutual Funds, paradoxes, personal-finance, Richard Thaler, Rockefeller, stock market, stocks, value investing | Leave a comment »

Epidemiology Insights: Immunity Types

Posted on October 9, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

On Basic Epidemiology and Public Health

Courtesy: www.CertifiedMedicalPlanner.org

Active Immunity develops after exposure to a disease-causing infectious microorganism or other foreign substance, such as following infection or vaccination.

Acquired Immunity develops during a person’s lifetime. There are two types of acquired immunity: active immunity and passive immunity.

LINK: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

Passive Immunity develops after a person receives immune system components, most commonly antibodies, from another person. Passive immunity can occur naturally, such as when an infant receives a mother’s antibodies through the placenta or breast milk, or artificially, such as when a person receives antibodies in the form of an injection (gamma globulin injection). Passive immunity provides immediate protection against an antigen, but does not provide long-lasting protection.

LINK: https://aidsinfo.nih.gov/understanding-hiv-aids/glossary/2/acquired-immunity

Assessment: Your comments are appreciated.

***

Filed under: Glossary Terms | Tagged: acquired immunity, active immunity, passive immunity | Leave a comment »

FINANCE: Artificial Intelligence

Posted on October 9, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Co-Pilot

***

***

Artificial Intelligence in Finance: Revolutionizing the Industry

Artificial Intelligence (AI) is rapidly transforming the financial services industry, reshaping how institutions operate, manage risk, and serve customers. By leveraging machine learning, natural language processing, and predictive analytics, AI is enabling smarter decision-making, greater efficiency, and enhanced customer experiences across banking, investing, insurance, and regulatory compliance.

One of the most impactful applications of AI in finance is in fraud detection and prevention. Traditional systems rely on rule-based algorithms that often fail to catch sophisticated schemes. AI, however, can analyze vast amounts of transaction data in real time, identifying patterns and anomalies that signal fraudulent behavior. Machine learning models continuously improve as they process more data, making them increasingly effective at detecting threats and reducing false positives.

AI also plays a pivotal role in algorithmic trading, where decisions are made at lightning speed based on complex data inputs. These systems can process news articles, social media sentiment, and market data to execute trades with precision. Hedge funds and investment banks use AI to optimize portfolios, forecast market trends, and identify arbitrage opportunities that human analysts might miss.

In personal finance and banking, AI enhances customer service through chatbots and virtual assistants. These tools handle routine inquiries, assist with transactions, and offer financial advice based on user behavior. AI-driven platforms like robo-advisors provide personalized investment strategies, adjusting portfolios automatically based on market conditions and individual goals. This democratizes access to financial planning, making it more affordable and scalable.

Credit scoring and lending have also been revolutionized by AI. Traditional credit models often rely on limited data and can be biased against certain demographics. AI can incorporate alternative data sources—such as utility payments, social media activity, and online behavior—to assess creditworthiness more accurately and inclusively. This opens up lending opportunities for underserved populations and reduces default risk for lenders.

In insurance, AI streamlines underwriting and claims processing. By analyzing historical data and customer profiles, AI can assess risk more precisely and tailor policies to individual needs. During claims, AI can automate document review, detect fraud, and expedite payouts, improving both operational efficiency and customer satisfaction.

Regulatory compliance, or RegTech, is another area where AI shines. Financial institutions face increasing scrutiny and complex regulations. AI tools can monitor transactions, flag suspicious activity, and ensure adherence to legal standards. Natural language processing helps parse regulatory documents and automate reporting, reducing the burden on compliance teams.

Despite its benefits, AI in finance raises ethical and operational challenges. Data privacy, algorithmic bias, and transparency are critical concerns. Financial institutions must ensure that AI systems are explainable, fair, and secure. Regulatory bodies are beginning to address these issues, but ongoing collaboration between technologists, policymakers, and industry leaders is essential.

In conclusion, artificial intelligence is not just enhancing finance—it’s redefining it. From fraud prevention to personalized banking, AI is driving innovation and efficiency. As the technology matures, its integration must be guided by ethical principles and robust governance to ensure that the financial system remains fair, resilient, and inclusive.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Read and Refer

***

Filed under: iMBA, Inc. | Tagged: AI, artificial intelligence, business, finance, Technology | Leave a comment »

Revolutionizing Patient Scheduling in Healthcare

Posted on October 8, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Efficient New Patient-Scheduling Models

[By Staff Writers]

Most doctors follow a linear (series-singular) time allocation strategy for scheduling patients (i.e., every 15 or 20 minutes). This can create bottlenecks because of emergencies, late patients, traffic jams, absent office personal, paperwork delays, etc.

