The Role of A.I. in Financial Markets and Trading

Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Artificial intelligence has become one of the most transformative forces in modern finance. What began as a set of experimental tools for data analysis has evolved into a sophisticated ecosystem of algorithms that influence nearly every corner of global markets. From high‑frequency trading to risk management and fraud detection, AI now plays a central role in how financial institutions operate, compete, and innovate. Its rise has reshaped the speed, structure, and strategy of trading, while also raising new questions about transparency, fairness, and systemic stability.

At its core, AI excels at identifying patterns in vast amounts of data—patterns that are often too subtle or complex for human analysts to detect. Financial markets generate enormous streams of information every second: price movements, order flows, economic indicators, corporate disclosures, and even social sentiment. Traditional analytical methods struggle to keep pace with this volume and velocity. AI systems, particularly those built on machine learning, thrive in such environments. They can process millions of data points in real time, continuously refine their models, and adapt to changing market conditions. This ability to learn dynamically gives AI‑driven trading strategies a significant edge in speed and precision.

One of the most visible applications of AI in finance is algorithmic trading. Many trading firms now rely on automated systems that execute orders based on predefined rules or predictive models. High‑frequency trading (HFT) is a prominent example, where algorithms place and cancel orders within microseconds to exploit tiny price discrepancies. While HFT predates modern AI, machine learning has enhanced these strategies by enabling algorithms to anticipate short‑term market movements more effectively. AI‑powered systems can detect fleeting opportunities, adjust positions instantly, and manage risk with a level of responsiveness that human traders simply cannot match.

Beyond speed, AI has expanded the analytical toolkit available to traders. Natural language processing allows algorithms to interpret news articles, earnings reports, and even social media posts to gauge market sentiment. This capability has become especially valuable in an era where information spreads rapidly and investor reactions can shift within minutes. By quantifying sentiment and integrating it into trading models, AI helps firms anticipate volatility and position themselves accordingly. In many cases, these systems can react to breaking news before a human trader has even finished reading the headline.

AI also plays a growing role in portfolio management. Robo‑advisors, for example, use algorithms to build and rebalance investment portfolios based on an individual’s goals, risk tolerance, and market conditions. While early robo‑advisors relied on relatively simple rules, newer systems incorporate machine learning to optimize asset allocation more dynamically. They can analyze historical performance, forecast potential outcomes, and adjust strategies as new data emerges. This has made investment management more accessible and cost‑effective for retail investors, while also pushing traditional firms to adopt more technologically advanced approaches.

Risk management is another area where AI has become indispensable. Financial institutions face a wide range of risks—market risk, credit risk, operational risk—and AI helps them monitor and mitigate these threats more effectively. Machine learning models can detect anomalies in trading behavior, identify early signs of credit deterioration, and simulate stress scenarios with greater accuracy. These tools allow firms to respond proactively rather than reactively, strengthening the resilience of their operations. In addition, AI‑driven fraud detection systems analyze transaction patterns to flag suspicious activity, helping protect both institutions and consumers.

***

***

Despite its many advantages, the integration of AI into financial markets is not without challenges. One major concern is transparency. Many AI models, especially deep learning systems, operate as “black boxes,” making it difficult to understand how they arrive at specific decisions. In a highly regulated industry like finance, this lack of interpretability can create compliance issues and complicate oversight. Regulators increasingly expect firms to explain the logic behind their models, which has sparked interest in developing more interpretable AI techniques.

Another challenge is the potential for AI to amplify systemic risk. Because many firms use similar data and modeling techniques, their algorithms may behave in correlated ways during periods of market stress. This can lead to rapid, self‑reinforcing price movements, as seen in several flash crashes over the past decade. While AI did not cause these events, the speed and automation it enables can exacerbate volatility if not carefully managed. Ensuring that AI systems incorporate safeguards—such as circuit breakers, diversity of models, and human oversight—is essential for maintaining market stability.

Ethical considerations also come into play. AI systems are only as good as the data they are trained on, and biased or incomplete data can lead to flawed outcomes. In areas like credit scoring or loan approvals, such biases can have real‑world consequences for individuals and communities. Financial institutions must therefore prioritize fairness, accountability, and transparency when deploying AI, ensuring that their models do not inadvertently reinforce existing inequalities.

Looking ahead, AI’s influence on financial markets is likely to grow even stronger. Advances in computing power, data availability, and model sophistication will enable even more accurate predictions and more efficient trading strategies. At the same time, the industry will need to balance innovation with responsibility. Human judgment will remain essential, not only to oversee AI systems but also to provide the strategic insight and ethical grounding that algorithms cannot replicate.

In sum, AI has become a powerful force reshaping financial markets and trading. It enhances speed, precision, and analytical depth, opening new possibilities for investors and institutions alike. Yet its rise also brings new complexities that require thoughtful governance and ongoing scrutiny. As AI continues to evolve, the financial sector will face the challenge—and the opportunity—of integrating these technologies in ways that promote efficiency, stability, and fairness.

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, Refer and Subscribe

***

***

PRIVATE EQUITY: In Podiatric Surgery

Dr. David Edward Marcinko MBA MEd

***

***

Why podiatry surgery volume matters so much?

Podiatry Management Service Organizations typically rely on three revenue pillars:

  1. Office visits (high volume, low margin)
  2. Ancillaries (DME, orthotics, imaging)
  3. Surgery (low volume, high margin)

Surgery is the only pillar that reliably moves EBITDA in a meaningful way. Buyers know this, so they scrutinize surgical volume harder than anything else.

***

***

🔍 What “surgery volume” really means in podiatry

It’s not just the number of cases. Buyers look at:

  • Case mix (forefoot vs. rearfoot vs. trauma)
  • Site of service (ASC vs. hospital vs. office)
  • Provider concentration (is one surgeon doing 40% of cases?)
  • Payer mix (Medicare vs. commercial)
  • Seasonality (podiatry has real seasonal swings)
  • Referral stability (orthopedics, PCPs, wound care centers)

If any of these look unstable, the MSO’s valuation drops fast.

🚧 What happens to surgery volume when an MSO misses its exit window

1. Surgeons become less motivated

When the exit stalls:

  • Equity feels less valuable
  • Surgeons may slow down elective cases
  • Some shift cases back to hospitals
  • Others reduce ASC utilization
  • A few may even explore leaving the MSO

This is one of the biggest hidden risks.

2. Case mix often deteriorates

High‑value cases (rearfoot, reconstructive, trauma) may decline, while:

  • Nail procedures
  • Callus debridements
  • Routine diabetic care

…take up more of the schedule. This drags down EBITDA even if total visit volume stays stable.

3. Referral patterns weaken

If the MSO is perceived as unstable:

  • Orthopedic groups may stop referring
  • PCPs may shift to independent podiatrists
  • Wound care centers may diversify referrals

Referral leakage is subtle but devastating.

4. ASC strategy becomes strained

Many podiatry MSOs depend on:

  • Owning ASCs
  • Leasing block time
  • Negotiating better payer rates

If surgery volume softens:

  • ASC utilization drops
  • Fixed costs become painful
  • Lenders get nervous
  • Buyers discount the valuation

ASC underperformance is one of the top reasons podiatry MSOs fail to exit.

5. Productivity gaps widen between providers

Podiatry MSOs often have:

  • A few high‑volume surgeons
  • Many low‑volume generalists

When the exit stalls:

  • High performers may feel under‑rewarded
  • Low performers may drag down averages
  • Buyers see concentration risk

If one surgeon leaves, the MSO’s EBITDA can collapse.

6. Compliance scrutiny increases

Surgical coding in podiatry is a known risk area. When an MSO can’t sell, buyers often dig deeper into:

  • Modifier usage
  • Global period billing
  • Site‑of‑service documentation
  • Medical necessity for certain procedures

If anything looks aggressive, the deal dies.

***

***

🎯 The bottom line

Podiatry surgery volume is the core value driver of a podiatry MSO. When an MSO fails to sell at its vintage year, surgery volume usually:

  • Softens
  • Becomes more concentrated
  • Shifts toward lower‑margin cases
  • Shows referral instability
  • Raises compliance questions

Buyers interpret this as EBITDA fragility, which is why podiatry MSOs often end up in continuation funds or sell at discounted multiples.

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, Refer and Subscribe

***

***

PRIVATE EQUITY: Terms and Definitions

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Capital Call: Definition and Explanation

A capital call is a notice sent to investors requesting that they contribute additional capital to a private equity fund. Capital calls are made when the fund manager has identified a new investment opportunity that requires additional funds.

Investors must be prepared to respond to capital calls with the required funds in a timely manner, as failure to do so could result in penalties or even the loss of their investment.

Carried Interest: Understanding the Concept

Carried interest is a form of incentive fee paid to private equity fund managers. This fee is calculated as a percentage of the profits generated by the fund’s investments.

Carried interest is often criticized as a tax loophole, as it is treated as capital gains, which are taxed at a lower rate than ordinary income.

Deal Flow: What it Means for Investors

Deal flow refers to the number of potential investment opportunities that a private equity firm evaluates. A robust deal flow is important for private equity firms, as it provides a pipeline of potential investments to consider.

Investors may want to investigate a private equity firm’s deal flow as part of their due diligence process, as a strong deal flow can indicate the firm has a good track record of finding attractive investment opportunities.

Due Diligence: A Key Step in Private Equity Investing

Due diligence is the process of evaluating a potential investment opportunity to assess its viability. This process involves a thorough investigation of the company’s financials, operations, and management team.

Due diligence is a critical step in the private equity investment process, as it helps to identify potential risks associated with an investment opportunity. Investors who skip due diligence do so at their own risk.

Exit Strategy: How Private Equity Firms Make Money

Exit strategy refers to the plan that private equity firms have in place to cash out of their investments. Private equity firms typically exit investments through an initial public offering (IPO), a sale to another company, or a management buyout.

Exit strategy is critical to the private equity investment process, as it is how investors ultimately make returns on their investments.

Fund of Funds: An Overview

A fund of funds is a type of investment fund that invests in other investment funds. In the private equity space, fund of funds typically invest in a portfolio of private equity funds.

Fund of funds can be a good way for investors to gain exposure to a wider range of private equity investments with less risk than investing in individual funds.

General Partner vs Limited Partner: What’s the Difference?

The general partner is the party responsible for managing the private equity fund and making investment decisions. Limited partners, on the other hand, are typically passive investors who provide capital but have little involvement in the investment process.

The distinction between general partners and limited partners is important for investors to understand, as it can impact their level of involvement in the investment process.

Investment Horizon: A Crucial Factor in Private Equity Investments

Investment horizon refers to the length of time an investor plans to hold an investment. In the private equity space, investment horizons can be several years or even a decade.

Investment horizon is a critical factor for investors to consider, as it impacts the level of liquidity they will have and the returns they can expect to make on their investment.

Leveraged Buyout (LBO): Definition and Examples

A leveraged buyout is a type of acquisition where the acquiring company uses a significant amount of debt to finance the purchase. The idea is that the acquired company’s assets will be used as collateral to secure the debt.

Leveraged buyouts can be an effective way for private equity firms to acquire companies with minimal capital investment. However, the use of leverage also increases the risk associated with these types of acquisitions.

Management Fee vs Performance Fee: Understanding the Two

The management fee is the fee paid to the general partner for managing the private equity fund. The performance fee, or carried interest, is paid based on the fund’s performance and returns generated for investors.

The distinction between management fees and performance fees is important for investors to understand, as it affects the level of fees they will be responsible for paying.

Pitchbook: A Guide to Creating an Effective Pitchbook

A pitchbook is a presentation used by private equity firms to pitch their investment strategy to potential investors. An effective pitchbook should be clear, well-organized, and provide a compelling rationale for why investors should consider investing in the fund.

Investors reviewing a fund’s pitchbook should look for evidence of a well-thought-out investment strategy and a track record of successful investments.

Private Placement Memorandum (PPM): What it is and Why It Matters

A private placement memorandum is a legal document provided to potential investors that details the terms of the private equity fund. It includes information on the fund’s investment strategy, expected returns, fees, and risks associated with the investment.

Reviewing a fund’s private placement memorandum is a critical step in the due diligence process, as it provides investors with a comprehensive understanding of the investment opportunity.

Recapitalization: A Strategy for Restructuring a Company

Recapitalization is a strategy used by private equity firms to restructure a company’s capital structure. This can involve issuing debt to pay off equity holders or issuing equity to pay off debt holders.

Recapitalization is often used to improve a company’s financial position and increase its value, making it a key tool in the private equity arsenal.

Valuation Techniques Used in Private Equity Investing

Valuation techniques are used to determine the value of a private company. These techniques can include discounted cash flow analysis, market multiples analysis, and asset-based valuation.

Understanding valuation techniques is important for investors, as it allows them to evaluate the relative value of investment opportunities and make informed investment decisions.

COMMENTS APPRECIATED

Refer and Subscribe

***

***

PSYCHOLOGY: Notable Investing Paradoxes

Dr. David Edward Marcinko MBA MEd CMP

Eugene Schmuckler PhD MBA MEd CTS

***

***

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”.

***

1. The Paradox of Skill

  • As more investors become skilled, skill matters less.
  • When everyone is highly skilled, outperformance becomes mostly luck because the competition is too tight.

2. The Market Efficiency Paradox

  • Markets are efficient because people believe they are not.
  • If everyone believed markets were efficient, no one would try to exploit mispricings—and markets would become inefficient.

3. The Liquidity Paradox

  • Liquidity is abundant until you need it most.
  • In crises, assets that were easy to trade suddenly become impossible to sell at a fair price.

4. The Volatility Paradox

  • Strategies that appear safe (low volatility) can be the most dangerous.
  • Strategies that look risky (high volatility) can be safer long-term.
  • Example: selling insurance-like options feels safe—until it blows up.

5. The Risk Paradox

  • Taking more risk can lead to lower returns if the risks are poorly compensated.
  • Taking less risk can lead to higher returns if it keeps you invested through downturns.

6. The Diversification Paradox

  • Diversification always feels unnecessary before a crisis and always feels insufficient during one.

7. The Time Paradox

  • The longer your time horizon, the less risky stocks become.
  • But the longer your time horizon, the harder it is to stay disciplined.

8. The Cash Paradox

  • Holding cash feels safe, but over long periods it’s one of the riskiest assets because inflation quietly destroys it.

9. The Contrarian Paradox

  • Being contrarian works only when you’re right.
  • Most of the time, the crowd is correct—so being contrarian for its own sake is a losing strategy.

10. The Information Paradox

  • More information doesn’t always lead to better decisions.
  • Sometimes it leads to overconfidence, noise-chasing, and worse outcomes.

11. The Performance Paradox

  • The best-performing funds are often the worst-performing funds right before and after their peak.
  • Investors chase past returns and end up buying high and selling low.

12. The Leverage Paradox

  • Leverage boosts returns—until it destroys them.
  • The more leverage you use, the more fragile your portfolio becomes.

13. The Behavioral Paradox

  • You can know all the right investing principles and still fail because behavior > knowledge.

14. The “Do Nothing” Paradox

  • Doing nothing is often the most profitable strategy.
  • But doing nothing is psychologically the hardest thing to do.

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, Refer and Subscribe

***

***

ERISA: Federal Law of 1974

Employee Retirement Income Security Act

By Staff Reporters

***

***

The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans.

ERISA requires plans to provide participants with plan information including important information about plan features and funding; provides fiduciary responsibilities for those who manage and control plan assets; requires plans to establish a grievance and appeals process for participants to get benefits from their plans; and gives participants the right to sue for benefits and breaches of fiduciary duty.

***

There have been a number of amendments to ERISA, expanding the protections available to health benefit plan participants and beneficiaries. One important amendment, the Consolidated Omnibus Budget Reconciliation Act (COBRA), provides some workers and their families with the right to continue their health coverage for a limited time after certain events, such as the loss of a job. Another amendment to ERISA is the Health Insurance Portability and Accountability Act which provides important protections for working Americans and their families who might otherwise suffer discrimination in health coverage based on factors that relate to an individual’s health.

Other important amendments include the Newborns’ and Mothers’ Health Protection Act, the Mental Health Parity Act, the Women’s Health and Cancer Rights Act, the Affordable Care Act and the Mental Health Parity and Addiction Equity Act.

FIDUCIARY: https://medicalexecutivepost.com/2024/08/24/how-the-fiduciary-conundrum-defies-physics/

In general, ERISA does not cover group health plans established or maintained by governmental entities, churches for their employees, or plans which are maintained solely to comply with applicable workers compensation, unemployment, or disability laws. ERISA also does not cover plans maintained outside the United States primarily for the benefit of nonresident aliens or unfunded excess benefit plans.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Refer and Subscribe

***

***

TAX TERMS: All Doctors Should Know

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

ability to pay

A concept of tax fairness that states that people with different amounts of wealth or different amounts of income should pay tax at different rates. Wealth includes assets such as houses, cars, stocks, bonds, and savings accounts. Income includes wages, interest and dividends, and other payments.

adjusted gross income

Gross income reduced by certain amounts, such as a deductible IRA contribution or student loan interest

amount due

Money that taxpayers must pay to the government when the total tax is greater than their total tax payments

appeal

To call for a review of an IRS decision or proposed adjustment.

Authorized IRS e-file Provider

A business authorized by the IRS to participate in the IRS e-file Program. The business may be a sole proprietorship, a partnership, a corporation, or an organization. Authorized IRS e-file Providers include Electronic Return Originators (EROs), Transmitters, Intermediate Service Providers, and Software Developers. These categories are not mutually exclusive. For example, an ERO can at the same time, be a Transmitter, a Software Developer, or an Intermediate Service Provider, depending on the function being performed.

B

benefits received

A concept of tax fairness that states that people should pay taxes in proportion to the benefits they receive from government goods and services.

bonus

Compensation received by an employee for services performed. A bonus is given in addition to an employee’s usual compensation.

business

A continuous and regular activity that has income or profit as its primary purpose.