Therefore, as first proposed by Dr. Neal Baum, a practicing urologist in New Orleans, one of these three newer scheduling approaches might prove more useful.

Customized Scheduling

The bottleneck problem may be reduced by trying to customize, estimate or project the time needed for the patient’s next office visit.

For example: CPT #99211 (15 minutes), #99212 (25 minutes), #99213 (35 minutes), or #99214 (45 minutes). Occasionally, extra time is need, and can be accommodated, if the allocated times are not too tightly scheduled.

Wave Scheduling

Most patients do not mind a brief 20-30 minute wait prior to seeing the doctor. Wave scheduling assumes that no patient will wait longer than this time period, and that for every three patients; two will be on time and one will be late.

This model begins by scheduling the three patients on the hour; and works like this. The first patient is seen on schedule, while the second and third wait for a few minutes. The later two patients are booked at 20 minutes past the hour and one or both may wait a brief time. One patient is scheduled for 40 minutes past the hour. The doctor then has 20 minutes to finish with the last three patients and may then get back on schedule before the end of the hour.

Bundle Scheduling

Bundling involves scheduling like-patient activities in blocks of time to increase efficiency.

For example, schedule minor surgical checkups on Monday morning, immunizations on Tuesday afternoon, and routine physical examinations on Wednesday evening, or make Thursday kid’s day and Friday senior citizens day. Do not be too rigid, but by scheduling similar activities together, assembly-line efficiency is achieved without assembly line mentality, and allows you to develop the most economically profitable operational flow process possible for the office.

Patient Self Scheduling (Internet Based Access Management)

New software programs allow patients to schedule their own appointments over the internet. The software allows solo or individual group physicians with a practice to set their own parameters of time, availability and even insurance plans. Through a series of interrogatories, the program confirms each appointment. When the patient arrives, a software tracker communicates with office staff and follows the patients from check-in, to procedures, to checkout.

Today, many hospitals have even abandoned the check-in or admissions, department. It has been replaced by Access Management.

Assessment

The traditional inear patient scheduling system is slowly being abandoned by modern medical practitioners; an all venues (medical practices, clinics, hospitals and various other healthcare entireties).

Conclusion

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
ADVISORS: www.CertifiedMedicalPlanner.org
BLOG: www.MedicalExecutivePost.com
FINANCE:Financial Planning for Physicians and Advisors
INSURANCE:Risk Management and Insurance Strategies for Physicians and Advisors

Filed under: Book Reviews, Practice Management, Recommended Books, Sponsors | Tagged: access management, bundle scheduling, medical office bottleneck, medical scheduling, open access management, patient scheduling, seriel scheduling, wave scheduling | 3 Comments »

VALUE BASED MEDICAL CARE: A Paradigm Shift in Healthcare

Posted on October 8, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A. I.

***

***

Value-Based Medical Care: A Paradigm Shift in Healthcare

In recent years, the healthcare industry has undergone a transformative shift from volume-driven services to outcome-focused care. This evolution is embodied in the concept of value-based medical care, a model that emphasizes delivering high-quality healthcare while controlling costs and improving patient outcomes. Unlike traditional fee-for-service systems, which reward providers for the quantity of services rendered, value-based care aligns incentives with the value of care provided—measured by patient health outcomes relative to the cost of achieving them.

Core Principles of Value-Based Care

At its heart, value-based medical care is built on several foundational principles:

Patient-Centeredness: Care is tailored to individual needs, preferences, and values, promoting shared decision-making and holistic treatment.
Quality Over Quantity: Providers are rewarded for improving health outcomes, reducing hospital readmissions, and preventing disease rather than performing more procedures.
Integrated Care Delivery: Coordination among healthcare professionals ensures seamless transitions between services, reducing fragmentation and duplication.
Data-Driven Accountability: Performance metrics and health analytics guide clinical decisions and track progress toward better outcomes.
Cost Efficiency: By focusing on prevention and effective management of chronic conditions, value-based care aims to reduce unnecessary spending.

Benefits for Patients and Providers

For patients, value-based care offers a more personalized and proactive approach to health. It encourages preventive screenings, chronic disease management, and wellness programs that lead to longer, healthier lives. Providers benefit from shared savings programs, performance bonuses, and stronger relationships with their patients. Moreover, healthcare systems can allocate resources more effectively, reducing waste and improving overall population health.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: Ask a Doctor, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Managed Care | Tagged: Accountability in Health Care, ACO, Health Insurance, health value, Managed Care, value based care, VBC | Leave a comment »

NOBEL PRIZE WINNERS: Medicine 2025

Posted on October 7, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A. I.