C

Citizen or Resident Test

Assuming all other dependency tests are met, the citizen or resident test allows taxpayers to claim a dependency exemption for persons who are U.S. citizens for some part of the year or who live in the United States, Canada, or Mexico for some part of the year.

commission

Compensation received by an employee for services performed. Commissions are paid based on a percentage of sales made or a fixed amount per sale.

compulsory payroll tax

An automatic tax collected from employers and employees to finance specific programs.

D

deficit

The result of the government taking in less money than it spends.

dependency exemption

Amount that taxpayers can claim for a “qualifying child” or “qualifying relative”. Each exemption reduces the income subject to tax. The exemption amount is a set amount that changes from year to year. One exemption is allowed for each qualifying child or qualifying relative claimed as a dependent.

dependent

A qualifying child or qualifying relative, other than the taxpayer or spouse, who entitles the taxpayer to claim a dependency exemption.

Direct Deposit

This allows tax refunds to be deposited directly to the taxpayer’s bank account. Direct Deposit is a fast, simple, safe, secure way to get a tax refund. The taxpayer must have an established checking or savings account to qualify for Direct Deposit. A bank or financial institution will supply the required account and routing transit numbers to the taxpayer for Direct Deposit.

direct tax

A tax that cannot be shifted to others, such as the federal income tax.

E

earned income

Includes wages, salaries, tips, includible in gross income, and net earnings from self-employment earnings.

Earned Income Credit

A tax credit for certain people who work, meet certain requirements, and have earned income under a specified limit.

electronic filing (e-file)

The transmission of tax information directly to the IRS using telephones or computers. Electronic filing options include (1) Online self-prepared using a personal computer and tax preparation software, or (2) using a tax professional. Electronic filing may take place at the taxpayer’s home, a volunteer site, the library, a financial institution, the workplace, malls and stores, or a tax professional’s place of business.

electronic preparation

Electronic preparation means that tax preparation software and computers are used to complete tax returns. Electronic tax preparation helps to reduce errors.

Electronic Return Originator (ERO)

The Authorized IRS e-file Provider that originates the electronic submission of an income tax return to the IRS. EROs may originate the electronic submission of income tax returns they either prepared or collected from taxpayers. Some EROs charge a fee for submitting returns electronically.

employee

Works for an employer. Employers can control when, where, and how the employee performs the work.

excise tax

A tax on the sale or use of specific products or transactions.

exempt (from withholding)

Free from withholding of federal income tax. A person must meet certain income, tax liability, and dependency criteria. This does not exempt a person from other kinds of tax withholding, such as the Social Security tax.

exemptions

Amount that taxpayers can claim for themselves, their spouses, and eligible dependents. There are two types of exemptions-personal and dependency. Each exemption reduces the income subject to tax. While each is worth the same amount, different rules apply to each.

F

Federal/State e-file

A program sponsored by the IRS in partnership with participating states that allows taxpayers to file federal and state income tax returns electronically at the same time.

federal income tax

The federal government levies a tax on personal income. The federal income tax provides for national programs such as defense, foreign affairs, law enforcement, and interest on the national debt.

Federal Insurance Contributions Act (FICA) Tax

Provides benefits for retired workers and their dependents as well as for disabled workers and their dependents. Also known as the Social Security tax.

file a return

To mail or otherwise transmit to an IRS service center the taxpayer’s information, in specified format, about income and tax liability. This information-the return-can be filed on paper, electronically (e-file).

filing status

Determines the rate at which income is taxed. The five filing statuses are: single, married filing a joint return, married filing a separate return, head of household, and qualifying widow(er) with dependent child.

financial records

Spending and income records and items to keep for tax purposes, including paycheck stubs, statements of interest or dividends earned, and records of gifts, tips, and bonuses. Spending records include canceled checks, cash register receipts, credit card statements, and rent receipts.

flat tax

This is another term for a proportional tax.

formal tax legislation process

This is another term for a proportional tax.

Form W-4, Employee’s Withholding Allowance Certificate

Completed by the employee and used by the employer to determine the amount of income tax to withhold.

foster child

A foster child is any child placed with a taxpayer by an authorized placement agency or by court order. Eligible foster children may be claimed by taxpayers for tax benefits.

G

gasoline excise tax

An excise tax paid by consumers when they purchase gasoline. The tax covers the manufacture, sale, and use of gasoline.

gross income

Money, goods, services, and property a person receives that must be reported on a tax return. Includes unemployment compensation and certain scholarships. It does not include welfare benefits and nontaxable Social Security benefits.

H

Head of Household filing status

You must meet the following requirements: 1. You are unmarried or considered unmarried on the last day of the year. 2. You paid more than half the cost of keeping up a home for the year. 3. A qualifying person lived with you in the home for more than half the year (except temporary absences, such as school). However, a dependent parent does not have to live with the taxpayer.

horizontal equity

The concept that people in the same income group should be taxed at the same rate. “Equals should be taxed equally.”

I

income taxes

Taxes on income, both earned (salaries, wages, tips, commissions) and unearned (interest, dividends). Income taxes can be levied on both individuals (personal income taxes) and businesses (business and corporate income taxes).

independent contractor

Performs services for others. The recipients of the services do not control the means or methods the independent contractor uses to accomplish the work. The recipients do control the results of the work; they decide whether the work is acceptable. Independent contractors are self-employed.

indirect tax

A tax that can be shifted to others, such as business property taxes.

infant industry

A new or developing domestic industry whose costs of production are higher than those of established firms in the same industry in other countries.

***

***

inflation

The simultaneous increase of consumer prices and decrease in the value of money and credit.

informal tax legislation process

Individuals and interest groups expressing and promoting their opinions about tax legislation.

interest

The charge for the use of borrowed money.

interest income

The income a person receives from certain bank accounts or from lending money to someone else.

Intermediate Service Provider

Assists in processing tax return information between the ERO (or the taxpayer, in the case of online filing) and the Transmitter.

Internal Revenue Service (IRS)

The federal agency that collects income taxes in the United States.

investment income

Includes taxable and tax-exempt interest, dividends, capital gains net income, certain rent and royalty income, and net passive activity income.

IRS e-file

Refers to the preparation and transmission of tax return information to the IRS using telephone lines or a computer with a modem or Internet access.

L

lobbyist

A person who represents the concerns or special interests of a particular group or organization in meetings with lawmakers. Lobbyists work to persuade lawmakers to change laws in the group’s favor.

long-distance telephone tax refund

Taxpayers are eligible to file for refunds of all excise tax they have paid on long-distance service billed to them after Feb. 28, 2003.

luxury tax

A tax paid on expensive goods and services considered by the government to be nonessential.

M

market economy

An economic system based on private enterprise that rests upon three basic freedoms: freedom of the consumer to choose among competing products and services, freedom of the producer to start or expand a business, and freedom of the worker to choose a job and employer.

Married Filing Joint filing status

You are married and both you and your spouse agree to file a joint return. (On a joint return, you report your combined income and deduct your combined allowable expenses.)

Married Filing Separate filing status

You must be married. This method may benefit you if you want to be responsible only for your own tax or if this method results in less tax than a joint return. If you and your spouse do not agree to file a joint return, you may have to use this filing status.

mass tax

A broad tax that affects a majority of taxpayers.

Medicare tax

Used to provide medical benefits for certain individuals when they reach age 65. Workers, retired workers, and the spouses of workers and retired workers are eligible to receive Medicare benefits upon reaching age 65.

N

nonrefundable credit

When the amount of a credit is greater than the tax owed, taxpayers can only reduce their tax to zero; they cannot receive a “refund” for any excess nonrefundable credit.

nullification

A state’s refusal to recognize or obey a federal law.

payroll taxes

Include Social Security and Medicare taxes.

personal exemption

Can be claimed for the taxpayer and spouse. Each personal exemption reduces the income subject to tax by the exemption amount.

Personal Identification Number (PIN)

Allow taxpayers to “sign” their tax returns electronically. The PIN, a five-digit self-selected number, ensures that electronically submitted tax returns are authentic. Most taxpayers can qualify to use a PIN.

progressive tax

A tax that takes a larger percentage of income from high-income groups than from low-income groups.

property taxes

Taxes on property, especially real estate, but also can be on boats, automobiles (often paid along with license fees), recreational vehicles, and business inventories.

proportional tax

A tax that takes the same percentage of income from all income groups.

protective tariff

A tax levied on imported goods with the purpose of reducing domestic consumption of foreign-produced goods.

public goods and services

Benefits that cannot be withheld from those who don’t pay for them, and benefits that may be “consumed” by one person without reducing the amount of the product available for others. Examples include national defense, streetlights, and roads and highways. Public services include welfare programs, law enforcement, and monitoring and regulating trade and the economy.

Q

qualifying child

To be a qualifying child, the dependent must meet eight tests: (1) relationship, (2) age, (3) residence, (4) support, (5) citizenship or residency, (6) joint return, (7) qualifying child of more than one person, and (8) dependent taxpayer.

qualifying relative

There are tests that must be met to be a qualifying relative, they are: (1) not a qualifying child, (2) member of household or relationship, (3) citizenship or residency, (4) gross income, (5) support, (6) joint return, and (7) dependent taxpayer.

Qualifying Widow(er) filing status

If your spouse died in 2010, you can use married filing jointly as your filing status for 2010 if you otherwise qualify to use that status. The year of death is the last year for which you can file jointly with your deceased spouse. You may be eligible to use qualifying widow(er) with dependent child as your filing status for two years following the year of death of your spouse. For example, if your spouse died in 2010, and you have not remarried, you may be able to use this filing status for 2011 and 2012. This filing status entitles you to use joint return tax rates and the highest standard deduction amount (if you do not itemize deductions). This status does not entitle you to file a joint return.

R

refund

Money owed to taxpayers when their total tax payments are greater than the total tax. Refunds are received from the government.

refundable credit

When the amount of a credit is greater than the tax owed, taxpayers can receive a “refund” for some of the unused credit.

regressive tax

A tax that takes a larger percentage of income from low-income groups than from high-income groups.

resources

Factors needed to produce goods and services (natural, human, and capital goods).

revenue

The income the nation collects from taxes.

revenue tariff

A tax on imported goods levied primarily to generate revenue for the federal government.

S

salary

Compensation received by an employee for services performed. A salary is a fixed sum paid for a specific period of time worked, such as weekly or monthly.

sales tax

A tax on retail products based on a set percentage of retail cost.

self-employment loss

Self-employment income minus self-employment expenses, when self-employment income is less than self-employment expenses.

self-employment profit

Self-employment income minus self-employment expenses, when self-employment income is greater than self-employment expenses.

self-employment tax

Similar to Social Security and Medicare taxes. The self-employment tax rate is 15.3 percent of self-employment profit. The self-employment tax is calculated on Schedule SE—Self-Employment Tax. The self-employment tax is reported on Form 1040, U.S. Individual Income Tax Return.

single filing status

If on the last day of the year, you are unmarried or legally separated from your spouse under a divorce or separate maintenance decree and you do not qualify for another filing status.

sin tax

A tax on goods such as tobacco and alcohol.

Social Security tax

Provides benefits for retired workers and their dependents as well as for the disabled and their dependents. Also known as the Federal Insurance Contributions Act (FICA) tax.

Software Developer

Develops software for the purposes of (1) formatting electronic tax return information according to IRS specifications, and/or (2) transmitting electronic tax return information directly to the IRS.

standard deduction

Reduces the income subject to tax and varies depending on filing status, age, blindness, and dependency.

support

For dependency test purposes, support includes food, clothing, shelter, education, medical and dental care, recreation, and transportation. It also includes welfare, food stamps, and housing provided by the state. Support includes all income, taxable and nontaxable.

T

tariff

A tax on products imported from foreign countries.

taxable interest income

Interest income that is subject to income tax. All interest income is taxable unless specifically excluded.

tax avoidance

An action taken to lessen tax liability and maximize after-tax income.

tax code

The official body of tax laws and regulations.

tax credit

A dollar-for-dollar reduction in the tax. Can be deducted directly from taxes owed.

tax cut

A reduction in the amount of taxes taken by the government.

tax deduction

An amount (often a personal or business expense) that reduces income subject to tax.

taxes

Required payments of money to governments that are used to provide public goods and services for the benefit of the community as a whole.

tax evasion

A failure to pay or a deliberate underpayment of taxes.

tax-exempt interest income

Interest income that is not subject to income tax. Tax-exempt interest income is earned from bonds issued by states, cities, or counties and the District of Columbia.

tax exemption

A part of a person’s income on which no tax is imposed.

tax liability (or total tax bill)

The amount of tax that must be paid. Taxpayers meet (or pay) their federal income tax liability through withholding, estimated tax payments, and payments made with the tax forms they file with the government.

tax preparation software

Computer software designed to complete tax returns. The tax preparation software works with the IRS electronic filing system.

tax shift

The process that occurs when a tax that has been levied on one person or group is in fact paid by others.

telephone tax refund

Taxpayers are eligible to file for refunds of all excise tax they have paid on long-distance service billed to them after Feb. 28, 2003.

tip income

Money and goods received for services performed by food servers, baggage handlers, hairdressers, and others. Tips go beyond the stated amount of the bill and are given voluntarily.

transaction taxes

Taxes on economic transactions, such as the sale of goods and services. These can be based on a set of percentages of the sales value (ad valorem-sales taxes), or they can be a set amount on physical quantities (“per unit”-gasoline taxes).

transmit

To send a tax return to the IRS electronically. Tax returns prepared on paper can be sent through the mail.

Transmitter

Sends the electronic return data directly to the IRS.

U

underground economy

Money-making activities that people don’t report to the government, including both illegal and legal activities.

user fees

An excise tax, often in the form of a license or supplemental charge, levied to fund a public service.

user tax

A tax that is paid directly by the consumer of a good, product, or service.

V

vertical equity

The concept that people in different income groups should pay different rates of taxes or different percentages of their incomes as taxes. “Unequals should be taxed unequally.”

voluntary compliance

A system of compliance that relies on individual citizens to report their income freely and voluntarily, calculate their tax liability correctly, and file a tax return on time.

Volunteer Income Tax Assistance (VITA)

This provides free income tax return preparation for certain taxpayers. The VITA program assists taxpayers who have limited or moderate incomes, have limited English skills, or are elderly or disabled. Many VITA sites offer electronic preparation and transmission of income tax returns.

W

wages

Compensation received by employees for services performed. Usually, wages are computed by multiplying an hourly pay rate by the number of hours worked.

withholding (“pay-as-you-earn” taxation)

Money, for example, that employers withhold from employees paychecks. This money is deposited for the government. (It will be credited against the employees’ tax liability when they file their returns.) Employers withhold money for federal income taxes, Social Security taxes and state and local income taxes in some states and localities.

***

COMMENTS APPRECIATED

Refer and Subscribe

***

***

SECOND OPINIONS: Informed, Niche Focused and Fiduciary

Sponsor: http://www.MarcinkoAssociates.com

***

***

Finally … Fiduciary second opinions right here!

Telephonic or electronic advice for medical professionals that is:

  • Objective, affordable, medically focused and personalized
  • Rendered by a pre-screened financial consultant or medical management advisor
  • Offered on a pay-as-you-go basis, by phone or secure e-mail transmission

The iMBA Discussion Forum™ is a physician-to-advisor telephone or e-mail portal that connects independent financial professionals and medical management consultants, with doctors or healthcare executives desiring affordable and unbiased financial or business advice on an as-needed, pay-per-use basis.

Medical professionals and healthcare executives can now receive direct access to pre-screened iMBA professionals in the areas of Practice Enhancement, Investing, Financial Planning, Asset Allocation, Portfolio Management Taxes, Insurance, Mortgage and Lending, Practice Management, Information Technology, Human Resources and Employee Benefits. To assist our doctor / healthcare executive members, we can be contracted with per-minute or per-project fees, and contacted by client phone, email or secure instant messaging.

The iMBA Discussion Forum™ is designed to fill a growing need for medically focused financial or managerial advice that traditional consultants have not been able to serve. Most financial “consultants” either charge high sales commissions, or levy a percentage of fees for managing client assets. And, management consultants tend to extend their scope of engagement to tangential areas not originally needed, or wanted.

Typically, financial advisors also require clients to meet minimum asset level thresholds ($500,000 to $750,000, or more), or pay thousands of dollars in consulting fees to receive their services. These fee structures have created inherent conflicts of interest and significant barriers for an increasing number of time-compressed and economically constrained physicians or healthcare executives.

TOPICS: https://davidedwardmarcinko.com/coach/

Now, with the iMBA Discussion Forum™, all physicians and executive clients can receive unbiased financial advice, and objective business opinions, on their own terms, anytime-anywhere.

The iMBA Discussion Forum™ eliminates conflicts of interest by providing advice on a per-use basis, so you pay only for what you want and need. iMBA does not sell financial or business products. The result is a unique “no pressure”, and “no conflicts-of-interest experience.”

Get started with your consultation, now! Receive only the advice you need and pay for, from a medically focused and qualified doctor-advisor looking after your best interests.

Contact Us Now! How the iMBA Discussion Forum Works:

  1. Contact Us
  2. Request an iMBA Discussion Forum™ Conference Schedule
  3. Pre-Pay a Small Retainer of $1,500
  4. Receive Scheduled Advice via Conference Call or email transmission
  5. Pay any Remainder

The iMBA Discussion Forum© Fee Schedule

  • We bill at the modest rate of $90 per quarter hour, or only $360 per hour.
  • A pre-paid minimum non-refundable retainer fee of $1,500 is required initially.
  • Pay any final invoice upon completion.
  • Total charges will always be known within a one-quarter hour increment.
  • Large or complex flat-fee engagements may be pre-arranged.
  • Clients remain in control, not consultants.
  • Collegiality and privacy is maintained.

CONTACT: Ann Miller; RN, MHA, CPHQ, CMP

Email: MarcinkoAdvisors@outlook.com

Refer and Subscribe

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 

***

***

LIABILITIES: Long Term Loans and Debts

By Staff Reporters

***

***

Long-Term Liabilities

A secured debt is pledged by a specific property. This is a collateralized loan.