***

***

A trio of scientists — two of them American and one Japanese — have won the Nobel Prize in Medicine for their discoveries concerning peripheral immune tolerance, a mechanism by which the body helps prevent itself from attacking its own tissues instead of foreign invaders.

Mary E. Brunkow, Fred Ramsdell and Shimon Sakaguchi will share the prize for discoveries that “launched the field of peripheral tolerance, spurring the development of medical treatments for cancer and autoimmune diseases,” the Nobel Assembly said in a news release. The trio will now share the prize money of 11 million Swedish kronor (nearly $1.2 million).

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Doctors Only", Ask a Doctor, Career Development, Drugs and Pharma, Ethics, Events-Planner | Tagged: Fred Ramsdel, immune tolerance, Mary E. Brunkow, Nobel Assembly, Nobel prize, Shimon Sakaguchi | Leave a comment »

Understanding Workplace Violence: Types and Impact

Posted on October 7, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Filed under: Experts Invited, Marcinko Associates, mental health, Risk Management, Touring with Marcinko | Tagged: abuse, Marcinko, medical workplace violence, mental health, news, psychology, Relationships, schmuckler, trauma, violence, violence medical, workplace | Comments Off on Understanding Workplace Violence: Types and Impact

Stocks, Commodities, Japan & France

Posted on October 7, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A.I.

***

***

Stocks: The S&P 500 hit its seventh record close in a row today, its longest win streak since May. The NASDAQ was buoyed by big tech, while the DJIA fell.
Commodities: Oil climbed thanks to a decision by OPEC+ to boost crude production at a more modest rate than experts expected. Gold continued its record run, rising above $3,900 for the first time ever, while bitcoin hovered just below a new all-time high.
Japan and France: Japanese stocks rose after the country elected its first female prime minister, and French stocks dropped after its prime minister quit less than a month into the job.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", Alternative Investments, finance, Glossary Terms, Investing | Tagged: Bitcoin, commodities, crypto, DJIA, DOW, france, japan, NASDAQ, OPEC, S&P, stocks | Leave a comment »

UnitedHealthcare CEO Reveals $6.5 Billion Medical Cost Spike

Posted on October 6, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Fierce Healthcare [7/29/25]

***

***

UnitedHealthcare CEO Tim Noel offered investors a deeper look at the medical cost spike that’s plaguing the insurance giant’s finances. He said during the company’s earnings call that pricing assumptions set by the company “were well short of actual medical costs” for 2025. UHC’s current outlook, he said, instead reflects an additional $6.5 billion in medical costs, with more than half, or about $3.6 billion, coming from its Medicare plans.

Noel said that in Medicare Advantage specifically, the team is looking to adjust pricing and benefit designs to account for the cost pressures, which they anticipate will stretch into much of 2026.

It has also decided to exit certain markets largely with plans that are more loosely designed, such as PPOs, in a move that will impact 600,000 beneficiaries.

Source: Paige Minemyer, Fierce Healthcare [7/29/25]

COMMENTS APPRECIATED

EDUCATION: Books

Like and Subscribe

***

Filed under: "Ask-an-Advisor", Experts Invited, Glossary Terms, Health Economics, Health Insurance | Tagged: david marcinko, Fierce Healthcare, medicare, Medicare Advantage, Medicare Part C, PPO, Tim Noel, UnitedHealthcare | Leave a comment »

Understanding Population Health: Trends and Impacts

Posted on October 6, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

A Different Perspective on Population Health

By Dr. David Edward Marcinko MBA MEd CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

Definition

Population health has been defined as “the health outcomes of a group of individuals, including the distribution of such outcomes within the group”. It is an approach to health that aims to improve the health of an entire human population or cohort. http://www.HealthDictionarySeries.org

History

In fact, the nominal “father of population health” is colleague and Dean David B. Nash MD MBA of Jefferson Medical School in Philadelphia. And, although I attended Temple University down the street, David still wrote the Foreword to my textbook years later; Financial Management Strategies for Hospitals and Healthcare Organizations [Tools, Techniques, Checklists and Case Studies].

https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

Factors

Now age, income, location, race, gender and education are just a few characteristics that differentiate the world’s population. These are called ”disparities” and they have a major impact on people’s lives; especially their healthcare. And, I’ve written about them before. Perform a ME-P “search” for more.

So, it’s only natural that we’re keeping an eye on two major demographic trends: aging baby boomers and maturing Millennials [1982-2002 approximately].

Why it’s important

The impact of large population shifts propagate throughout an economy benefitting certain sectors more than others and influencing a country’s growth prospects; tantalizing investing ideas?

Example:

For example, as baby boomers retire, we’ll likely see higher spending on health care, but less on education and raising children. Likewise, tech-savvy Millennials will likely prioritize consumption on experiences over cars and houses [leading economic indicator].

So, can we profit from these trends?

Assessment

Well maybe – maybe not! Overall economic prospects may not be completely affected by these trends. Spending habits on combined goods and services will shift, rather than rise or decline.

So, be careful. What matters most for your investment success is your demographics and investing according to your personal circumstances and goals [paradox-of-thrift].

Conclusion

Subscribe: MEDICAL EXECUTIVE POST for curated news, essays, opinions and analysis from the public health, economics, finance, marketing, IT, business and policy management ecosystem.

***

Filed under: Glossary Terms, Health Economics, Investing, Op-Editorials, Touring with Marcinko | Tagged: David B. Nash MD, David Edward Marcinko, economic disparities, Healthcare Disparities, Investing, paradox of thrift, Population Health | Leave a comment »

INVESTING TRANSFORMATION: Artificial Intelligence

Posted on October 6, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Co-Pilot and A. I.

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

Artificial Intelligence and Investing: A Transformative Partnership

Artificial Intelligence (AI) is revolutionizing the world of investing, reshaping how decisions are made, risks are assessed, and portfolios are managed. As financial markets grow increasingly complex and data-driven, AI offers powerful tools to navigate this landscape with greater precision, speed, and insight.

At its core, AI refers to systems that can perform tasks typically requiring human intelligence—such as learning, reasoning, and problem-solving. In investing, this translates into algorithms that can analyze vast amounts of financial data, detect patterns, and make predictions with remarkable accuracy. Machine learning, a subset of AI, enables these systems to improve over time by learning from new data, making them especially valuable in dynamic markets.

One of the most significant applications of AI in investing is algorithmic trading. These systems can execute trades at lightning speed, responding to market fluctuations in milliseconds. By analyzing historical data and real-time market conditions, AI-driven trading platforms can identify optimal entry and exit points, often outperforming human traders. High-frequency trading firms have long relied on such technologies to gain competitive advantages.

AI also enhances portfolio management through robo-advisors—digital platforms that use algorithms to provide personalized investment advice. These tools assess an investor’s goals, risk tolerance, and time horizon, then construct and manage a diversified portfolio accordingly. Robo-advisors democratize access to financial planning, offering low-cost, automated solutions to individuals who might not afford traditional advisory services.

Risk assessment is another area where AI shines. By processing alternative data sources—such as social media sentiment, news articles, and satellite imagery—AI can uncover hidden risks and opportunities. For instance, a sudden spike in negative sentiment around a company on Twitter might signal reputational issues, prompting investors to reevaluate their positions. AI models can also forecast macroeconomic trends, helping investors anticipate shifts in interest rates, inflation, or geopolitical events.

Moreover, AI is transforming fundamental analysis. Natural language processing (NLP) allows machines to read and interpret earnings reports, SEC filings, and analyst commentary. This enables investors to extract insights from unstructured data that would be time-consuming to analyze manually. AI can even detect subtle linguistic cues that may indicate a company’s future performance or management’s confidence.

Despite its advantages, AI in investing is not without challenges. Models can be opaque, making it difficult to understand how decisions are made—a phenomenon known as the “black box” problem. There’s also the risk of overfitting, where algorithms perform well on historical data but fail in real-world scenarios. Ethical concerns, such as bias in data and the potential for market manipulation, must also be addressed.

In conclusion, AI is reshaping the investing landscape, offering tools that enhance efficiency, accuracy, and accessibility. While it’s not a panacea, its integration into financial markets marks a profound shift in how capital is allocated and wealth is managed. As technology continues to evolve, investors who embrace AI will be better positioned to thrive in an increasingly data-driven world.

COMMENTS APPRECIATED

EDUCATION: Books

Refer, Like and Subscribe

***

Filed under: "Ask-an-Advisor", Accounting, CMP Program, economics, finance, Funding Basics, Glossary Terms, iMBA, Inc., Portfolio Management | Tagged: AI, algorithmic trading, artificial intelligence, business, digital advisors, economics, finance, financial advisors, finncial planners, FINRA, Investing, investing transformation, investors, NLP, robo-advisors, SEC, Technology, tock brokers | Leave a comment »

Understanding Hedge Funds: A Comprehensive Guide

Posted on October 5, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

SPONSOR: http://www.MarcinkoAssociates.com

QUESTION: What is a Hedge Fund?

A hedge fund is a limited partnership of private investors whose money is pooled and managed by professional fund managers. These managers use a wide range of strategies, including leverage (borrowed money) and the trading of nontraditional assets, to earn above-average investment returns. A hedge fund investment is often considered a risky, alternative investment choice and usually requires a high minimum investment or net worth. Hedge funds typically target wealthy investors.