Generally, the purchased item is pledged with the proceeds of the loan. This would include long-term liabilities (more than 12 months) such as a mortgage, home equity loan, or a car loan. Although the creditor has the ability to take possession of your property in order to recover a bad debt, it is done very rarely. A creditor is more interested in recovering money. Sometimes, when borrowing money, there may be a requirement to pledge assets that are owned prior to the loan.

For example, a personal loan from a finance company requires that you pledge all personal property such as your car, furniture, and equipment.  The same property may become subject to a judicial lien if you are sued and a judgment is made against you. In this case, you would not be able to sell or pledge these assets until the judgment is satisfied. A common example of a lien would be from unpaid federal, state or local taxes. Doctors can be found personally liable for unpaid payroll taxes of employees in their professional corporations.

***

Distinguishing from Short-Term Liabilities

The primary distinction between long-term and short-term liabilities lies in their repayment timing. Long-term liabilities are obligations due beyond one year, while short-term, or current, liabilities are financial obligations settled within one year of the balance sheet date or the company’s operating cycle, whichever is longer. This timing difference impacts how these obligations are viewed in financial analysis.

Examples of short-term liabilities include accounts payable, which are amounts owed to suppliers for goods or services purchased on credit, typically due within 30 to 60 days. Other common short-term obligations are short-term notes payable, accrued expenses like salaries or utilities, and the portion of long-term debt that becomes due within the next 12 months. These obligations are usually paid using current assets.

This distinction is important for financial analysis, as it helps assess a company’s financial health. Short-term liabilities are relevant for evaluating a company’s liquidity, its ability to meet immediate financial obligations. Conversely, long-term liabilities provide insights into a company’s solvency, indicating its ability to meet financial obligations over an extended period and its overall financial stability.

***

Finally, be aware that some assets and liabilities defy short or long-term definition. When this happens, simply be consistent in your comparison of financial statements, over time.

COMMENTS APPRECIATED

Refer, Like and Subscribe

***

***

RECESSIONS: American History Review

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

The history of U.S. recessions reflects the nation’s evolving economy, shaped by wars, financial crises, policy shifts, and global events. Since 1857, the U.S. has experienced over 30 recessions, each offering lessons in resilience and reform.

The United States has endured a long and varied history of economic recessions, defined as periods of significant decline in economic activity lasting more than a few months. These downturns are typically marked by falling GDP, rising unemployment, and reduced consumer spending. Since the mid-19th century, recessions have been triggered by a range of factors—from banking panics and inflation to global conflicts and pandemics.

The earliest recorded U.S. recession began in 1857, sparked by a banking crisis and declining international trade. This was followed by the Long Depression of 1873–1879, which lasted a staggering 65 months, making it the longest in U.S. history. The downturn was triggered by the collapse of a major bank and a speculative bubble in railroad investments.

The Great Depression remains the most severe economic crisis in American history. Beginning in 1929 after the stock market crash, it lasted until 1933 and saw unemployment soar to 25%. The Depression reshaped U.S. economic policy, leading to the creation of Social Security, the FDIC, and other New Deal programs aimed at stabilizing the economy and protecting citizens.

Post-World War II recessions were generally shorter and less severe. The 1945 recession, for example, lasted eight months and was caused by the transition from wartime to peacetime production. The 1973–75 recession, however, was more prolonged, driven by an oil embargo and stagflation—a combination of stagnant growth and high inflation.

The early 1980s recession was triggered by the Federal Reserve’s aggressive interest rate hikes to combat inflation. Though painful, it ultimately helped stabilize prices and set the stage for a long period of growth. The early 1990s recession followed a savings and loan crisis and a slowdown in defense spending after the Cold War.

The Great Recession of 2007–2009 was the most significant downturn since the Great Depression. It was caused by the collapse of the housing bubble and widespread failures in financial institutions. Unemployment peaked at 10%, and the crisis led to sweeping reforms in banking and mortgage lending practices.

Most recently, the COVID-19 recession in 2020 was the shortest in U.S. history, lasting just two months. Despite its brevity, it was severe, with unemployment briefly reaching 14.7% due to lockdowns and global supply chain disruptions.

Throughout its history, the U.S. has shown remarkable resilience in recovering from recessions. Each downturn has prompted changes in fiscal and monetary policy, regulatory reform, and shifts in public perception about the role of government and markets. As the economy becomes more interconnected globally, future recessions may be shaped by international events as much as domestic ones.

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

***

***

MILTON FRIEDMAN PhD: The Free Market Champion

***

***

By Dr. David Edward Marcinko MBA MEd

***

Milton Friedman: Champion of Free Markets

Milton Friedman was a towering figure in the field of economics, renowned for his unwavering advocacy of free-market capitalism and limited government intervention. Born in 1912 in New York City and raised in Rahway, New Jersey, Friedman rose from modest beginnings to become a Nobel laureate and a leading voice of the Chicago School of Economics.

Friedman’s academic journey began at Rutgers University, where he earned a degree in mathematics and economics. He later pursued graduate studies at the University of Chicago and Columbia University, where he was mentored by prominent economists like Simon Kuznets. His intellectual foundation laid the groundwork for a career that would challenge prevailing economic thought and reshape public policy.

One of Friedman’s most significant contributions was his development of monetarism, a theory emphasizing the role of governments in controlling the money supply to manage inflation and economic stability. In contrast to Keynesian economics, which advocated for active fiscal policy and government spending, Friedman argued that excessive government intervention often led to inefficiencies and inflation. His research demonstrated that inflation is “always and everywhere a monetary phenomenon,” a principle that became central to modern macroeconomic policy.

Friedman’s influence extended beyond academia. His 1962 book, Capitalism and Freedom, articulated a powerful case for economic liberty as a foundation for political freedom. He argued that voluntary exchange and competitive markets were essential for individual choice and prosperity. The book also introduced the Friedman Doctrine, which posited that the primary responsibility of business is to increase its profits, a view that sparked ongoing debates about corporate social responsibility.

In 1976, Friedman was awarded the Nobel Memorial Prize in Economic Sciences for his work on consumption analysis, monetary history, and stabilization policy. His Permanent Income Hypothesis, which suggests that people base their consumption on expected long-term income rather than current income, revolutionized understanding of consumer behavior.

Friedman’s ideas had profound policy implications. He was a vocal critic of the draft and successfully advocated for an all-volunteer military. He also proposed the concept of school vouchers, allowing parents to choose schools for their children, which laid the foundation for modern school choice movements. His work influenced leaders like Ronald Reagan and Margaret Thatcher, who embraced free-market reforms during their administrations.

Despite his acclaim, Friedman’s views were not without controversy. Critics argued that his emphasis on deregulation and privatization sometimes overlooked social equity and environmental concerns. Nonetheless, his legacy remains deeply embedded in economic thought and public discourse.

Milton Friedman passed away in 2006, but his ideas continue to shape debates on economic policy, freedom, and the role of government. His belief in the power of markets and individual choice remains a cornerstone of classical liberalism and a guiding light for economists and policymakers around the world.

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, Refer and Subscribe

***

***

MACD: Moving Average Convergence/Divergence

DEFINITION

Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

From Wikipedia, the free encyclopedia

***


Example of historical stock price data (top half) with the typical presentation of a MACD(12,26,9) indicator (bottom half). The blue line is the MACD series proper, the difference between the 12-day and 26-day EMAs of the price. The red line is the average or signal series, a 9-day EMA of the MACD series. The bar graph shows the divergence series, the difference of those two lines.

***

MACD, short for moving average convergence/divergence, is a trading indicator used in technical analysis of securities prices, created by Gerald Appel in the late 1970s. It is designed to reveal changes in the strength, direction, momentum, and duration of a trend in a stock’s price.

The MACD indicator (or “oscillator”) is a collection of three time series calculated from historical price data, most often the closing price. These three series are: the MACD series proper, the “signal” or “average” series, and the “divergence” series which is the difference between the two. The MACD series is the difference between a “fast” (short period) exponential moving average (EMA), and a “slow” (longer period) EMA of the price series. The average series is an EMA of the MACD series itself.

The MACD indicator thus depends on three time parameters, namely the time constants of the three EMAs. The notation “MACD(a,b,c)” usually denotes the indicator where the MACD series is the difference of EMAs with characteristic times a and b, and the average series is an EMA of the MACD series with characteristic time c. These parameters are usually measured in days. The most commonly used values are 12, 26, and 9 days, that is, MACD (12,26,9). As true with most of the technical indicators, MACD also finds its period settings from the old days when technical analysis used to be mainly based on the daily charts. The reason was the lack of the modern trading platforms which show the changing prices every moment. As the working week used to be 6-days, the period settings of (12, 26, 9) represent 2 weeks, 1 month and one and a half week. Now when the trading weeks have only 5 days, possibilities of changing the period settings cannot be overruled. However, it is always better to stick to the period settings which are used by the majority of traders as the buying and selling decisions based on the standard settings further push the prices in that direction.

Although the MACD and average series are discrete values in nature, but they are customarily displayed as continuous lines in a plot whose horizontal axis is time, whereas the divergence is shown as a bar chart (often called a histogram).

***

MACD indicator showing vertical lines (histogram)

A fast EMA responds more quickly than a slow EMA to recent changes in a stock’s price. By comparing EMAs of different periods, the MACD series can indicate changes in the trend of a stock. It is claimed that the divergence series can reveal subtle shifts in the stock’s trend.

Since the MACD is based on moving averages, it is a lagging indicator. As a future metric of price trends, the MACD is less useful for stocks that are not trending (trading in a range) or are trading with unpredictable price action. Hence the trends will already be completed or almost done by the time MACD shows the trend.

COMMENTS APPRECIATED

EDUCATION: Books

Like, Subscribe and Refer

***

***

GHOST JOBS & PHANTOM SCAMS: In Medicine and Finance

By Staff Reporters.

***

***

A fake job or ghost job is a scam job posting for a non-existent or already filled position. A scam is a dishonest scheme to gain money or possessions from someone fraudulently, especially a complex or prolonged one.

Due to current economic conditions in 2025, there’s been a rise in scams related to job postings and financial relief offers, preying on people’s financial insecurities. Keep your wits about you and be wary of potential fraud in seemingly legitimate opportunities.

For example, an employer may post fake job opening listings for many reasons such as inflating statistics about their industries, protecting the company from discrimination lawsuits, fulfilling requirements by human-resources departments, identifying potentially promising recruits for future hiring, pacifying existing employees that the company is looking for extra help, or retaining desirable employees. They may also use this strategy to gather information regarding their competitors’ wages. And, there is a rising trend in employers promising remote work as “bait,” and it underscores the relative power of the employers in the job market.

GHOST NURSING: The 1982 Movie

A young woman nanny plagued with bad luck travels to Thailand to visit a friend. There, her friend suggests a visit to a sorcerer, which results in her adopting a child ghost/demon who begins to protect her, but matters soon go awry.

Impact on the Healthcare Field

This is not a 44 year old science-fiction movie. Medicine and the healthcare industry isn’t immune to the ghost job phantom trend. Some contingent labor or medical staffing agencies lack ethics and post jobs solely to bolster their database, without any intention of filling those roles. This deceptive practice misleads job seekers and wastes their time, further eroding trust in the hiring process.

If you are a nanny or caregiver, you may have your services listed on an online job site. While this is a great way to find work, it can also open you to ghost scams. One phone scam is to send you an offer of employment. The “employer” sends you a check, and asks you to send them some money to buy assistive care items needed for the job. However, the person you are talking to isn’t really interested in you. After you’ve sent the money, the check will bounce and the “employer” will ghost you and disappear. Not only do you not really have a job, you just sent money to a ghost scammer and will not be reimbursed.

Impact on the Finance Field

In finance, ghost jobs can appear for various reasons, such as companies wanting to gauge the labor market, fulfill internal posting policies, or maintain a pool of potential candidates. Consulting roles, including those in financial planning, have seen an increase in ghost jobs, with some firms keeping listings open despite slowing hiring activity. The IRS will never ghost call, but your bank might, which makes it harder to figure out if it’s the real deal; or a ghost scam. Plus, it makes sense that your bank would need to confirm your identity to protect your account. If your bank calls and asks you to confirm if transactions are legitimate, feel free to give a yes or no. But don’t give up any more information than that, says Adam Levin, founder of global identity protection and data risk services firm CyberScout and author of Swiped: How to Protect Yourself in a World Full of Scammers, Phishers, and Identity Thieves. Some scammers rattle off your credit card number and expiration date, then ask you to say your security code as confirmation, he says. Others will claim they froze your credit card because you might be a fraud victim, then ask for your Social Security number.

If someone claiming to be your accountant, insurance agent or financial advisor calls and says you have a computer problem with them, just say no and hang up. No one is ‘watching’ your computer for signs of a virus. And, those scammers won’t fix the problem—they’ll make it worse by installing malware or stealing your account information or even money.

Promoters of cryptocurrency and other investments use complex schemes, often enhanced through deepfake videos or AI-manipulated audio, to lend credibility. According to the FBI’s Internet Crime Complaint Center (IC3), victims reported an estimated $3.9 billion in losses from investment fraud in 2024. Promises of “guaranteed returns” or requests for money transfers via crypto wallets are warning signs.

Many targets lack experience in crypto markets, amplifying risk. Do thorough research, consult official resources (like SEC.gov), and use licensed platforms if investing. Treat “sure thing” tips and unsolicited offers as red flags.

***

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.

EDUCATION: Books

COMMENTS APPRECIATED

Like, Subscribe and Refer

***

***

HOME v. APARTMENT: Buy or Rent Considerations for Doctors

By Dr. David Edward Marcinko; MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

Renting vs. Buying: Why Doctors Should Weigh Their Housing Options Carefully

For medical professionals, the decision to rent an apartment or buy a home is more than a matter of personal preference—it’s a strategic financial and lifestyle choice. Doctors often face unique circumstances that influence their housing decisions, including high student debt, demanding work schedules, and frequent relocations during training. Whether renting or buying, each option offers distinct advantages and challenges that doctors should consider carefully to align with their career stage, financial goals, and personal needs.

🩺 Early Career Considerations

Doctors typically spend years in medical school, followed by residency and possibly fellowship training. During this time, income is modest, and job stability is limited. Renting an apartment offers flexibility, which is crucial for early-career physicians who may need to relocate for training or job opportunities. Renting also requires less upfront capital—no down payment, closing costs, or property taxes—which can be appealing for those managing student loans or saving for future investments.

Moreover, renting allows doctors to live closer to hospitals or medical centers without the burden of home maintenance. With long shifts and unpredictable hours, the convenience of a managed property can be a significant relief. In urban areas where real estate prices are high, renting may be the only feasible option until income increases.

🏡 Financial Implications of Buying

As doctors progress in their careers and begin earning higher salaries, buying a home becomes a more attractive option. Homeownership builds equity over time, offering a long-term investment that renting cannot match. Mortgage interest and property taxes are often tax-deductible, which can reduce the overall cost of owning a home. Additionally, real estate tends to appreciate, providing potential financial gains if the property is sold later.

Doctors with stable employment and plans to stay in one location for several years may benefit from buying. It creates a sense of permanence and allows for customization of the living space. Owning a home also provides opportunities to generate passive income through renting out part of the property or investing in additional real estate.

However, buying a home comes with significant upfront costs and ongoing responsibilities. Down payments, closing fees, insurance, and maintenance expenses can add up quickly. Doctors must assess whether their financial situation supports these costs without compromising other goals, such as retirement savings or paying off debt.

***

***

🔄 Lifestyle Flexibility vs. Stability

Renting offers unmatched flexibility. Doctors who anticipate frequent moves—whether for fellowships, job changes, or personal reasons—may prefer the ease of ending a lease over selling a home. Renting also allows for exploring different neighborhoods or cities before committing to a permanent residence.

On the other hand, buying a home provides stability and a sense of community. Doctors with families may prioritize settling in a good school district or creating a long-term home environment. Homeownership can also foster deeper connections with neighbors and local organizations, contributing to overall well-being.

💼 Professional Image and Personal Satisfaction

For some doctors, owning a home is a symbol of success and professional achievement. It can enhance credibility and confidence, especially in private practice or community-based roles. A well-maintained home may also serve as a venue for hosting colleagues, patients, or professional events.

Yet, it’s important not to let societal expectations dictate financial decisions. Renting does not diminish a doctor’s accomplishments, and in many cases, it’s the more prudent choice. The key is aligning housing decisions with personal values and long-term goals rather than external pressures.

🧠 Strategic Decision-Making

Ultimately, the choice between renting and buying should be guided by thoughtful analysis. Doctors should consider:

  • Career stage: Are you in training, newly practicing, or well-established?
  • Financial health: Do you have savings, manageable debt, and a stable income?
  • Location plans: Will you stay in the area for at least 5–7 years?
  • Lifestyle needs: Do you value flexibility or long-term stability?
  • Market conditions: Is it a buyer’s or renter’s market in your desired location?

Consulting with financial advisors, real estate professionals, and mentors can provide valuable insights. Tools like rent vs. buy calculators and local market analyses can also help doctors make informed decisions.

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, Refer and Subscribe

***

***

***

DIVERSIFICATION: A Strategic Apology That Builds Trust

By Dr. David Edward Marcinko MBA MEd and Copilot A.I.

SPONSOR: http://www.MarcinkoAssociates.com

***

***

In the world of financial advising, few principles are as foundational—and as misunderstood—as diversification. Clients often come to advisors hoping for bold moves and big wins. Yet the most prudent strategy we offer is not a thrilling stock pick or a market-timing miracle, but a quiet, calculated spread of risk. Diversification, in essence, is the art of saying “sorry” in advance—for not chasing every hot trend, for not going all-in, and for not promising perfection. But it’s also the strategy that earns trust, builds resilience, and delivers long-term value.

Diversification means allocating assets across different sectors, geographies, and investment vehicles to reduce exposure to any single point of failure. For financial advisors, it’s not just a portfolio tactic—it’s a philosophy of humility. It acknowledges that markets are unpredictable, that no one can consistently forecast winners, and that protecting capital is just as important as growing it.