MANAGERS: https://medicalexecutivepost.com/2025/05/23/hedge-fund-hiring-separate-managers/

The hedge fund manager I am considering also runs an offshore fund under a “master feeder” arrangement.

A PHYSICIAN’S QUESTION: What does this mean? In which fund should I invest?

The master feeder arrangement is a two-tiered investment structure whereby investors invest in the feeder fund. The feeder fund in turn invests in the master fund. The master fund is therefore the one that is actually investing in securities. There may be multiple feeder funds under one master fund. Feeder funds under the same master can differ drastically in terms of fees charged, minimums required, types of investors, and many other features – but the investment style will be the same because only the master actually invests in the market.

A master feeder structure is a very popular arrangement because it allows a portfolio manager to pool both onshore and offshore assets into one investment vehicle (the master fund) that allocates gains and losses in an asset-based, proportional manner back to the onshore and offshore investors. All investors, both offshore and onshore, get the same return. In this manner, the portfolio manager, despite offering more than one fund with different characteristics to different populations, is not faced with the dilemma of which fund to favor with the best investment ideas.

PENSION PLANS: https://medicalexecutivepost.com/2025/05/18/medical-practice-pension-plan-hedge-fund-difficulties/

A manager may offer an offshore fund because there is demand for that manager’s skill either abroad, where investors may wish to preserve anonymity, or more commonly where investors simply do not wish to become entangled with the United States tax code. American citizens should generally avoid the offshore fund, since American citizens are taxed on their allocated share of offshore corporation profits whether or not a distribution occurs. Therefore, there is no benefit for most American taxpayers investing in an offshore fund.

Tax-exempt institutions, such as medical foundations, in the United States may have reason to consider an offshore hedge fund, however. Domestic tax-exempt organizations are generally not subject to unrelated business taxable income (UBTI) – the portion of hedge fund income that comes about as a result of the use of leverage – when investing with an offshore corporation. If the same tax-exempt organization were to invest in a domestic fund, and if UBTI was generated, then the organization would have to pay taxes on that UBTI. Most domestic hedge funds generate UBTI.

FEES: https://medicalexecutivepost.com/2025/04/05/hedge-fund-wrap-fees/

COMMENTS APPRECIATED

EDUCATION: Books

Read, Review, Like, Refer and Subscribe

***

Filed under: "Ask-an-Advisor", CMP Program, Experts Invited, Financial Planning, Funding Basics, Glossary Terms, Investing, Marcinko Associates, Portfolio Management | Tagged: Alternative Investments, CMP, Health Insurance, hedge funds, life insurance, Marcinko, master feeder, Mike Burry MD, mutual fund, nifty, personal-finance, retirement, suiability, UBTI, unrelated business taxable income | Leave a comment »

GAO RREPORT: Rising Physician Consolidation Increases Prices

Posted on October 5, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Health Capital Consultants, LLC

***

***

On September 22, 2025, the Government Accountability Office (GAO) released a report estimating “the Extent and Effects of Physician Consolidation.” The GAO, the non-partisan audit, evaluation, and investigative arm of Congress, undertook the analysis of physician consolidation in response to lawmakers’ request.

This Health Capital Topics article reviews the GAO report and stakeholder reactions. (Read more…)

COMMENTS APPRECIATED

EDUCATION: Books

Refer, Like and Subscribe

***

Filed under: "Ask-an-Advisor", Experts Invited, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy | Tagged: congress, GAO, GAO report, Government Accountability Office, Health Capital Consultants, Physician Consolidation | Leave a comment »

Understanding Machine Learning Distillation

Posted on October 5, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

DEFINITION

By Staff Reporters

***

***

What is distillation? In machine learning, distillation is a technique for transferring knowledge from a large, complex model (often called the teacher model) to a smaller, simpler model (the student model). This process helps the smaller model achieve similar performance to the larger one while being more efficient in terms of computation and memory usage.

Distillation steps: The main steps in knowledge distillation are: [1.] Train the student model by using these predictions, along with the original dataset, to mimic the teacher model’s behavior. And, [2.] use the teacher model to generate predictions for the dataset.

Cite: ChatGPT via MSFT

COMMENTS APPRECIATED

Subscribe and Refer

***

Filed under: Glossary Terms, Information Technology, Investing, LifeStyle | Tagged: AI, artificial intelligence, dataset, distillation, knowledge, neural network, student model, teacher model | Leave a comment »

FTC: Walks Away From Noncompete Ban

Posted on October 4, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Health Capital Consultants, LLC

***

***

On September 5, 2025, the Federal Trade Commission (FTC) voted to dismiss its appeals in two court cases, effectively terminating the Biden Administration’s pursuit of a comprehensive noncompete ban. The 3-1 Commission vote represents a fundamental shift in federal competition enforcement strategy.