Clients may initially resist this approach. They might question why their portfolio includes lagging sectors or why we’re not doubling down on tech or crypto. This is where our role as educators becomes critical. We explain that diversification isn’t about avoiding risk—it’s about managing it. It’s the reason why, when tech stumbles, healthcare or consumer staples might hold steady. It’s why international exposure can buffer domestic volatility. And it’s why fixed income still matters, even in a rising-rate environment.

The challenge for advisors is that diversification rarely feels heroic. It doesn’t make headlines. It doesn’t deliver overnight gains. Instead, it delivers consistency. It smooths out the ride. It allows clients to sleep at night. And over time, it compounds into something powerful: confidence.

***

***

One of the most effective ways to communicate this is through behavioral coaching. We remind clients that diversification is designed to protect them from their own impulses—from chasing trends, reacting to headlines, or panicking during downturns. It’s a guardrail against emotional investing. And when markets inevitably wobble, diversified portfolios give us the credibility to say, “This is why we planned ahead.”

Moreover, diversification is a relationship tool. It shows clients that we’re not betting their future on a single idea. We’re building something durable. We’re thinking about their retirement, their children’s education, their legacy. And we’re doing it with a strategy that’s built to last.

In short, diversification may feel like an apology to the thrill-seeker in every investor. But it’s also a promise: that we’re here to protect, to guide, and to deliver results that matter—not just today, but for decades to come.

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 

Like, Refer and Subscribe

***

***

PET: Insurance?

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

***

Pet insurance offers financial protection and peace of mind for pet owners, helping cover unexpected veterinary costs and ensuring pets receive timely care. It’s a growing industry that reflects the deepening bond between humans and their animal companions.

Pet insurance is a specialized health coverage designed to offset the cost of veterinary care for pets. As veterinary medicine advances, treatments for pets have become more sophisticated—and expensive. From emergency surgeries to chronic illness management, the financial burden can be overwhelming for pet owners. Pet insurance helps mitigate these costs, allowing owners to prioritize their pet’s health without worrying about the price tag.

One of the primary benefits of pet insurance is financial security. Veterinary bills can range from hundreds to thousands of dollars depending on the condition. For example, treating a torn ACL in a dog can cost upwards of $3,000, while cancer treatments may exceed $10,000. With pet insurance, a significant portion of these expenses can be reimbursed, reducing out-of-pocket costs and making advanced care more accessible.

Another advantage is flexibility in care. Pet insurance empowers owners to choose treatments based on medical need rather than financial constraints. Whether it’s a late-night emergency or a long-term condition like diabetes or arthritis, insurance gives pet parents the freedom to pursue the best care options available.

Policies typically cover accidents, illnesses, surgeries, medications, and sometimes routine care like vaccinations and dental cleanings. However, coverage varies widely by provider and plan. Most policies exclude pre-existing conditions and have waiting periods before coverage begins. It’s crucial for pet owners to read the fine print and understand what’s included and what’s not. The cost of pet insurance depends on factors such as the pet’s species, breed, age, and location. Monthly premiums can range from $20 to $70 for dogs and $10 to $40 for cats. While this may seem like an added expense, it can be a worthwhile investment in the long run—especially for breeds prone to genetic conditions or pets with active lifestyles.

Pet insurance also reflects a broader cultural shift in how society views pets. No longer just animals, pets are considered family members. This emotional bond drives owners to seek the best possible care, and insurance helps make that care attainable. It’s not just about saving money—it’s about ensuring quality of life for beloved companions.

Critics argue that pet insurance isn’t always cost-effective, especially if a pet remains healthy. So, pet insurance may not be worth it if:

  • Your pet is a senior or has health problems.
  • A big vet bill wouldn’t be a financial hardship for you.
  • You’d rather take the risk of an expensive diagnosis than pay for insurance you might never use.

However, the unpredictability of accidents and illness makes it a valuable safety net. Like any insurance, it’s about preparing for the unexpected.

In conclusion, pet insurance is a practical and compassionate tool for modern pet ownership. It offers financial relief, expands treatment options, and supports the emotional commitment people have to their pets.

As veterinary costs continue to rise, pet insurance provides a way to protect both your wallet and your furry friend’s well-being.; maybe!

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, Refer and Subscribe

***

***

PARADOX: Sudden Money

By Dr. David Edward Marcinko MBA MEd and Copilot A.I.

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The Sudden Money Paradox: When Wealth Disrupts Instead of Liberates

The “Sudden Money Paradox” refers to the counterintuitive reality that receiving a large financial windfall—whether through inheritance, lottery winnings, business sales, or legal settlements—can lead to emotional turmoil, poor decision-making, and even financial ruin. While most people assume that sudden wealth guarantees security and happiness, the paradox reveals that it often destabilizes lives instead.

At the heart of this paradox is the psychological shock that accompanies a dramatic change in financial status. Sudden wealth can trigger a cascade of emotions: excitement, guilt, anxiety, and confusion. Recipients may feel overwhelmed by the responsibility of managing their newfound resources, especially if they lack financial literacy or a support system. The windfall can also disrupt one’s sense of identity. Someone who previously lived modestly may struggle to reconcile their new status with their values, relationships, and lifestyle. This identity dissonance can lead to impulsive decisions, such as extravagant spending, quitting a job prematurely, or giving away money without boundaries.

Financial mismanagement is a common consequence of sudden wealth. Without a plan, recipients may fall prey to scams, make poor investments, or underestimate tax obligations. The phenomenon known as “Sudden Wealth Syndrome” describes the psychological stress and behavioral pitfalls that often follow a windfall. Studies show that lottery winners and professional athletes frequently go bankrupt within a few years of receiving large sums. The paradox lies in the fact that the very thing meant to provide freedom—money—can instead create chaos.

***

***

Relationships also suffer under the weight of sudden wealth. Friends and family may treat the recipient differently, leading to feelings of isolation or mistrust. Requests for financial help can strain bonds, and recipients may struggle to set boundaries. The paradox deepens when generosity becomes a source of conflict rather than connection.

Experts like Susan Bradley, founder of the Sudden Money® Institute, emphasize that financial transitions require more than technical advice—they demand emotional intelligence and structured support. Her work highlights the importance of pausing before making major decisions, assembling a transition team of advisors, and creating a personal vision for the money. These steps help recipients align their financial choices with their values and long-term goals.

Ultimately, the Sudden Money Paradox teaches that wealth is not just a numerical asset—it’s a psychological and relational force. Navigating it successfully requires self-awareness, education, and guidance. When approached thoughtfully, sudden money can be a catalyst for growth and purpose. But without preparation, it risks becoming a burden disguised as a blessing.

This paradox challenges society’s assumptions about wealth and reminds us that financial well-being is as much about mindset and meaning as it is about money itself.

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, Refer and Subscribe

***

***

SORTINO RATIO: A Focus on Downside Investment Risk

By Dr. David Edward Marcinko MBA MEd

***

***

In the field of investment analysis, one of the most important challenges is balancing risk and reward. Investors want to maximize returns, but they also want to minimize the chances of losing money. Traditional measures such as the Sharpe Ratio have long been used to evaluate risk‑adjusted performance, but they treat all volatility the same. This means that both upward and downward swings in returns are penalized equally, even though investors generally welcome upside volatility. To address this limitation, the Sortino Ratio was developed as a more refined tool that focuses specifically on downside risk.

Definition and Formula

The Sortino Ratio measures the excess return of an investment relative to the risk‑free rate, divided by the standard deviation of negative returns. In formula form:

Sortino Ratio=Rp−Rfσd\text{Sortino Ratio} = \frac{R_p – R_f}{\sigma_d}

Where:

  • RpR_p = portfolio or investment return
  • RfR_f = risk‑free rate
  • σd\sigma_d = standard deviation of downside returns

This formula highlights the unique feature of the Sortino Ratio: it only considers harmful volatility, ignoring fluctuations that exceed expectations.

Why It Matters

The key advantage of the Sortino Ratio is its ability to separate “good” volatility from “bad” volatility. Upside volatility, which represents returns above the target or minimum acceptable rate, is not penalized. Downside volatility, which represents returns below expectations, is penalized heavily. This distinction makes the Sortino Ratio especially useful for investors who prioritize capital preservation. For example, retirees or individuals saving for short‑term goals may prefer investments with higher Sortino Ratios because they indicate stronger protection against losses.

Practical Applications

The Sortino Ratio has several practical uses:

  • Portfolio Evaluation: Investors can compare funds or strategies using the Sortino Ratio. A higher ratio suggests better risk‑adjusted performance.
  • Risk Management: By focusing on downside deviation, managers can identify investments that minimize losses during downturns.
  • Goal‑Oriented Investing: For individuals with specific financial targets, the Sortino Ratio helps ensure that chosen investments align with their tolerance for risk.

For instance, a mutual fund with a Sortino Ratio of 2 is generally considered strong, meaning it generates twice the return per unit of downside risk.

Comparison with the Sharpe Ratio

While both the Sharpe and Sortino Ratios measure risk‑adjusted returns, they differ in how they treat volatility. The Sharpe Ratio penalizes all fluctuations, whether positive or negative. The Sortino Ratio, however, only penalizes harmful volatility. This makes the Sortino Ratio more investor‑friendly, especially for those who care more about avoiding losses than capturing every possible gain. In practice, the Sharpe Ratio is better for broad comparisons across asset classes, while the Sortino Ratio is better for evaluating downside protection in portfolios.

Limitations

Despite its strengths, the Sortino Ratio is not without limitations:

  • Data Sensitivity: It requires accurate downside deviation data, which can be difficult to calculate.
  • Threshold Choice: Results vary depending on the minimum acceptable return chosen.
  • Context Dependence: It should be used alongside other metrics, such as the Sharpe or Treynor Ratios, for a complete picture of risk and return.

Conclusion

The Sortino Ratio is a powerful tool for investors who want to measure performance while minimizing exposure to harmful volatility. By focusing exclusively on downside risk, it provides a more realistic assessment of whether returns justify the risks taken. While not perfect, it complements other risk‑adjusted metrics and is especially valuable for investors with low tolerance for losses. In today’s uncertain markets, understanding and applying the Sortino Ratio can help investors make smarter, more resilient decisions.

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, Refer and Subscribe

***

***

RISK ADJUSTED RATE OF RETURN: In Finance

By Dr. David Edward Marcinko MBA MEd

***

***

In the realm of finance and investment, the pursuit of profit is inseparable from the presence of risk. Every investor, whether an individual or an institution, must grapple with the reality that higher returns often come with greater uncertainty. To evaluate investments effectively, it is not enough to look at raw returns alone. Instead, one must consider how much risk was undertaken to achieve those returns. This balance is captured by the concept of the risk-adjusted rate of return, a cornerstone of modern portfolio theory and investment analysis.

The risk-adjusted rate of return measures the profitability of an investment relative to the risk assumed. Unlike simple return calculations, which only show the percentage gain or loss, risk-adjusted metrics incorporate volatility and other forms of uncertainty. For example, two investments may both yield a 10% annual return, but if one is highly volatile and the other is stable, the stable investment is more attractive when viewed through a risk-adjusted lens. This approach ensures that investors are not misled by high returns that are achieved through excessive risk-taking.

Several tools have been developed to calculate risk-adjusted returns. The Sharpe Ratio is among the most widely used. It measures excess return per unit of risk, with risk defined as the standard deviation of returns. A higher Sharpe Ratio indicates that an investment is delivering better returns for the level of risk taken. Another measure, the Treynor Ratio, evaluates returns relative to systematic risk, using beta as the risk measure. The Sortino Ratio refines the Sharpe Ratio by focusing only on downside volatility, thereby distinguishing between harmful risk and general fluctuations. Each of these metrics provides a different perspective, but all share the same goal: to assess whether the reward justifies the risk.

The importance of risk-adjusted returns extends beyond individual securities to entire portfolios. Portfolio managers use these metrics to compare strategies, evaluate asset allocations, and determine whether their investment approach aligns with client objectives. For instance, a hedge fund may report impressive raw returns, but if those returns are accompanied by extreme volatility, its risk-adjusted performance may be inferior to that of a conservative mutual fund. By incorporating risk-adjusted measures, investors can make more informed decisions and build portfolios that reflect their risk tolerance and long-term goals.

Risk-adjusted returns also play a vital role in distinguishing skill from luck in investment management. A manager who consistently delivers high risk-adjusted returns demonstrates genuine expertise in navigating markets. Conversely, a manager who achieves high raw returns through excessive risk-taking may simply be gambling with investor capital. This distinction is critical for institutions and individuals alike, as it ensures that performance evaluations are grounded in sustainability rather than short-term speculation.

Of course, risk-adjusted metrics are not without limitations. They often rely on historical data, which may not accurately predict future outcomes. Market conditions can change rapidly, and past volatility may not reflect future risks. Additionally, different metrics may yield conflicting results, complicating the decision-making process. Despite these challenges, risk-adjusted returns remain indispensable because they encourage investors to look beyond superficial gains and consider the broader context of risk management.

In conclusion, the risk-adjusted rate of return is a fundamental concept in investment analysis. By integrating both risk and reward into a single measure, it empowers investors to evaluate opportunities more effectively, compare diverse assets, and build resilient portfolios. While no metric is flawless, the emphasis on risk-adjusted performance ensures that investment decisions are not driven solely by the pursuit of high returns but by the pursuit of sustainable, well-balanced growth. In a financial landscape defined by uncertainty, the ability to measure success in terms of both profit and prudence is what ultimately separates wise investing from reckless speculation.

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, Refer and Subscribe

***

***

MONEY SUPPLY: Measurement Tools

By Dr. David Edward Marcinko MBA MEd

BASIC DEFINITIONS

***

***

Money supply measures—M0, M1, M2, and M3—are essential tools used by economists and policymakers to assess liquidity, guide monetary policy, and understand economic health. Each measure reflects a different level of liquidity and plays a unique role in financial analysis.

The money supply refers to the total amount of monetary assets available in an economy at a specific time. It includes various forms of money, ranging from physical currency to more liquid financial instruments. To better understand and manage economic activity, central banks and economists categorize money into different measures based on liquidity: M0, M1, M2, and M3.

M0, also known as the monetary base or base money, includes all physical currency in circulation—coins and paper money—plus reserves held by commercial banks at the central bank. It represents the most liquid form of money and is directly controlled by the central bank through tools like open market operations and reserve requirements.

M1 builds on M0 by adding demand deposits (checking accounts) and other liquid deposits that can be quickly converted into cash. It includes:

  • Physical currency held by the public
  • Traveler’s checks
  • Demand deposits at commercial banks

M1 is a key indicator of immediate spending power in the economy. A rapid increase in M1 can signal rising consumer activity, while a decline may indicate tightening liquidity.

M2 expands further by including near-money assets—those that are not as liquid as M1 but can be converted into cash relatively easily. M2 includes:

  • All components of M1
  • Savings deposits
  • Money market securities
  • Certificates of deposit (under $100,000)

M2 is widely used by economists and the Federal Reserve to gauge intermediate-term economic trends. It reflects both spending and saving behavior, making it a critical tool for forecasting inflation and guiding interest rate decisions.

M3, though no longer published by the Federal Reserve since 2006, includes M2 plus large time deposits, institutional money market funds, and other larger liquid assets. M3 provides a broader view of the money supply, especially useful for analyzing long-term investment trends and credit expansion. Some countries, like the UK and India, still track M3 for macroeconomic planning.

These measures are not just academic—they have real-world implications. For instance, during the COVID-19 pandemic, the U.S. saw a historic surge in M2 due to stimulus payments and quantitative easing. This expansion raised concerns about future inflation, which materialized in subsequent years. Monitoring money supply helps central banks adjust monetary policy to maintain price stability and support economic growth.

In conclusion, money supply measures offer a layered view of liquidity in the economy, from the most liquid (M0) to broader aggregates (M3).

Understanding these categories helps policymakers, investors, and businesses anticipate economic shifts, manage inflation, and make informed financial decisions.

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, Refer and Subscribe

***

***

STOCK MARKET CRASHES: More Likely in the Fall?

By Dr. David Edward Marcinko MBA MEd

***

***

+ Plus / – Minus Two Weeks

Stock market crashes have long been associated with the fall season, particularly October, which has earned a reputation as a month of financial turmoil. While crashes can occur at any time, the clustering of several historic downturns in autumn has led many investors to believe that markets are more vulnerable during this period.

Historical Patterns of Fall Crashes

Some of the most devastating collapses in financial history have taken place in the fall. The Wall Street Crash of 1929 began in late October and marked the start of the Great Depression. In October 1987, markets experienced “Black Monday,” when the Dow Jones Industrial Average plunged more than 20% in a single day. More recently, the global financial crisis of 2008 saw some of its steepest declines in September and October. These events have cemented autumn’s reputation as a season of heightened risk.

Why the Fall Is Riskier

Several factors contribute to the perception that fall is a dangerous time for markets:

  • Investor psychology: The memory of past crashes in October can heighten anxiety, making traders more prone to panic selling.
  • Fiscal cycles: Many institutional investors close their books at the end of September, leading to portfolio adjustments and sell-offs in October.
  • Economic data releases: Key reports on employment, corporate earnings, and government budgets often arrive in the fall, influencing sentiment.
  • Global events: Political and economic developments frequently coincide with autumn months, adding uncertainty.

Statistical Evidence and Skepticism

Despite the historical examples, statistical studies suggest that crashes are not inherently more likely in October than in other months. Market downturns are rare events, and their clustering in autumn may be more coincidence than causation. Crashes have also occurred outside the fall, such as the bursting of the dot-com bubble in spring 2000 and the COVID-19 crash in March 2020. This suggests that the so-called “October Effect” may be more psychological than empirical.

Lessons for Investors

Whether or not fall crashes are statistically more likely, the historical record offers important lessons:

  • Diversify investments to reduce vulnerability to sudden downturns.
  • Avoid panic selling, since many crashes are followed by rapid recoveries.
  • Prepare for volatility, as autumn often brings heightened uncertainty.

Conclusion

Stock market crashes are not guaranteed to happen in the fall, but history has made October synonymous with financial turmoil. The clustering of major downturns during this season has created a psychological bias that influences investor behavior. Whether coincidence or pattern, the lesson is clear: autumn is a time when vigilance, discipline, and preparation are especially important for market participants.

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, Refer and Subscribe

***

***

BUTTERFLY SPREAD INVESTING

By Dr. David Edward Marcinko MBA MEd

***

***

Investing in Butterfly Spreads

Options trading provides investors with a wide range of strategies to suit different market conditions. One of the more refined approaches is the butterfly spread, a strategy designed to profit from stability in the price of an underlying asset. It combines multiple option contracts at different strike prices to create a position with limited risk and limited reward. The name comes from the shape of its profit-and-loss diagram, which resembles the wings of a butterfly.

Structure of the Strategy

A typical butterfly spread involves four options contracts with three strike prices. In a long call butterfly spread, the investor buys one call at a lower strike, sells two calls at a middle strike, and buys one call at a higher strike. This creates a payoff that peaks if the underlying asset closes at the middle strike price. Losses are capped at the initial premium paid, while profits are capped at the difference between the strikes minus the premium.

Variations of Butterfly Spreads

Butterfly spreads can be built with calls, puts, or a mix of both:

  • Long Call Butterfly: Profits if the asset stays near the middle strike.
  • Long Put Butterfly: Similar structure but using puts.
  • Iron Butterfly: Combines calls and puts, selling an at-the-money straddle and buying protective wings.
  • Reverse Iron Butterfly: Designed to benefit from sharp price movements and volatility.

Each variation adapts to different market expectations, but all share the principle of balancing risk and reward.

Benefits of Butterfly Spreads

  • Defined Risk: The maximum loss is known upfront.
  • Cost Efficiency: Requires less capital than outright buying options.
  • Neutral Outlook: Works best when the investor expects little price movement.
  • Flexibility: Can be tailored to different market conditions with calls, puts, or combinations.

Drawbacks and Risks

  • Limited Profit Potential: Gains are capped, which may not appeal to aggressive traders.
  • Dependence on Timing: The strategy works only if the asset closes near the middle strike at expiration.
  • Complexity: Requires careful planning of strike prices and expiration dates.

Example in Practice

Suppose a stock trades at $100, and the investor expects it to remain near that level. They could set up a butterfly spread with strikes at $95, $100, and $105. If the stock closes at $100, the strategy delivers maximum profit. If the stock moves significantly away from $100, the investor’s loss is limited to the premium paid. This makes the butterfly spread particularly useful in calm, low-volatility markets.

Conclusion

The butterfly spread is a disciplined options strategy that thrives in stable markets. It offers a balance between risk control and profit potential, making it attractive to traders who prefer structured outcomes. While the rewards are capped, the defined risk and cost efficiency make butterfly spreads a valuable tool for investors who anticipate minimal price movement and want to manage their exposure carefully.

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, Refer and Subscribe

***

***

CASH BALANCE PLANS: Hybrid Retirement Savings for Physicians

By Dr. David Edward Marcinko MBA MEd

***

***

Retirement planning has evolved significantly over the past several decades, with employers and employees seeking solutions that balance security, flexibility, and predictability. Among the various retirement plan options available today, cash balance plans stand out as a hybrid design that combines features of both traditional defined benefit pensions and defined contribution plans. Their unique structure makes them an attractive choice for employers aiming to provide meaningful retirement benefits while maintaining financial predictability.

At their core, cash balance plans are a type of defined benefit plan. Unlike traditional pensions, which promise retirees a monthly income based on years of service and final salary, cash balance plans define the benefit in terms of a hypothetical account balance. Each participant’s account grows annually through two components: a “pay credit” and an “interest credit.” The pay credit is typically a percentage of the employee’s salary or a flat dollar amount, while the interest credit is either a fixed rate or tied to an index such as U.S. Treasury yields. Although the account is hypothetical—meaning the funds are not actually segregated for each employee—the structure provides participants with a clear, understandable statement of their retirement benefit.

One of the primary advantages of cash balance plans is their transparency. Employees can easily track the growth of their account balance, much like they would with a 401(k). This clarity helps workers better understand the value of their retirement benefits and fosters a sense of ownership. Additionally, cash balance plans are portable: when employees leave a company, they can roll over the vested balance into an IRA or another qualified plan, ensuring continuity in retirement savings.

***

***

From the employer’s perspective, cash balance plans offer several benefits as well. Traditional pensions often create unpredictable liabilities, as they depend on factors such as longevity and investment performance. Cash balance plans, by contrast, provide more predictable costs because the employer commits to specific pay and interest credits. This predictability makes them easier to manage and budget for, particularly in industries where workforce mobility is high. Moreover, cash balance plans can be designed to reward long-term employees while still appealing to younger workers who value portability.

Despite these advantages, cash balance plans are not without challenges. Because they are defined benefit plans, employers bear the investment risk and must ensure the plan is adequately funded. Regulatory requirements, including nondiscrimination testing and funding rules, add complexity and administrative costs. Additionally, while cash balance plans are generally more equitable across generations of workers, transitions from traditional pensions to cash balance designs have sometimes sparked controversy, particularly among older employees who may perceive a reduction in benefits.

In recent years, cash balance plans have gained popularity among professional firms, such as law practices and medical groups, as well as small businesses seeking tax-efficient retirement solutions. These plans allow owners and highly compensated employees to accumulate larger retirement savings than would be possible under defined contribution limits, while still providing benefits to rank-and-file workers. As such, they serve as a valuable tool for both talent retention and financial planning.

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, Subscribe and Refer

***

***

SKILLED TRADESMEN: Will They Out Earn Doctors in the Future?

By Dr. David Edward Marcinko MBA MEd

***

***

For centuries, doctors have occupied one of the highest earning and most respected positions in society. Their extensive education, specialized knowledge, and critical role in preserving human life have traditionally guaranteed them financial security and social prestige. Yet in recent years, a growing conversation has emerged: could skilled tradesmen—electricians, plumbers, welders, carpenters, and other hands‑on professionals—eventually out‑earn doctors in the future? While the answer is complex, shifting economic dynamics suggest that the gap between these professions may narrow, and in certain contexts, tradesmen could indeed surpass doctors in earnings.

One of the most significant factors driving this possibility is supply and demand. The medical profession requires years of schooling, residency, and licensing, which creates a steady pipeline of doctors but also limits entry. By contrast, skilled trades have suffered from declining interest among younger generations, many of whom were encouraged to pursue college degrees instead of vocational training. As a result, there is now a shortage of tradesmen in many regions. When demand for services like plumbing or electrical work rises but supply remains low, wages naturally increase. Already, some master tradesmen charge hourly rates that rival or exceed those of general practitioners.

Another consideration is student debt and overhead costs. Doctors often graduate with hundreds of thousands of dollars in debt, and many must work in hospital systems or private practices with high administrative expenses. Tradesmen, on the other hand, typically face lower educational costs and can enter the workforce much earlier. Many start their own businesses with relatively modest investments, allowing them to keep a larger share of their earnings. In an era where entrepreneurship and independence are highly valued, tradesmen may find themselves financially freer than doctors burdened by debt and bureaucracy.

***

***

The changing economy also plays a role. Automation and artificial intelligence are beginning to reshape medicine, with diagnostic tools, telehealth, and robotic surgery reducing the need for certain human tasks. While doctors will always be essential, parts of their work may become less lucrative as technology takes over. Skilled trades, however, are far harder to automate. Repairing a leaking pipe, rewiring a house, or welding a custom structure requires physical presence, adaptability, and problem‑solving in unpredictable environments—skills machines struggle to replicate. This resilience against automation could make tradesmen’s work increasingly valuable.

That said, doctors will likely continue to command high salaries in specialized fields such as surgery, cardiology, or oncology. The prestige and necessity of medical expertise ensure that society will always reward them. Yet the notion that tradesmen are “lesser” careers is fading. In fact, many tradesmen already earn six‑figure incomes, particularly those who own successful businesses or operate in regions with acute labor shortages.

Ultimately, whether tradesmen will out‑earn doctors depends on how society values different forms of expertise. If current trends continue—rising demand for trades, shortages of skilled labor, resistance to automation, and lower educational barriers—it is plausible that many tradesmen will match or surpass doctors in income. The future may not be defined by one profession dominating the other, but by a more balanced recognition that both healers and builders are indispensable to modern life. In that sense, the financial gap may close, reflecting a broader cultural shift toward valuing practical skills as highly as academic ones.

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, Refer and Subscribe

***

***

VOLATILITY INDICES: In Financial Markets

By Dr. David Edward Marcinko MBA MEd

SPONSOR. http://www.MarcinkoAssociates.com

***

***

The Role of Volatility Indices in Financial Markets

Volatility is often described as the pulse of financial markets, reflecting the collective emotions of investors as they respond to uncertainty, risk, and opportunity. Among the many tools designed to measure this phenomenon, the CBOE Volatility Index, or VIX, stands out as the most widely recognized. Dubbed the “fear gauge,” the VIX captures market expectations of near-term volatility in the S&P 500, derived from options pricing. Its movements often mirror investor sentiment: rising sharply during periods of crisis and falling when confidence returns. Yet, the VIX is not alone. A family of volatility indices exists across global markets, each offering unique insights into sector-specific or regional risk.

The importance of volatility indices lies in their ability to quantify uncertainty. Traditional measures such as historical volatility look backward, analyzing past price fluctuations. In contrast, indices like the VIX are forward-looking, reflecting implied volatility based on options markets. This distinction makes them invaluable for traders, portfolio managers, and policymakers. For example, a sudden spike in the VIX often signals heightened fear, prompting investors to hedge positions or reduce exposure to equities. Conversely, a low VIX suggests complacency, though it can also precede unexpected shocks.

Beyond the VIX, other indices provide complementary perspectives. The VXN tracks volatility in the Nasdaq-100, often dominated by technology stocks. Because the tech sector is highly sensitive to innovation cycles and regulatory changes, the VXN can diverge significantly from the VIX, highlighting sector-specific risks. Similarly, the RVX measures volatility in the Russell 2000, offering a window into small-cap stocks that are more vulnerable to domestic economic conditions. Internationally, indices such as the VSTOXX in Europe and India VIX extend this framework globally, allowing investors to compare risk sentiment across regions. Together, these indices form a mosaic of market psychology, enabling a more nuanced understanding of global financial stability.

Volatility indices also play a crucial role in risk management. Derivatives linked to these indices, such as futures and exchange-traded products, allow investors to hedge against sudden downturns. For instance, during the 2008 financial crisis, demand for VIX futures surged as investors sought protection from extreme market swings. More recently, volatility products have become popular among retail traders, though their complexity and tendency to lose value over time make them risky for long-term holding.

Critics argue that volatility indices can be misleading. A low VIX does not guarantee stability, and a high VIX does not always signal disaster. Moreover, the rise of volatility-linked products has occasionally amplified market stress, as seen during the “Volmageddon” event of February 2018, when inverse volatility ETFs collapsed. These episodes underscore the need for caution: volatility indices are powerful tools, but they must be used with a clear understanding of their limitations.

In conclusion, volatility indices such as the VIX serve as vital instruments for gauging investor sentiment and managing risk. They provide a forward-looking measure of uncertainty, complementing traditional metrics and offering insights across sectors and regions. While not infallible, their role in modern finance is undeniable.

For traders, analysts, and policymakers alike, these indices are more than numbers on a screen—they are reflections of the market’s collective psyche, guiding decisions in times of both calm and crisis.

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, Refer and Subscribe

***

***

MONEY: Macro-Economic Velocity

By Dr. David Edward Marcinko MBA MEd

BASIC DEFINITIONS

***

***

The velocity of money is a fundamental concept in macroeconomics that measures how quickly money circulates through the economy. It reflects the frequency with which a unit of currency is used to purchase goods and services within a given time period. This metric is crucial for understanding economic activity, inflation, and the effectiveness of monetary policy.

At its core, the velocity of money is calculated using the formula:

Velocity = GDPMoney Supply\text{Velocity} = \frac{\text{GDP}}{\text{Money Supply}}

This equation shows how many times money turns over in the economy to support a given level of economic output. For example, if the GDP is $20 trillion and the money supply (say, M2) is $10 trillion, the velocity is 2—meaning each dollar is used twice in a year to purchase goods and services.

There are different measures of money supply used in this calculation, most commonly M1 and M2. M1 includes the most liquid forms of money, such as cash and checking deposits, while M2 includes M1 plus savings accounts and other near-money assets. The choice of which measure to use depends on the context and the specific economic analysis being conducted.

The velocity of money is influenced by several factors:

  • Consumer and business confidence: When people feel optimistic about the economy, they are more likely to spend rather than save, increasing velocity.
  • Interest rates: Higher interest rates can encourage saving and reduce spending, lowering velocity. Conversely, lower rates can stimulate borrowing and spending.
  • Inflation expectations: If people expect prices to rise, they may spend more quickly, increasing velocity.
  • Technological and structural changes: Innovations in digital payments and shifts in consumer behavior can also affect how quickly money moves.

Historically, the velocity of money has fluctuated with economic cycles. During periods of economic expansion, velocity tends to rise as spending increases. In contrast, during recessions or periods of uncertainty, velocity often falls as consumers and businesses hold onto cash. For instance, during the 2008 financial crisis and the early stages of the COVID-19 pandemic, velocity dropped sharply due to reduced consumer spending and increased saving.

In recent years, the U.S. has experienced persistently low velocity, even amid significant increases in the money supply. This phenomenon has puzzled economists and raised questions about the effectiveness of monetary policy. Despite aggressive stimulus measures, much of the new money has remained in savings or financial markets rather than circulating through the real economy.

Understanding the velocity of money is essential for policymakers. A low velocity may signal weak demand and justify expansionary fiscal or monetary policies. Conversely, a high velocity could indicate overheating and the need for tightening measures to prevent inflation.

In conclusion, the velocity of money is a dynamic indicator of economic vitality. It helps economists and central banks assess the flow of money, the strength of demand, and the potential for inflation.

While often overlooked by the public, it plays a vital role in shaping economic policy and understanding the broader health of the economy.

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, Refer and Subscribe

***

***

REAL-WORLD FINANCE: How Some RNs Can Retire Richer Than Physicians

By Dr. David Edward Marcinko MBA MEd

***

***

For generations, the prevailing belief in healthcare has been that physicians [MD, DO and DPM], with their high salaries and prestige, inevitably retire wealthier than nurses. Yet this assumption overlooks the financial realities of different nursing specialties and the long‑term impact of debt, lifestyle, and retirement planning. In fact, some Registered Nurses (RNs)—particularly Certified Registered Nurse Anesthetists (CRNAs), visiting nurses, and those who participate in structured pay programs like the Baylor plan—can retire richer than physicians. The reasons lie in the interplay of education costs, career flexibility, income potential, and disciplined financial planning.

Education Costs and Debt Burden

One of the most decisive factors shaping retirement wealth is the cost of education. Physicians often spend over a decade in training, including undergraduate studies, medical school, and residency. This path not only delays their earning years but also saddles them with substantial student debt. The median medical school debt in the United States exceeds $200,000, and many physicians spend years paying it down.

By contrast, RNs typically complete their training in two to four years, with advanced practice nurses such as CRNAs requiring graduate‑level education. Even so, their debt burden is far lighter, often less than half of what physicians carry. This difference means nurses can begin earning earlier, save for retirement sooner, and avoid the crushing interest payments that erode physicians’ wealth. A CRNA who starts practicing in their late twenties may already be investing in retirement accounts while a physician is still in residency earning a modest stipend.

Income Potential of Specialized Nurses

While physicians generally earn more annually than nurses, the gap is narrower in certain specialties. CRNAs, for example, are among the highest‑paid nursing professionals, with average salaries often exceeding $200,000 per year. This places them in direct competition with some physician specialties, especially primary care doctors, who may earn similar or even lower salaries.

Visiting nurses also benefit from unique financial advantages. Many work on flexible schedules, contract arrangements, or per‑visit compensation models. This allows them to maximize income while minimizing burnout. By avoiding the overhead costs of private practice and the administrative burdens physicians face, visiting nurses can channel more of their earnings directly into savings and investments.

When combined with lower debt and earlier career starts, these income streams can compound into significant retirement wealth.

💰 Highest-Paying Nursing Careers (2025)

  • Certified Registered Nurse Anesthetist (CRNA) – ~$212,000 annually
  • Nurse Practitioner (NP) – $120,000–$140,000+ depending on specialty (Family, Acute Care, Psychiatric)
  • Clinical Nurse Specialist (CNS) – $120,000–$135,000
  • Nurse Midwife – ~$115,000
  • Nurse Manager/Administrator – $110,000–$120,000
  • Informatics Nurse Specialist – ~$115,000
  • Neonatal ICU Nurse (NICU) – $110,000+
  • ICU Nurse – $105,000+
  • Pain Management Nurse – ~$104,000
  • Oncology Nurse – ~$100,000

***

***

The Baylor Pay Plan Advantage

The Baylor plan, a structured pay program used by some hospitals, allows nurses to work full‑time hours compressed into fewer days—often weekends—while still receiving full‑time pay and benefits. This arrangement provides several financial advantages. First, it enables nurses to earn competitive wages while freeing up weekdays for additional work, education, or entrepreneurial ventures. Second, it reduces commuting and childcare costs, allowing more income to be saved. Third, the plan often includes robust retirement benefits, such as employer‑matched contributions to 401(k) or pension programs.

Nurses who consistently participate in such structured pay plans can accumulate substantial nest eggs, often surpassing physicians who delay retirement savings due to debt repayment or lifestyle inflation. The Baylor plan highlights the importance of systematic investing: by automating contributions and focusing on long‑term growth, nurses can harness the power of compound interest. A nurse who invests steadily for 35 years may accumulate more wealth than a physician who begins saving late and inconsistently, despite earning a higher salary.

Lifestyle and Work‑Life Balance

Another overlooked factor is lifestyle. Physicians often face grueling schedules, high stress, and the temptation to maintain expensive lifestyles commensurate with their social status. Luxury homes, cars, and vacations can erode their financial base. Nurses, while not immune to lifestyle inflation, often maintain more modest spending habits.