This Health Capital Topics article reviews the history of the noncompete ban, the FTC’s recent activities regarding competition, and the implications for healthcare organizations. (Read more…)

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

Filed under: iMBA, Inc. | Leave a comment »

VARIABLE ANNUITIES: Retired Physicians Beware!

Posted on October 4, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By A.I. and Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

After a lifetime of hard work practicing medicine and saving, you’re at the retirement finish line. Instead of a paycheck, you’re relying on your nest egg and investment income to cover the bills. Picking the right investments is even more important, as you won’t have much chance to recover as a retired MD, DO, DPM or DDS.

“You made it to the top of the mountain through a systematic approach and are trying to make your way down safely,” says retirement planner John Gillet John Gillet in Hollywood, Fla. “Why throw all caution to the wind and try something different now?”

***

***

Definitions

An annuity is an insurance contract designed to grow your money and then repay it as income. There are different versions. An immediate annuity turns your lump sum into future guaranteed income payments, like your own personal pension. They are simple to understand with no or small fees.

Fixed annuities pay a guaranteed interest rate over a set period to grow your money, like 5% a year for five years. These options could make sense as part of a retirement plan.

A variable annuity, on the other hand, invests your savings in mutual funds. While you can buy riders that guarantee a minimum income, you’ll be paying very much for it. “All in, the annual fees can be 3% or more of your balance,” says Jeff Bailey, an advisor from Nashville. “That’s a huge withdrawal rate from your portfolio versus investing on your own.”

The variable annuity will lock up your money for years. If you cancel early, you owe a surrender charge that could start at 7% or more of your annuity balance before gradually going down as time goes by. “Clients believe they can walk away with their contract value, but that’s often not true,” says Bailey.

COMMENTS APPRECIATED

EDUCATION: Books

Like and Subscribe

***

Filed under: "Ask-an-Advisor", "Doctors Only", CMP Program, Ethics, Experts Invited, Funding Basics, Glossary Terms, Insurance Matters, Investing, Marcinko Associates, Portfolio Management | Tagged: annuities, beware annuities, beware physicians, CMP, david marcinko, DDS, DO, finance, fixed annuities, Gillet John, Jeff Bailey, MD, Mutual Funds, retired doctors, retired physicians, retirement, retirement planning, variable annuities | Leave a comment »

Why You Shouldn’t Trust Your Financial Advisor’s Awards

Posted on October 4, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

OVERHEARD IN THE DOCTOR’S LOUNGE

***

***

By D. Kellus Pruitt DDS

According to money journalists Max Tailwagger and Allan Roth of MoneyWatch, the trade publication Medical Economics Magazine [“advertising supplement”] nearly listed a dog on its’ 2013 list of Best Financial Advisors for Doctors. Indeed, being listed as a top financial advisor in this publication would enhance any advisor’s credibility as well as reach a high income readership.

For example, several advisors in the Financial Planning Association, mentions this prestigious award year after year. And, the NAPFA organization of fee-only financial planners has issued press releases when member advisors make this annual list. In fact, in 2008, it touted that 52/150 listed FAs were NAPFA members.

Yet, the dog is well known in the financial advisory world, having allegedly received a plaque as one of 2009 America’s Top Financial Planners by the Consumers’ Research Council of America, and has appeared in several books including Pound Foolish and Money for Life. The fee for Maxwell Tailwagger CFP® [a five year old Dachshund] was reported to be $750 with $1,000 for a bold listing. Colorado Securities Commissioner Fred Joseph is reported to have said, “Once again, Max is gaining national notoriety for his astute, and almost superhuman, abilities in the financial arena.”

The only two qualifications for the listing were to pay the fee and not have a complaint against them. In 2009, James Putman, then the NAPFA chairman who touted his own Medical Economics award, was charged by the SEC for securities fraud. NAPFA spokesperson Laura Fisher allegedly opined that “NAPFA no longer promotes the Medical Economics Top Advisors for Doctors list. We felt promoting a list that included stock-brokers was inconsistent with NAPFA’s mission to advance the fee-only profession.” When an advisor name drops an honor to you, congratulate him and then ask how s/he achieved the award. Ask how many nominees versus award recipients there were. What were the criteria for selection and how were they nominated. Ask if they had to pay for the honor, and go online to check out the organization.

Then ask yourself this question: If your financial advisor is buying credibility, do you really want to trust your financial future to him or her?

Source: http://www.cbsnews.com/news/dog-nearly-fetches-prestigious-financial-advisor-honor/

COMMENTS APPRECIATED

Read, Refer and Subscribe

EDUCATION: Books

***

Filed under: "Ask-an-Advisor", Accounting, Ethics, Experts Invited, Financial Planning, Healthcare Finance, Investing, Pruitt's Platform | Tagged: Allan Roth, D. Kellus Pruitt, Darrell Pruitt, Darrell Pruitt DDS, DDS, dog, dogs, financial advisors, financial advisors doctors, financial future, Fred Joseph, Laura Fisher, Max Tailwagger, Medical Economics, MoneyWatch, NAPFA, photography, travel | Leave a comment »

Understanding Asset Allocation for Investment Success

Posted on October 3, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Delving Deeper into Asset Allocation

SPONSOR: http://www.CERTIFIEDMEDICALPLANNER.org

By Lon Jefferies MBA CFP® CMP®

Asset allocation is one of the key factors contributing to long-term investment success.

When designing a portfolio that represents their risk tolerance, investors should be aware that a portfolio that is 50% stocks is likely to obtain approximately half of the gain when the market advances but suffer only half the loss when the market declines.

This general principle frequently holds true over extended investing cycles, but can waiver during shorter holding periods.

Case Model

For example, a fairly typical physician client of mine who has a 50% stock, 50% bond portfolio has obtained a return of 4.62% over the last 12 months, while the S&P 500 has obtained a return of 14.31% over the same time period (as of 10/30/14).

An investor expecting to obtain half the return of the index would anticipate a return of 7.15%, and by this measuring stick, has underperformed the market by over 2.50% during the last year.

What caused this differential?

Answer

The issue resides in how we define “the market.” In this example, we use the S&P 500 index as a measure for how the market as a whole is performing. As you may know, the S&P 500 (and the Dow Jones Industrial Average, for that matter) consists solely of large company U.S. stocks.

Of course, a diversified portfolio owns a mixture of large, mid, and small cap U.S. stocks, as well as international and emerging market equities. Consequently, comparing the performance of a basket of only large cap stocks to the performance of a diversified portfolio made up of a variety of different asset classes isn’t an apples-to-apples comparison.

***

Frequently, the diversified portfolio will outperform the non-diversified large cap index because several of the components of the diversified portfolio will obtain higher returns than those achieved by large cap holdings.

However, the past 12 months has been a case where a diversified portfolio underperformed the large cap index because large cap stocks were the best performing asset class over the time period. In fact, over the last twelve months, there has been a direct correlation between company size and stock performance (as of 10/30/14):

Large Cap Stocks (S&P 500): 14.92%
Mid Cap Stocks (Russell Mid Cap): 11.08%
Small Cap Stocks (Russell 2000): 4.45%
International Stocks (Dow Jones Developed Markets): -1.05%
Emerging Market Stocks (iShares MSCI Emerging Markets): -1.04%

Since large cap stocks were the best performing element of a diversified portfolio over the last 12 months, in retrospect, an investor would have obtained a superior return by owning only large cap stocks during the period as opposed to owning a diversified mix of different equities. Does this mean owning only large cap stocks rather than a diversified portfolio is the best investment approach going forward? Of course not.

Year after year, we don’t know which asset category will provide the best return and a diversified portfolio ensures we have exposure to each year’s big winner. Additionally, although large caps were this year’s winner, they could easily be next year’s big loser, and a diversified portfolio ensures we don’t have all our investment eggs in one basket.

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

Assessment

Don’t be overly concerned if your diversified portfolio is underperforming a non-diversified benchmark over a short period of time. As always, long-term results should be more heavily weighted than short-term swings, and having a diversified portfolio is likely to maximize the probability of coming out ahead over an extended period.

Conclusion

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Filed under: "Ask-an-Advisor", Experts Invited, Investing, Portfolio Management | Tagged: asset allocation, certified medical planner, CFP, CMP, Investing, Lon Jefferies MBA CFP® | Leave a comment »

Understanding Pre-Payment Health Plans

Posted on October 2, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

Classic: A pre-payment plan refers to health insurance plans that provide medical or hospital benefits in service rather than dollars, such as the plans offered by various Health Maintenance Organizations. A method providing in advance for the cost of predetermined benefits for a population group, through regular periodic payments in the form of premiums, dues, or contributions including those contributions that are made to a health and welfare fund by employers on behalf of their employees!