Visiting nurses, in particular, enjoy flexibility that allows them to balance work with personal life. This reduces burnout and healthcare costs while enabling consistent employment into later years. By living within their means and prioritizing savings, nurses can accumulate wealth steadily without the financial pitfalls that sometimes accompany physician lifestyles.

Retirement Wealth Beyond Salary

Retirement wealth is not solely determined by annual income. It is shaped by debt management, savings discipline, investment strategies, and lifestyle choices. Nurses who leverage high‑paying specialties like anesthesia, flexible arrangements like visiting nursing, and structured programs like the Baylor plan can outperform physicians in these areas.

Consider two professionals: a physician earning $250,000 annually but burdened by $200,000 in debt and high living expenses, and a CRNA earning $200,000 with minimal debt and disciplined savings. Over decades, the CRNA may accumulate more net wealth, retire earlier, and enjoy greater financial security.

Conclusion

The assumption that physicians always retire richer than nurses is outdated. While physicians command higher salaries, their delayed earnings, heavy debt, and lifestyle pressures often undermine long‑term wealth. Nurses, particularly CRNAs, visiting nurses, and those who participate in structured pay programs like the Baylor plan, can retire wealthier by combining lower debt, earlier savings, competitive incomes, and disciplined financial planning.

Ultimately, retirement wealth is not about prestige but about strategy. Nurses who recognize this truth and act accordingly may find themselves enjoying more financial freedom than the very physicians they once assisted.

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, Refer and Subscribe

***

***

PHYSICIAN: Car Repossessions Rise!

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Physicians are increasingly facing car repossessions in 2025 due to rising debt, high vehicle prices, and economic pressures that are reshaping the financial landscape for medical professionals.

Traditionally viewed as financially secure, doctors are now among the growing number of Americans struggling to keep up with auto loan payments. The surge in car repossessions—expected to reach a record 10.5 million assignments by the end of 2025—has not spared the medical community. While physicians often earn higher-than-average incomes, they also carry significant financial burdens, including student loan debt, practice overhead, and personal expenses. These pressures are being amplified by macroeconomic forces such as inflation, high interest rates, and stagnant reimbursement rates.

One of the key contributors to this trend is the soaring cost of vehicles. In 2025, the average price of a new car in the U.S. surpassed $50,000, a dramatic increase from just a decade ago. For physicians who rely on vehicles for commuting between hospitals, clinics, and private practices, owning a reliable car is not a luxury—it’s a necessity. However, the combination of high sticker prices and elevated interest rates—averaging 7.3% for used cars and 11.5% for new cars—has made financing increasingly difficult.

***

***

Even high-income professionals are not immune to the broader auto loan crisis. Subprime auto loan delinquencies reached 6.6% in early 2025, the highest rate in over 30 years.While physicians typically fall into the prime or super-prime credit categories, many are still affected by cash flow disruptions, especially those in private practice or rural areas where patient volumes and insurance reimbursements have declined. Additionally, younger doctors with substantial student debt may find themselves overleveraged, making it harder to keep up with car payments.

The emotional and professional toll of a car repossession can be significant. Beyond the embarrassment and logistical challenges, losing a vehicle can disrupt a physician’s ability to provide care, attend emergencies, or maintain a consistent work schedule. This can lead to further income loss, creating a vicious cycle of financial instability.

To combat this trend, some physicians are turning to financial advisors to restructure their debt, refinance auto loans, or downsize to more affordable vehicles. Others are advocating for systemic reforms, such as student loan forgiveness, higher Medicare reimbursements, and better financial literacy training during medical education.

In conclusion, the rise in car repossessions among doctors is a stark reminder that no profession is immune to economic volatility. As the cost of living continues to climb and financial pressures mount, even those in traditionally stable careers must adapt to protect their assets and livelihoods.

Addressing this issue requires both individual financial planning and broader policy changes to ensure that physicians can continue to serve their communities without the looming threat of personal financial collapse.

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, Refer and Subscribe

***

***

BAD MONEY MOVES of Physicians!

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Money is a powerful tool. It can provide security, open opportunities, and help build a fulfilling life. Yet, when mismanaged, it can quickly become a source of stress and regret. Understanding the worst ways to use money is essential for anyone who wants to avoid financial pitfalls and build lasting stability.

1. Impulse Spending

One of the most damaging habits is spending without thought. Buying items on impulse—whether it’s clothes, gadgets, or luxury goods—often leads to regret and wasted resources. These purchases rarely align with long‑term goals and can drain savings meant for emergencies or investments.

2. High‑Interest Debt

Credit cards and payday loans can trap people in cycles of debt. Paying 20% or more in interest means that even small purchases balloon into massive financial burdens. Using debt irresponsibly is one of the fastest ways to erode wealth.

3. Ignoring Savings and Investments

Failing to save for the future is another critical mistake. Without an emergency fund, unexpected expenses like medical bills or car repairs can derail financial stability. Similarly, neglecting investments means missing out on compound growth that builds wealth over time.

4. Chasing Get‑Rich‑Quick Schemes

From pyramid schemes to speculative “hot tips,” chasing unrealistic returns is a recipe for disaster. These schemes prey on greed and impatience, often leaving participants with nothing but losses. Sustainable wealth comes from patience and discipline, not shortcuts.

5. Overspending on Status

Many people waste money trying to impress others—buying luxury cars, designer clothes, or extravagant experiences they cannot afford. This pursuit of status often leads to debt and financial insecurity, while providing only fleeting satisfaction.

6. Neglecting Insurance

Skipping health, auto, or home insurance to save money may seem smart in the short term, but it can be catastrophic when disaster strikes. Without protection, one accident or emergency can wipe out years of savings.

7. Failing to Budget

Living without a plan is like sailing without a map. Without a budget, it’s easy to overspend, miss bills, or fail to allocate money toward goals. Budgeting is not restrictive—it’s empowering, because it ensures money is used intentionally.

8. Ignoring Education and Skills

Spending money without investing in personal growth is another hidden mistake. Education, training, and skill development often yield lifelong returns. Neglecting these opportunities can limit earning potential and financial independence.

Conclusion

The worst things to do with money often stem from short‑term thinking, lack of discipline, or the desire for instant gratification. Impulse spending, high‑interest debt, chasing schemes, and neglecting savings all undermine financial health. By avoiding these traps and focusing on budgeting, investing wisely, and protecting against risks, money can serve as a foundation for security and freedom rather than a source of stress.

COMMENTS APPRECIATED

Like, Refer and Subscribe

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

***

***

Effective Marketing: Using Loss Leaders in Financial Services

By Dr. David Edward Marcinko MBA MEd CMP

***

***

SPONSOR: http://www.CertifiedMedicalPlanner.org

***

In the competitive world of financial services, attracting and retaining clients is a constant challenge. To stand out, many financial advisors employ strategic marketing tactics known as “loss leaders”—free or discounted services designed to showcase value and build trust. These offerings serve as entry points for potential clients, allowing advisors to demonstrate expertise and initiate long-term relationships.

One of the most common loss leaders is the free initial consultation. This no-obligation meeting gives prospective clients a chance to discuss their financial goals, ask questions, and get a feel for the advisor’s approach. For the advisor, it’s an opportunity to assess the client’s needs and present tailored solutions. While no revenue is generated from this meeting, it often leads to paid engagements once the client feels confident in the advisor’s capabilities.

Another popular tactic is offering a complimentary financial plan or portfolio review. These services provide tangible insights into a client’s current financial situation and suggest improvements. By delivering real value upfront, advisors build credibility and demonstrate their analytical skills. Clients who receive actionable advice are more likely to continue working with the advisor on a paid basis.

Educational content also plays a key role in loss leader strategy. Advisors frequently host free webinars, workshops, or seminars on topics like retirement planning, tax strategies, or investment basics. These events not only educate attendees but also position the advisor as a thought leader. Attendees often leave with a better understanding of their financial needs and a desire to seek personalized guidance.

In the digital realm, advisors may offer free tools and assessments on their websites. These include retirement readiness calculators, risk tolerance quizzes, and budgeting templates. Such tools engage users and provide personalized feedback, creating a natural segue into one-on-one consultations. Additionally, offering free newsletters or eBooks helps advisors stay top-of-mind while delivering ongoing value.

Some advisors go further by waiving fees for introductory services, such as account setup or the first few months of investment management. This lowers the barrier to entry and encourages hesitant clients to try the service. Once clients experience the benefits, they’re more likely to commit long-term.

Loss leaders are not limited to high-net-worth individuals. Advisors targeting younger or less affluent clients may offer free debt management plans or budgeting assistance. These services address immediate concerns and build loyalty among clients who may become more profitable as their financial situations improve.

Ultimately, loss leaders are about building relationships. By offering something of value without immediate compensation, financial advisors demonstrate their commitment to helping clients succeed. This fosters trust, encourages engagement, and often leads to lasting partnerships. In a field where reputation and reliability are paramount, loss leaders serve as powerful tools for growth and differentiation.

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, Refer and Subscribe

***

***

DI-WORSIFICATION: Stock Portfolio Pitfalls

By Dr. David Edward Marcinko MBA MEd

***

***

SPONSOR: http://www.MarcinkoAssociates.com

Diworsification is a term coined by Peter Lynch to describe when investors over‑diversify their portfolios, adding too many holdings and ultimately reducing returns instead of improving them.

Diversification has long been heralded as one of the cornerstones of sound investing. By spreading capital across different asset classes, industries, and geographies, investors can reduce risk and protect themselves against the volatility of individual securities. Yet, as with many strategies, there exists a point where the benefits diminish and the practice becomes counterproductive. This phenomenon, known as diworsification, was popularized by legendary investor Peter Lynch to describe the tendency of investors and corporations to dilute their strengths by expanding too broadly.

At its core, diworsification occurs when the pursuit of safety leads to excessive complexity. For individual investors, this often manifests in portfolios bloated with dozens or even hundreds of stocks, mutual funds, or exchange‑traded funds. While the intention is to minimize risk, the result is frequently a portfolio that mirrors the market index but with higher costs and less focus. Instead of achieving superior returns, the investor ends up with average performance weighed down by management fees, trading expenses, and the difficulty of monitoring so many positions. In essence, the investor has sacrificed the potential for meaningful gains in exchange for a false sense of security.

Corporations are not immune to this trap. In the corporate world, diworsification describes the tendency of firms to expand into unrelated businesses, diluting their competitive advantage. A company that excels in consumer electronics, for example, may attempt to branch into unrelated industries such as food services or real estate. Without the expertise, synergies, or strategic fit, these ventures often fail to deliver value, distracting management and eroding shareholder wealth. History is replete with examples of conglomerates that grew too large, too fast, only to later divest their non‑core businesses in recognition of the inefficiencies created.

The dangers of diworsification are not merely theoretical. They highlight the importance of discipline in both investing and corporate strategy. For investors, the lesson is clear: diversification should be purposeful, not indiscriminate. A well‑constructed portfolio might include a mix of equities, bonds, and alternative assets, but each holding should serve a specific role—whether it is growth, income, or risk mitigation. Beyond a certain point, adding more securities does not reduce risk meaningfully; instead, it complicates decision‑making and reduces the chance of outperforming the market.

Similarly, for corporations, strategic focus is paramount. Expansion should be guided by core competencies and long‑term vision rather than the allure of short‑term growth. Firms that resist the temptation to chase every opportunity are better positioned to strengthen their brand, innovate within their domain, and deliver sustainable value to shareholders.

In conclusion, diworsification serves as a cautionary tale against the excesses of diversification. While spreading risk is essential, overdoing it can undermine performance and clarity. Both investors and corporations must strike a balance between breadth and focus, ensuring that every addition to a portfolio or business strategy enhances rather than dilutes overall strength. In other words, “diversification means you will always have to say you’re sorry.”

True wisdom lies not in owning everything, but in owning the right things.

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, Refer and Subscribe

***

***

Understanding Dow Jones Weighting of Stocks

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Dow Jones Companies

The thirty companies included in the Dow Jones Industrial Average are listed in the updated chart below.

The list is sorted by each component’s weight in the index. The weight of each company is determined by the price of the stock. A $100 stock will be weighted more than a $30 stock. If a stock splits its corresponding weighting in the Dow Jones will be reduced as its price will be about half of what it was prior to the split.

CHART: https://www.slickcharts.com/dowjones

***

COMMENTS APPRECIATED

THANK YOU
***

RULE 3-5-7: Investor Trading Strategy

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The 3-5-7 Rule is a trading strategy that helps investors manage risk and maximize gains by setting clear limits on losses and targets for profits. It’s a simple yet powerful framework for disciplined decision-making.

In the volatile world of trading, success often hinges not just on identifying opportunities but on managing risk with precision. The 3-5-7 Rule is a widely respected risk management strategy designed to help traders protect their capital while pursuing consistent returns. This rule provides a structured approach to trading by setting specific thresholds for risk exposure and profit expectations.

At its core, the 3-5-7 Rule breaks down into three key components:

  • 3% Risk Per Trade: Traders should never risk more than 3% of their total account value on a single trade. This limit ensures that even if a trade goes against them, the loss is manageable and doesn’t jeopardize their overall portfolio.
  • 5% Total Exposure Across All Positions: The rule advises that total exposure across all open positions should not exceed 5% of the account value. This prevents over-leveraging and reduces the impact of correlated losses during market downturns.
  • 7% Profit Target: For every trade, the goal is to achieve a profit that is at least 7% greater than the potential loss. This risk-to-reward ratio helps ensure that even with a lower win rate, traders can remain profitable over time.

The beauty of the 3-5-7 Rule lies in its simplicity and adaptability. It can be applied across various asset classes—stocks, forex, crypto—and suits both beginners and seasoned traders. By enforcing discipline, it helps traders avoid emotional decisions, such as chasing losses or holding onto losing positions too long. Moreover, this rule encourages thoughtful position sizing. Traders must calculate their entry and exit points carefully, factoring in stop-loss levels and account size. This analytical approach fosters better trade planning and reduces impulsive behavior.

Another advantage is its scalability. As a trader’s account grows, the percentages remain constant, but the dollar amounts adjust accordingly. This keeps the strategy relevant and effective regardless of portfolio size. In practice, the 3-5-7 Rule acts as a safety net. It doesn’t guarantee profits, but it significantly reduces the likelihood of catastrophic losses. It also promotes consistency, which is crucial for long-term success in trading.

In conclusion, the 3-5-7 Rule is more than just a guideline—it’s a mindset. It teaches traders to respect risk, plan strategically, and aim for favorable outcomes.

By adhering to this rule, traders can navigate the unpredictable markets with greater confidence and control.

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 

Like, Refer and Subscribe

***

***

Understanding Parkinson’s Law: Importance vs Attention

The Attention a Problem Gets is Inverse to its’ Importance

Courtesy: http://www.CertifiedMedicalPlanner.org

By Dr. David Edward Marcinko MBA, MEd CMP

Historian Cyril Parkinson’s wrote in his book Parkinson’s Law,

“The time spent on any item of the agenda will be in inverse proportion to the sum [of money] involved.”

EXAMPLE: Parkinson described a fictional finance committee with three tasks: approval of a $10 million nuclear reactor, $400 for an employee bike shed, and $20 for employee refreshments in the break room.

The committee approves the $10 million nuclear reactor immediately, because the number is too big to contextualize, alternatives are too daunting to consider, and no one on the committee is an expert in nuclear power.

Bike Shed Effect: The bike shed gets considerably more debate. Committee members argue whether a bike rack would suffice and whether a shed should be wood or aluminum, because they have some experience working with those materials at home.

Employee refreshments take up two-thirds of the debate, because everyone has a strong opinion on what’s the best coffee, the best cookies, the best chips, etc.

Absurd: The world is filled with these absurdities. In personal finance, Ramit Sethi recently said we should stop asking $3 questions (should I buy coffee?) and ask more $30,000 questions (should I buy a smaller home?). Most people don’t, because it’s hard and intimidating. In any given moment the easiest way to deal with a big problem is to ignore it and fill your time thinking about a smaller one.

***

***

Assessment: Your thoughts and comments related to the post Corona Virus Pandemic, meetings and time management and psychology are appreciated.

THANK YOU

***

K-SHAPED ECONOMY: An Uneven and Divided World

By Dr. David Edward Marcinko MBA MEd

***

***

The term “K-shaped economy” emerged during the COVID-19 pandemic to describe a recovery marked by stark divergence—where some sectors and social groups rebound rapidly while others continue to decline. Unlike traditional V-shaped or U-shaped recoveries, which imply uniform economic improvement, the K-shaped model reflects a split trajectory: the upward arm of the “K” represents those who thrive, while the downward arm captures those left behind. This phenomenon has profound implications for economic policy, social equity, and long-term stability.

At the heart of the K-shaped economy is inequality. High-income individuals, white-collar professionals, and large corporations often benefit from technological advances, remote work flexibility, and access to capital. For example, tech giants like Apple, Microsoft, and Alphabet saw record profits during the pandemic, fueled by digital transformation and cloud services. Meanwhile, lower-income workers—especially in hospitality, retail, and service industries—faced job losses, reduced hours, and limited access to healthcare or financial safety nets. This divergence widened existing income and wealth gaps, exacerbating social tensions.

Sectoral performance also illustrates the K-shaped divide. Industries such as e-commerce, software, and logistics surged, while travel, entertainment, and small businesses struggled. The rise of automation and artificial intelligence further tilted the scales, favoring companies that could invest in innovation while displacing low-skilled labor. In education, students from affluent families adapted to online learning with ease, while those from disadvantaged backgrounds faced digital barriers and learning loss. These disparities underscore how economic recovery is not just uneven—it’s structurally imbalanced.

Geography plays a role too. Urban centers with diversified economies and strong tech sectors rebounded faster than rural or manufacturing-heavy regions. Housing markets in affluent areas soared, driven by low interest rates and remote work migration, while renters and first-time buyers faced affordability crises. Even within cities, neighborhoods with better infrastructure and public services recovered more quickly, deepening the urban-suburban divide.

Policymakers face a daunting challenge in addressing the K-shaped recovery. Traditional stimulus measures may not reach the most vulnerable populations without targeted interventions. Expanding access to education, healthcare, and digital infrastructure is essential to leveling the playing field. Progressive taxation, wage support, and small business aid can help bridge the gap, but require political will and fiscal discipline. Central banks must balance inflation control with inclusive growth, avoiding policies that disproportionately benefit asset holders.