Modern: A Prepaid Group Practice Plan specifies health services are rendered by participating physicians to an enrolled group of persons, with a fixed periodic payment made in advance by (or on behalf of) each person or family. If a health insurance carrier is involved, a contract to pay in advance for the full range of health services to which the insured is entitled under the terms of the health insurance contract.

Examples:

Pre-Paid Hospital Service Plan: The common name for a health maintenance organization (HMO), a plan that provides comprehensive health care to its members, who pay a flat annual fee for services.
Pre-Paid Premium: An insurance or other premium payment paid prior to the due date. In insurance, payment by the insured of future premiums, through paying the present (discounted) value of the future premiums or having interest paid on the deposit.
Pre-Paid Prescription Plan: A drug reimbursement plan that is paid in advance.

COMMENTS APPRECIATED

Refer and Like

***

Filed under: "Ask-an-Advisor", CMP Program, Drugs and Pharma, Financial Planning, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance | Tagged: CMP, deductibles, drug, Health Insurance, HMO, hospital plan, pho, PPO, premiums, Prepaid Group Practice Plan, prescription plan, Rx | Leave a comment »

The Growing Hedge Fund Market [More Than Just Elites]

Posted on October 1, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA MEd CMP

http://www.MarcinkoAssociates.com

***

***

ME-P readers might believe the hedge fund industry is a small, exclusive club of elites, rich investors. But a new count by Preqin shows that it’s actually a large—and growing—sector of investing.

CITE: https://www.r2library.com/Resource/Title/0826102549

In fact, there may be more hedge funds globally (30,000+) than Burger King locations (18,700), and more more hedge fund managers than Taco Bell managers, per the FTE

HISTORY HEDGE FUNDS: https://medicalexecutivepost.com/2022/06/22/hedge-funds-history/

REG D: https://medicalexecutivepost.com/2022/01/14/the-private-placement-regulation-d-securities-exemption/

PODCAST: https://medicalexecutivepost.com/2023/02/22/video-on-hedge-fund-manager-michael-burry-md/

COMMENTS APPRECIATED

Thank You

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

Filed under: "Ask-an-Advisor", Glossary Terms, Health Economics, Investing, Portfolio Management, Taxation, Touring with Marcinko, Videos | Tagged: accredited investors, hedge funds, limited partners, Marcinko, Regulation D | Leave a comment »

« Previous Page — Next Page »

Subscribe MEDICAL EXECUTIVE-POST?

Member Statistics

ME-P Information & Content Channels

Ann Miller RN MHA [Managing Editor]

CERTIFIED MEDICAL PLANNER® program

Most Recent ME-Ps

PodiatryPrep.org

ME-P Free Advertising Consultation

Medical & Surgical e-Consent Forms

iMBA Inc., OFFICES

ME-P Publishing

SEEKING INDUSTRY INFO PARTNERS?

Reader Comments, Quips, Opinions, News & Updates

Start-Up Advice for Businesses, DRs and Entrepreneurs

Up-Trending ME-Ps

Capitalism and Free Enterprise Advocacy

OIG Fraud Warnings

More Difficult than Ever Before

Share this:

Share this:

Micro-Certification Basics

Micro-Certification Requirements

Uses of Micro-Certifications

Examples of iMBA, Inc., Micro-Certifications

How to Start Learning and Earning Recognition for Your Knowledge

Share this:

Share this:

Share this:

What Is a Doctorate Degree?

Can a PhD Be Called a Doctor?

Share this:

Share this:

Share this:

Share this:

Can a physician medical provider charge an office cancellation fee?

Is it legal for an insurance company to charge a cancellation fee?

Share this:

Share this:

Share this:

Share this:

The Dark Web: A Hidden Layer of the Internet

Share this:

Share this:

Share this:

Share this:

Share this:

Share this:

The Looming Cryptocurrency Crisis: Risks on the Horizon

Share this:

Why do employers value critical thinking?

Six main types of critical thinking skills

1. Analytical thinking

2. Good communication

3. Creative thinking

4. Open-mindedness

5. Ability to solve problems

6. Asking thoughtful questions:

* Open-ended questions

* Outcome-based questions

Reflective questions

* Structural questions

Share this:

The October 2025 Stock Market Crash: A Perfect Storm of Geopolitics and Investor Panic

Share this:

Share this:

Share this:

Current VIX Snapshot 10/12/25

Share this:

Austrian Economics vs. Keynesian Economics in One Simple Chart

Share this:

“BIG BROTHER” IS WATCHING

By Dr. David Edward Marcinko MBA

Share this:

Real Assets

Private Market Investments

Intellectual Property & Royalties

Structured Products & Alternatives

Impact & Sustainable Investing

Tangible Assets

Income-Producing Alternatives