The long-term consequences of a K-shaped economy are significant. Persistent inequality can erode trust in institutions, fuel populism, and hinder social mobility. Economic growth may slow if large segments of the population remain underemployed or financially insecure. To build a resilient and inclusive future, governments, businesses, and civil society must collaborate to ensure that recovery lifts all boats—not just the yachts.

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, Refer and Subscribe

***

***

The Hidden Risk of Trusting Friends in Finance

Here’s a risk to your financial health that may surprise you!

Rick Kahler MS CFP

By Rick Kahler CFP

There are two reasons for this.

First, we tend to trust and rely on people we know.

Second, research finds that humans have a deep-seated desire to meet the needs of others, so “helping” a relative or friend get started in their financial sales career is just human nature. Unfortunately, brokerage and insurance companies know this. They train their new agents that the easiest sales to make when getting started are to relatives and friends.

Any time I find an ill-advised financial product a client has purchased from a relative or friend, I cringe, anticipating the client’s resistance to canceling it. Regardless of how bad the advice was or how outrageous the fees of an investment product may be, the deeper the relationship the more difficulty there will be in changing course.

***

***

Here’s a typical example 

Jim and Sofia, two young professionals, married at around the same time Jim’s uncle went to work for a financial services company. The uncle sold Jim a $250,000 Variable Universal Life (VUL) policy with a $500 monthly premium. Jim and Sofia were happy, thinking they had made a prudent choice to start saving for retirement and help out a relative at the same time.

When Sofia became pregnant, the couple decided to engage a fee-only financial planner. She found they were under insured to provide for a family and also that the VUL policy was incredibly expensive and ill-advised for their needs. She recommended canceling the VUL policy with its $500 monthly premium, instead paying $300 monthly for two $1 million term life insurance policies and putting $200 a month into a tax-free Roth IRA.

Sofia and Jim told this to their uncle, who was “shocked” at the planner’s “poor advice.”

He contended that any competent financial planner would know a person needs permanent insurance as a foundation to “raise their child in the case of a premature death, fund their retirement, pay estate taxes and just like a Roth, it is tax free.”
Sadly, the uncle was unwilling to admit that $250,000 of insurance wouldn’t be enough to raise their child, fund their retirement, and pay estate taxes; nor was it truly tax free. He also didn’t mention that he had a vested interest in their keeping the policy. While he probably earned 55% to 100% of the first year’s commission, it is common practice that an agent will also receive 10-15% of the annual premium from years 2-10.

***

***

Sofia and Jim agreed with the financial planner’s recommendation. They could see the sense in having $1 million of insurance on each of them instead of $250,000 on just Jim for almost half the price, plus the tax-free growth of $200 a month in the Roth IRA.

Yet they didn’t follow the planner’s advice, because they didn’t want to upset their uncle. They chose to weaken their financial health, plus risk the well-being of their family if one of them died prematurely, in order to enrich their uncle for fear of offending him.

This happens more frequently than you would think. And it isn’t limited to life insurance. I’ve seen clients invest in a variety of “opportunities,” based on advice from a family member, that were not in their best interest.

Assessment

Next time a friend or family member offers to sell you a financial product or give you some great advice, you may want to do yourself a favor and decline. If you really want to help them out, invite them over for dinner.

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

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

Contact: MarcinkoAdvisors@outlook.com

***

***

Understanding Managerial Accounting Concepts

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Product Costing and Valuation

Product costing deals with determining the total costs involved in the production of a good or service. Costs may be broken down into subcategories, such as variable, fixed, direct, or indirect costs. Cost accounting is used to measure and identify those costs, in addition to assigning overhead to each type of product created by the company.

Managerial accountants calculate and allocate overhead charges to assess the full expense related to the production of a good. The overhead expenses may be allocated based on the number of goods produced or other activity drivers related to production, such as the square footage of the facility. In conjunction with overhead costs, managerial accountants use direct costs to properly value the cost of goods sold and inventory that may be in different stages of production.

Marginal costing (sometimes called cost-volume-profit analysis) is the impact on the cost of a product by adding one additional unit into production. It is useful for short-term economic decisions. The contribution margin of a specific product is its impact on the overall profit of the company. Margin analysis flows into break-even analysis, which involves calculating the contribution margin on the sales mix to determine the unit volume at which the business’s gross sales equals total expenses. Break-even point analysis is useful for determining price points for products and services.

Cash Flow Analysis

Managerial accountants perform cash flow analysis in order to determine the cash impact of business decisions. Most companies record their financial information on the accrual basis of accounting. Although accrual accounting provides a more accurate picture of a company’s true financial position, it also makes it harder to see the true cash impact of a single financial transaction. A managerial accountant may implement working capital management strategies in order to optimize cash flow and ensure the company has enough liquid assets to cover short-term obligations.

When a managerial accountant performs cash flow analysis, he will consider the cash inflow or outflow generated as a result of a specific business decision. For example, if a department manager is considering purchasing a company vehicle, he may have the option to either buy the vehicle outright or get a loan. A managerial accountant may run different scenarios by the department manager depicting the cash outlay required to purchase outright upfront versus the cash outlay over time with a loan at various interest rates.

Inventory Turnover Analysis

Inventory turnover is a calculation of how many times a company has sold and replaced inventory in a given time period. Calculating inventory turnover can help businesses make better decisions on pricing, manufacturing, marketing, and purchasing new inventory. A managerial accountant may identify the carrying cost of inventory, which is the amount of expense a company incurs to store unsold items.

If the company is carrying an excessive amount of inventory, there could be efficiency improvements made to reduce storage costs and free up cash flow for other business purposes.

Constraint Analysis

Managerial accounting also involves reviewing the constraints within a production line or sales process. Managerial accountants help determine where bottlenecks occur and calculate the impact of these constraints on revenue, profit, and cash flow. Managers then can use this information to implement changes and improve efficiencies in the production or sales process.

Financial Leverage Metrics

Financial leverage refers to a company’s use of borrowed capital in order to acquire assets and increase its return on investments. Through balance sheet analysis, managerial accountants can provide management with the tools they need to study the company’s debt and equity mix in order to put leverage to its most optimal use.

Performance measures such as return on equity, debt to equity, and return on invested capital help management identify key information about borrowed capital, prior to relaying these statistics to outside sources. It is important for management to review ratios and statistics regularly to be able to appropriately answer questions from its board of directors, investors, and creditors.

Accounts Receivable (AR) Management

Appropriately managing accounts receivable (AR) can have positive effects on a company’s bottom line. An accounts receivable aging report categorizes AR invoices by the length of time they have been outstanding. For example, an AR aging report may list all outstanding receivables less than 30 days, 30 to 60 days, 60 to 90 days, and 90+ days.

Through a review of outstanding receivables, managerial accountants can indicate to appropriate department managers if certain customers are becoming credit risks. If a customer routinely pays late, management may reconsider doing any future business on credit with that customer.

Budgeting, Trend Analysis, and Forecasting

Budgets are extensively used as a quantitative expression of the company’s plan of operation. Managerial accountants utilize performance reports to note deviations of actual results from budgets. The positive or negative deviations from a budget also referred to as budget-to-actual variances, are analyzed in order to make appropriate changes going forward.

Managerial accountants analyze and relay information related to capital expenditure decisions. This includes the use of standard capital budgeting metrics, such as net present value and internal rate of return, to assist decision-makers on whether to embark on capital-intensive projects or purchases. Managerial accounting involves examining proposals, deciding if the products or services are needed, and finding the appropriate way to finance the purchase. It also outlines payback periods so management is able to anticipate future economic benefits.

Managerial accounting also involves reviewing the trendline for certain expenses and investigating unusual variances or deviations. It is important to review this information regularly because expenses that vary considerably from what is typically expected are commonly questioned during external financial audits. This field of accounting also utilizes previous period information to calculate and project future financial information. This may include the use of historical pricing, sales volumes, geographical locations, customer tendencies, or financial information.

COMMENTS APPRECIATED

Refer and Subscribe

***

***

Understanding the Halloween Indicator Strategy

SELL IN MAY – AND GO AWAY

By Staff Reporters

***

***

Essentially, the HALLOWEEN INDICATOR is a market-timing strategy. It argues that, by buying into the stock market after Halloween and selling at the end of April, investors would generate a better annual return on their portfolio than if they had remained invested throughout the year. Sell in May and go away is an investment strategy for stocks based on a theory that the period from November to April inclusive has significantly stronger stock market growth on average than the other months

The practice of abandoning stocks beginning in May of each year is widely thought to have its origins in the United Kingdom. The privileged class would leave London and head to their country estates for the summer months, where they would largely ignore their investment portfolios. To this day, many stock market watchers have postulated that the corresponding impact of summer vacations on market liquidity and investors’ risk aversion is at least partly responsible for the difference in seasonal returns.

In what is considered to be a seminal piece of research on the subject, “The Halloween Indicator, ‘Sell in May and Go Away’: Another Puzzle,” authors Sven Bouman and Ben Jacobsen were among the first to document a strong seasonal effect in global stock markets. In 36 of the 37 developed and emerging markets they studied between 1973 and 1998, the authors found returns in the November through April period to be, on average, significantly higher than those in the May through October period, even after taking transaction costs into account. What puzzled the authors was the fact that, while the anomaly was widely known and seemed to offer considerable economic rewards, it had not been arbitraged away.

More recently, Jacobsen partnered with Cherry Zhang on a follow up study, titled, “The Halloween Indicator: Everywhere and All the Time,” and extended the research to 108 stock markets using all historical data available. The result was a sample of 55,425 monthly observations (including more than 300 years of UK data), which helped to rebut any criticisms of data mining and sample selection bias. The results were compelling, as the November through April “winter” period delivered returns that were, on average, 4.52% higher than the “summer” returns. The Halloween effect was evident in 81 out of 108 countries. The size of the Halloween effect varied across geographies. It was found to be stronger in developed and emerging markets than in frontier markets.

***

MORE: https://medicalexecutivepost.com/2021/10/30/the-halloween-index-investment-strategy/

COMMENTS APPRECIATED

Thank You

***

***

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

***

Rethinking Productivity in Wealth Management

By Vitaliy Katsenelsen CFA

***

***

One of the biggest hazards of being a professional money manager is that you are expected to behave in a certain way.

One of the biggest hazards of being a professional money manager is that you are expected to behave in a certain way: You have to come to the office every day, work long hours, slog through countless emails, be on top of your portfolio (that is, check performance of your securities minute by minute), watch business TV and consume news continuously, and dress well and conservatively, wearing a rope around the only part of your body that lets air get to your brain. Our colleagues judge us on how early we arrive at work and how late we stay. We do these things because society expects us to, not because they make us better investors or do any good for our clients.

Somehow we let the mindless, Henry Ford–assembly-line, 8:00 a.m. to 5:00 p.m., widgets-per-hour mentality dictate how we conduct our business thinking. Though car production benefits from rigid rules, uniforms, automation and strict working hours, in investing — the business of thinking — the assembly-line culture is counterproductive. Our clients and employers would be better off if we designed our workdays to let us perform our best.

Investing is not an idea-­per-hour profession; it more likely results in a few ideas per year. A traditional, structured working environment creates pressure to produce an output — an idea, even a forced idea. Warren Buffett once said at a Berkshire Hathaway annual meeting: “We don’t get paid for activity; we get paid for being right. As to how long we’ll wait, we’ll wait indefinitely.”

How you get ideas is up to you. I am not a professional writer, but as a professional money manager, I learn and think best through writing. I put on my headphones, turn on opera and stare at my computer screen for hours, pecking away at the keyboard — that is how I think. You may do better by walking in the park or sitting with your legs up on the desk, staring at the ceiling.

I do my best thinking in the morning. At 3:00 in the afternoon, my brain shuts off; that is when I read my emails. We are all different. My best friend is a brunch person; he needs to consume six cups of coffee in the morning just to get his brain going. To be most productive, he shouldn’t go to work before 11:00 a.m.

And then there’s the business news. Serious business news that lacked sensationalism, and thus ratings, has been replaced by a new genre: business entertainment (of course, investors did not get the memo). These shows do a terrific job of filling our need to have explanations for everything, even random events that require no explanation (like daily stock movements). Most information on the business entertainment channels — Bloomberg Television, CNBC, Fox Business — has as much value for investors as daily weather forecasts have for travelers who don’t intend to go anywhere for a year.

Yet many managers have CNBC, Fox or Bloomberg TV/Internet streaming on while they work.

COMMENTS APPRECIATED

Refer and Like

***

***

How a Broke 50-Year-Old Doctor Can Still Retire at 65?

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

***

Turning 50 with little to no savings can be daunting, especially for a doctor who has spent decades in a demanding profession. Yet, all is not lost. With strategic planning, discipline, and a willingness to adapt, a broke 50-year-old physician can still build a solid retirement foundation by age 65.

First, it’s essential to confront the financial reality. This means calculating current income, expenses, debts, and any assets, however small. A clear picture allows for realistic goal-setting. The target should be to save aggressively—ideally 30–50% of income—over the next 15 years. While this may seem steep, doctors often have above-average earning potential, even in their later years, which can be leveraged.

Next, lifestyle adjustments are crucial. Downsizing housing, eliminating unnecessary expenses, and avoiding new debt can free up significant cash flow. If possible, relocating to a lower-cost area or refinancing existing loans can also help. Every dollar saved should be redirected into retirement accounts such as a 401(k), IRA, or a solo 401(k) if self-employed. Catch-up contributions for those over 50 allow for higher annual deposits, which can accelerate growth.

Investing wisely is non-negotiable. A diversified portfolio with a mix of stocks, bonds, and alternative assets can provide both growth and stability. Working with a fiduciary financial advisor ensures that investments align with retirement goals and risk tolerance. Time is limited, so the focus should be on maximizing returns without taking reckless risks.

Increasing income is another powerful lever. Many doctors can boost earnings through side gigs like telemedicine, consulting, teaching, or locum tenens work. These flexible options can add tens of thousands annually without requiring a full career shift. Additionally, monetizing expertise—writing, speaking, or creating online courses—can generate passive income streams.

Debt reduction must be prioritized. High-interest loans, especially credit card debt, can erode savings potential. Paying off these balances aggressively while avoiding new liabilities is key. For student loans, exploring forgiveness programs or refinancing options may offer relief.

Finally, mindset matters. Retirement at 65 doesn’t have to mean complete cessation of work. It can mean transitioning to part-time roles, passion projects, or advisory positions that provide income and fulfillment. The goal is financial independence, not necessarily total inactivity.

In conclusion, while starting late is challenging, a broke 50-year-old doctor can still retire comfortably at 65. It requires a blend of financial discipline, income optimization, smart investing, and lifestyle changes. With focus and determination, the next 15 years can be transformative—turning a precarious situation into a secure and dignified retirement.

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 

Like, Refer and Subscribe

***

***

Transform Your Financial Insights into Lasting Change

Turn Financial A-Ha Moments Into Lasting Change With Memory Re-Consolidation

By Rick Kahler MSFS CFP

***

***

Have you ever had a light bulb moment about money?

Maybe you leave a workshop, a therapy session, or a conversation with a financial advisor, feeling as if you have finally cracked the code. You understand why you keep overspending. You see the pattern that keeps you procrastinating about saving and investing. You feel the reason you panic about money, even when you know you are okay. In that moment, it all seems so clear.

Yet a week later, you are right back at it. Swiping the credit card. Avoiding the budget. Losing sleep over the same worries you thought you had just solved. What happened to that breakthrough? Why did it not last?

BRAIN ANCHORING: https://medicalexecutivepost.com/2024/10/22/anchoring-initial-mental-brain-trickery/

I’ve experienced this myself, more times than I’d like to admit. Recently, I found a book that explains why: Unlocking the Emotional Brain by Bruce Ecker, Robin Ticic, and Laurel Hulley. The authors explain that lasting change happens through something called “memory re-consolidation.” It is the brain’s way of updating emotional patterns we have carried for years—often since childhood.

Most of us have old money stories tucked away in our emotional memory. Suppose, for example, as a child you were scolded for asking a neighbor how much money they earned. This and other similar experiences that left you feeling shamed or dismissed taught you that it was rude to talk about money.

Such early experiences are filed away as emotional truths. They shape what feels true, even years later as an adult, whether or not that “truth” is still relevant.

NEUROLINK: https://medicalexecutivepost.com/2023/03/07/neurolink-brain-chips-rejected-by-the-fda/

As an adult, you may have come to understand that talking about money is often essential for your emotional and financial well being. But when the moment comes to have a money conversation, your body still freezes up. That is not weakness. That is your brain pulling up the old file.

Here is where memory re-consolidation comes in. The brain does not update the file just because you think new thoughts. It updates when you have a new experience that feels different. Maybe someone listens without judgment, or you realize you are talking about money and still feel safe. That emotional mismatch tells the brain, “Maybe this file is not true anymore.”

But the update is not finished. To make the change stick, you have to hold both the old belief and the new experience together for a little while. It is like showing your brain two pictures: here is how it used to feel, and here is how it feels now. That moment of holding both is when the rewrite happens.

Even more interesting, the brain keeps the file open for several hours after the shift. What you do in that window can help the change settle in—or not. If you rush back into busyness or distractions, you might accidentally let the old version save itself again.

BRAIN HEALTH: https://medicalexecutivepost.com/2025/02/19/brain-health-bilingualism/

So what can we do to give those shifts a better chance of sticking? I have noticed that insights gained during a retreat or workshop, with ample time to focus and reflect, are more likely to last. Even in our everyday lives, we can slow down, even for a few minutes, to write about what we felt, check in with our bodies, or talk with someone who supports us. We can protect a little bit of quiet space before diving back into the noise.

The next time you have a money breakthrough, try giving yourself that space. Consciously notice both the old belief and the new experience. Give the re-consolidation time to settle in.

Then, the next time your brain pulls up that old money story, you’ll have access to the updated, more accurate version.

COMMENTS APPRECIATED

EDUCATION: Books

Like and Refer

***

***

MEDICAL SCHOOLS: What They Do Not Teach About Money!

By Dr. David Edward Marcinko MBA MEd

SPONSOR: http://www.MarcinkoAssociates.com

***

WARNING! WARNING! All DOCTORS

What Medical School Didn’t Teach Doctors About Money

Medical school is designed to mold students into competent, compassionate physicians. It teaches anatomy, pathology, pharmacology, and clinical skills with precision and rigor. Yet, despite the depth of medical knowledge imparted, one critical area is often overlooked: financial literacy. For many doctors, the transition from student to professional comes with a steep learning curve—not in medicine, but in money. From managing debt to understanding taxes, investing, and retirement planning, medical school leaves a financial education gap that can have long-term consequences.

The Debt Dilemma

One of the most glaring omissions in medical education is how to manage student loan debt. The average medical student graduates with over $200,000 in debt, yet few are taught how to navigate repayment options, interest accrual, or loan forgiveness programs. Many doctors enter residency with little understanding of income-driven repayment plans or Public Service Loan Forgiveness (PSLF), missing opportunities to reduce their financial burden. Without guidance, some make costly mistakes—such as refinancing federal loans prematurely or choosing repayment plans that don’t align with their career trajectory.

Income ≠ Wealth

Medical students often assume that a high salary will automatically lead to financial security. While physicians do earn more than most professionals, income alone doesn’t guarantee wealth. Medical school rarely addresses the importance of budgeting, saving, and investing. As a result, many doctors fall into the “HENRY” trap—High Earner, Not Rich Yet. They spend lavishly, assuming their income will always cover expenses, only to find themselves living paycheck to paycheck. Without a solid financial foundation, even high earners can struggle to build net worth.

***

***

Taxes and Business Skills

Doctors are also unprepared for the complexities of taxes. Whether employed by a hospital or running a private practice, physicians face unique tax challenges. Medical school doesn’t teach how to track deductible expenses, optimize retirement contributions, or navigate self-employment taxes. For those who open their own clinics, the lack of business education is even more pronounced. Understanding profit margins, payroll, insurance billing, and compliance regulations is essential—but rarely covered in medical training.

Investing and Retirement Planning

Another blind spot is investing. Medical students are rarely taught the basics of compound interest, asset allocation, or retirement accounts. Many don’t know the difference between a Roth IRA and a traditional 401(k), or how to evaluate mutual funds and index funds. This lack of knowledge delays retirement planning and can lead to missed opportunities for long-term growth. Some doctors rely on financial advisors without understanding the fees or conflicts of interest involved, putting their wealth at risk.

Insurance and Risk Management

Medical school also fails to educate students on insurance—life, disability, malpractice, and health. Doctors need robust coverage to protect their income and assets, but many don’t know how to evaluate policies or understand terms like “own occupation” or “elimination period.” Inadequate coverage can leave physicians vulnerable to financial disaster in the event of illness, injury, or litigation.

Emotional and Behavioral Finance

Beyond technical knowledge, medical school overlooks the emotional side of money. Physicians often face pressure to maintain a certain lifestyle, especially after years of sacrifice. The desire to “catch up” can lead to impulsive spending, luxury purchases, and financial stress. Without tools to manage money mindset and behavioral habits, doctors may struggle with guilt, anxiety, or burnout related to finances.

The Case for Financial Education

Fortunately, awareness of this gap is growing. Organizations like Medics’ Money and podcasts such as “Docs Outside the Box” are working to fill the void by offering financial education tailored to physicians.

These resources cover everything from budgeting and debt management to investing and entrepreneurship. Some medical schools are beginning to incorporate financial literacy into their curricula, but progress is slow and inconsistent.

Conclusion

Medical school equips doctors to save lives, but it doesn’t prepare them to secure their own financial future. The lack of financial education leaves many physicians vulnerable to debt, poor investment decisions, and lifestyle inflation. To thrive both professionally and personally, doctors must seek out financial knowledge beyond the classroom. Whether through self-study, mentorship, or professional guidance, understanding money is as essential as understanding medicine. After all, financial health is a cornerstone of overall well-being—and every doctor deserves to master both.

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, Refer and Subscribe

***

***

Mastering the 20/4/10 Car Buying Rule

20/4/10 RULE

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

***

***

An automobile is one of the biggest purchases after a home; for many physicians and most all of us. But, unlike the typical home, it is usually a depreciating asset – today morning you purchase a car for X-amount of dollars and by the evening it will be worth less. After 5 years it will not be even half-value but still, many folks keep buying cars regularly – buy at 10, sell at 4 & lose 6 (repeat the cycle).

So, here are few financial rules of thumb that you can follow:

  • The value of a car should not be more than 50% of the annual income of the owner.
  • Purchase a used car or buy a new & use it for 10 years.
  • While buying a car with a loan stick to Rule 20/4/10 – Minimum 20% down payment, loan tenure not more than 4 years & EMI should not be higher than 10% of your income.

Note: Equated Monthly Installment [EMI]

Caution: The phrase rule of thumb refers to an approximate method for doing something, based on practical experience rather than theory. This usage of the phrase can be traced back to the 17th century and has been associated with various trades where quantities were measured by comparison to the width or length of a human adult thumb.

EDUCATION: Books

COMMENTS APPRECIATED

Refer and Subscribe

***

***

RE-IMAGINING RETIREMENT: A Path Forward for a Broke 65-Year-Old Doctor

***

***

SPONSOR: http://www.MarcinkoAssociates.com

Turning 65 is often seen as the gateway to retirement—a time to slow down, reflect, and enjoy the fruits of decades of labor. But for some, including doctors who may have faced financial setbacks, poor planning, or unexpected life events, reaching this milestone without financial security can be deeply unsettling. The image of a broke 65-year-old doctor may seem paradoxical, given the profession’s reputation for high earnings. Yet, reality paints a more nuanced picture. Fortunately, even in the face of financial hardship, retirement is not a closed door—it’s a challenge that can be met with creativity, resilience, and strategic planning.

Understanding the Situation

Before exploring solutions, it’s important to understand how a physician might arrive at retirement age without adequate savings. Medical school debt, late career starts, divorce, health issues, poor investment decisions, or supporting family members can all contribute. Some doctors work in lower-paying specialties or underserved areas, sacrificing income for impact. Others may have lived beyond their means, assuming their high salary would always be enough. Regardless of the cause, the key is to shift focus from regret to action.

DOCTORS: https://medicalexecutivepost.com/2025/09/09/doctors-early-investing-needed-for-retirement/

Redefining Retirement

Traditional retirement—ceasing work entirely—is not the only option. For a broke 65-year-old doctor, retirement may mean transitioning to a less demanding role, reducing hours, or shifting to a new field. The goal is to create a sustainable lifestyle that balances income, purpose, and well-being.

Leveraging Medical Expertise

Even if full-time clinical practice is no longer viable, a physician’s knowledge remains valuable. Here are several ways to continue earning while easing into retirement:

  • Telemedicine: Remote consultations are in high demand, especially in primary care, psychiatry, and chronic disease management. Telemedicine offers flexibility, reduced overhead, and the ability to work from home.
  • Locum Tenens: Temporary assignments can fill staffing gaps in hospitals and clinics. These roles often pay well and allow for travel or seasonal work.
  • Medical Writing and Reviewing: Physicians can write for journals, websites, or pharmaceutical companies. Peer reviewing, editing, and content creation are viable options.
  • Teaching and Mentoring: Medical schools, nursing programs, and residency programs need experienced educators. Adjunct teaching or mentoring can be fulfilling and financially helpful.
  • Consulting: Doctors can advise healthcare startups, legal teams, or insurance companies. Their insights are valuable in product development, litigation, and policy.

Exploring Non-Clinical Opportunities

Some physicians may wish to pivot entirely. Transferable skills—critical thinking, communication, leadership—open doors in other industries:

  • Health Coaching or Life Coaching: With certification, doctors can guide clients in wellness, stress management, or career transitions.
  • Entrepreneurship: Starting a small business, such as a tutoring service, online course, or specialty clinic, can generate income and autonomy.
  • Real Estate or Investing: With careful planning, investing in rental properties or learning about the stock market can create passive income.

Maximizing Government and Community Resources

At 65, individuals become eligible for Medicare, which can significantly reduce healthcare costs. Additionally, Social Security benefits may be available, depending on work history. While delaying benefits until age 70 increases monthly payments, some may need to claim earlier to meet immediate needs.

***

***

Other resources include:

  • Supplemental Security Income (SSI): For those with limited income and assets.
  • SNAP (food assistance) and LIHEAP (energy assistance): These programs help cover basic living expenses.
  • Community Organizations: Nonprofits and religious groups often provide support with housing, transportation, and social engagement.

Downsizing and Budgeting

Reducing expenses is a powerful way to stretch limited resources. Consider:

  • Relocating: Moving to a lower-cost area or state with favorable tax policies can reduce housing and living expenses.
  • Selling Assets: A large home, unused vehicle, or collectibles may be converted into cash.
  • Shared Housing: Living with family, roommates, or in co-housing communities can cut costs and reduce isolation.
  • Minimalist Living: Prioritizing needs over wants and embracing simplicity can lead to financial and emotional freedom.

Creating a realistic budget is essential. Track income and expenses, eliminate unnecessary costs, and prioritize essentials. Free budgeting tools and financial counseling services can help.

Emotional and Mental Well-Being

Financial stress can take a toll on mental health. It’s important to cultivate resilience and maintain a sense of purpose. Strategies include:

  • Staying Active: Physical activity improves mood and health. Walking, yoga, or swimming are low-cost options.
  • Volunteering: Giving back can provide structure, community, and fulfillment.
  • Learning New Skills: Online courses, hobbies, or certifications can reignite passion and open new doors.
  • Building a Support Network: Friends, family, and peer groups offer emotional support and practical advice.

Planning for the Future

Even at 65, it’s not too late to plan. Consider:

  • Debt Management: Negotiate payment plans, consolidate loans, or seek professional help.
  • Estate Planning: Create a will, designate healthcare proxies, and organize important documents.
  • Insurance Review: Ensure adequate coverage for health, life, and long-term care.
  • Financial Advising: A fee-only advisor can help create a sustainable plan without selling products.

Embracing a New Chapter

Retirement is not a destination—it’s a transition. For a broke 65-year-old doctor, it may not look like the glossy brochures, but it can still be rich in meaning. By leveraging experience, reducing expenses, accessing resources, and nurturing well-being, retirement becomes a journey of reinvention.In many ways, doctors are uniquely equipped for this challenge. They’ve faced long hours, high stakes, and complex problems. That same grit and adaptability can guide them through financial hardship and into a fulfilling retirement.

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, Refer and Subscribe

***

***

Dynamic Strategies in Broker-Dealer Recruitment

By Staff Reporter and A.I.

SPONSOR: http://www.MarcinkoAssociates.com

***

***

The Evolving Landscape of Broker-Dealer Recruitment

Broker-dealer recruitment has become a dynamic and competitive arena within the financial services industry. As firms vie for top talent, the strategies and incentives used to attract and retain financial advisors have evolved significantly. In an environment shaped by regulatory changes, technological innovation, and shifting advisor expectations, broker-dealers must continuously refine their recruitment approaches to remain competitive and relevant.

At the heart of broker-dealer recruitment is the pursuit of experienced financial advisors who bring with them established client relationships and significant assets under management. These advisors are highly sought after because they can generate immediate revenue and enhance a firm’s market presence. According to recent industry reports, firms like LPL Financial, Commonwealth, and Cetera have ramped up their recruitment efforts by investing in platform enhancements, rebranding initiatives, and technology upgrades to appeal to both seasoned professionals and the next generation of advisors.

One of the most significant trends in broker-dealer recruitment is the emphasis on value-added services. Advisors today are not merely looking for the highest payout or signing bonus; they are increasingly drawn to firms that offer robust support systems, including compliance assistance, marketing resources, and advanced technology platforms. Broker-dealers that can demonstrate a commitment to advisor growth and client service excellence are more likely to attract top-tier talent.

Another key factor influencing recruitment is the cultural fit between the advisor and the firm. Advisors often seek environments that align with their personal values and business philosophies. As such, firms are placing greater emphasis on showcasing their culture, leadership, and long-term vision during the recruitment prhttps://medicalexecutivepost.com/2024/09/05/beware-the-brokerage-accounts/ocess. This cultural alignment can be a decisive factor in an advisor’s decision to join or remain with a firm.https://medicalexecutivepost.com/2024/09/05/beware-the-brokerage-accounts/

The competitive nature of the industry has also led to the rise of aggressive recruitment tactics, including lucrative transition packages and equity offers. While these financial incentives can be effective, they are increasingly being supplemented by strategic differentiators such as flexible affiliation models, access to alternative investment platforms, and opportunities for practice acquisition or succession planning.

Moreover, the recruitment landscape is being reshaped by broader economic and regulatory forces. The implementation of Regulation Best Interest (Reg BI) and the ongoing impact of high interest rates have prompted advisors to reassess their affiliations and seek firms that provide clarity, stability, and strategic guidance. Broker-dealers that proactively address these concerns and offer transparent, advisor-centric solutions are better positioned to succeed in the recruitment race.

In conclusion, broker-dealer recruitment is no longer just about offering the biggest check. It is about creating a compelling value proposition that resonates with advisors’ professional goals and personal values. Firms that invest in technology, culture, and advisor support—while remaining agile in response to industry trends—will be best equipped to attract and retain the talent necessary for long-term success.

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, Refer and Subscribe

***

***

INVESTING: Rules of Thumb

By Dr. David Edward Marcinko MBA MEd

***

SPONSOR: http://www.MarcinkoAssociates.com

***

Portfolio Allocation & Risk Management

🏦 100 Minus Age Rule: Subtract your age from 100 to estimate the percentage of your portfolio to invest in stocks. The rest goes to bonds or safer assets.

  • Rule of 110 or 120: A modern twist—subtract your age from 110 or 120 to allow for more stock exposure in a low-interest environment.
  • Diversify, Don’t Speculate: Spread investments across asset classes to reduce risk.
  • Don’t Invest What You Can’t Afford to Lose: Especially for speculative assets like crypto or startups.

📈 Growth & Returns

  • Rule of 72: Divide 72 by your annual return rate to estimate how many years it takes to double your money.
  • Time in the Market Beats Timing the Market: Staying invested long-term usually outperforms trying to predict short-term moves.
  • Start Early, Compound Often: The earlier you invest, the more compound interest works in your favor.

🧾 Budgeting & Saving

  • 50/30/20 Rule: Allocate 50% of income to needs, 30% to wants, and 20% to savings/investments.
  • Emergency Fund Rule: Save 3–6 months of living expenses before investing aggressively.
  • Pay Yourself First: Automatically invest a portion of your income before spending.

🧠 Behavioral & Strategy Tips

  • Buy What You Understand: Don’t invest in companies or assets you don’t comprehend.
  • Avoid Emotional Decisions: Fear and greed are the enemies of smart investing.
  • Rebalance Annually: Adjust your portfolio to maintain your target asset allocation.
  • Don’t Chase Past Performance: What worked last year may not work this year.

🏦 Retirement & Withdrawal

  • The 4% Rule: Withdraw 4% of your retirement savings annually to make it last ~30 years.
  • Save 15% of Income for Retirement: A common target for long-term financial security.
  • Max Out Tax-Advantaged Accounts First: Prioritize 401(k), IRA, or Roth IRA before taxable accounts.

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, Refer and Subscribe

***

***

Essential Investing Tips for New Physicians

HOW TO COMMENCE THE FINE ART OF MONEY

***

By Dr. David Edward Marcinko MBA MEd CMP

SPONSOR: http://www.CertifiedMedicalPlanner.org

Investing may seem complicated, but today there are many ways for the newly minted physician [MD, DO, DPM, DMD or DDS] to begin, even with minimal knowledge and only a small amount to invest. Starting as soon as possible will help you get closer to the retirement you deserve.

***


Why is investing important?

Investing often feels like a luxury reserved for the already wealthy physician. Many of us find it difficult to think about investing for the future when there are so many things we need that money for right now; medical school loans, auto, home and children; etc. But, at some point, we’re going to want to stop working and enjoy retirement. And simply put, retirement is expensive.

Most calculations advise that you aim for enough savings to give you 70% to 80% of your pre-retirement income for 20 years or more. Depending on your goals for retirement, that means you could need between $500,000 and $1 million in savings by the time you retire. That may not sound attainable, but with the power of compounding growth, it’s not as hard to achieve as you think. The key is starting as soon as possible and making smart choices.

INVESTMENT TYPES: https://medicalexecutivepost.com/2025/08/26/

When should you start investing?

The short answer is “now,” no matter what your age. Due to the way the gains in investments can compound, the earlier you start the better. Money invested in your 20s could very easily grow over 20 times before you retire, without you having to do much. That is powerful. Even if you’re in your 50s or older, you can still make significant progress toward meeting your goals in retirement.

How much should you invest per month?

Most financial experts say you should invest 10% to 15% of your annual income for retirement. That’s the goal, but you don’t have to get there immediately. Whatever you can start investing today is going to help you down the road.

So, if 10% to 15% is too much right now, start small and build toward that goal over time. You can actually start investing with $5 if you want. And you should. Some investment products require a minimum investment, but there are plenty that don’t, and a lot of online brokerage accounts can be started for free.

BROKE DOCTORS: https://medicalexecutivepost.com/2025/08/02/doctors-going-broke-and-living-paycheck-to-paycheck/

Good beginner investments.

The best investments for you are going to depend on your age, goals, and strategy. The important thing is to get started. You’ll learn as you go. If you have questions, a dedicated DIYer or investment advisor can help give you the guidance and options you need.

ALTERNATIVE INVESTMENTS: https://medicalexecutivepost.com/2022/06/06/risk-aversion-and-investment-alternatives/

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

***

***

Unlock Your Career with Micro-Certifications

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].

***

FINANCIAL PLANNERS: Part Time Employment Difficulties

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

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

***

***

The Role of Market Makers in Financial Markets

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

***

***