As I’ve warned in the last decade, the healthcare labor shortage continues to grow. The latest data show it growing even worse: we won’t be seeing the labor shortage in healthcare fixed anytime soon – fewer doctors, nurses, and specialties. We see this trend worldwide too, though some places have less of a problem. The problem has grown so bad in the United States that some states have been forced to lower standards for primary care. If the shortage grows worse, as I expect, they may be forced to lower standards further.
As a note, no solution being offered currently – or in the past – addresses the labor shortage. You can ignore everyone on this; no one realizes this growing shortage and over half the current students in medical labor don’t intend to remain in the United States, which means that American taxpayers are supporting students who will leave the country – talk about negative returns on investment! Is the United States the best country to be a doctor? No. Until this answer is yes, it will see its crop of doctors go to where they’re treated best – and can you blame them? The United States is the easiest country to sue a doctor.
In addition to a shortage of doctors, nurses, and other medical workers, diseases are rapidly evolving against humanity, making our shortage dangerous. We’re seeing strains of HIV, Hepetitis and other viruses evolve rapidly and overcome newer medicine at a quicker rate. We should all remember that Mother Nature favors the strong; diseases are evolving much stronger than humans and it’s showing. If medicine can’t keep up with these diseases, we’ll see a day of reckoning. In a world where everyone wants to make passive income and trade, diseases will have a field day when no solution to their problem exists – humans will be millionaires dying of the most basic diseases.
The positive in all of this is that wages for medical doctors in some cases have drastically outpaced every other worker category; for instance, 5 of the top 10 paying jobs in the United States are all doctors. Some doctors are finally making more money than traders at Goldman Sachs – and expect this to continue even more as the shortage continues. For instance, I’ve met quite a few doctors who are making over $1-2 million a year – some even have entered the decamillion category! Eventually, all the top paying positions in the United States will be in medicine due to this growing shortage.
You can try to trick reality and it will never work. Money either represents reality or money is fraud. Reality only respects character – that’s it. The rules reality plays by only involve character. This shortage of medical care workers and the evolution of disease show that reality will never be tricked. Healthcare prices will continue to grow and eventually families in the United States will be paying over $100,000+ a year for a family plan within a decade. The only hedge is entering the healthcare field; if you’re 18 or younger, take note. Other solutions, like investing, will no longer work, as an investment can never offset a labor shortage.
When you ponder this, you realize, medical school is easy compared to the reality that some are about to face. You cannot avoid or run away from problems – they only get bigger in the end. Face the problem and see a better reality, or live the consequences of escapism.
Summer time is here. Weather is seemingly getting hotter than usual in some regions. Garbage bins are even melting under the hot sun in Arizona. I hope most of you are enjoying nice weather and spending time to reflect. As we head into the summer season, you may notice less activity on our website. We too are looking to spend more time outside and it also gives us more time to reflect the half-year that have already passed. It is very important to spend time to reflect and also look ahead. Most think only about new year’s resolutions. But, it is also important to take the mid-point of the year and assess.
Americans are known to take less vacation time. But, it is important to take some time off. Other countries have longer mandatory holidays. While many companies take time off during the week from Christmas through New Year’s Day, most people in the US, especially in the service industry, do plan to work between the holidays. Other countries seem to have week-long holidays. Japan has their Golden Week. China and other Asian countries celebrate a week long Lunar New Year. I have even heard of France spending a month long holiday in August.
Here are some suggestions if one takes some time off during the summer days:
Everyone, have a great summer! We will continue to post articles periodically during the summer. We hope you enjoy many summer days. For those readers in the Southern Hemisphere, please keep warm and enjoy a nice winter.
What do we think were the hottest topics of the week? What were the most interesting topics? What have you missed on FinTekNeeks in the past? Every Friday, we review some of the stories that we find interesting, which may or may not be related to finance. In addition, we feature some of our past content that you may have missed. Finally, we preview our podcast for the week. Always remember, the early bird gets the worm – not every podcast is available indefinitely.
Video of an experiment that shows problems of groupthink. Organizations can run into trouble, where everyone agrees, even if it is the wrong answer. Leaders who ask around the room for agreement leads to bias on the decision. It shows it is better to have a written vote when asking for opinions in a large group.
China continues to accumulate real resources. In resource accumulation, China knows the time it lives in; in demographics, however, it does not. In the long run, demographics will have a bigger impact regardless of how many resources it accumulates.
Speaking of demographics, if the United States hadn’t wasted high school and college years weakening its youth, it would actually be one of the top countries to invest in since it has one of the best demographic profiles. However, US Millennials and iGens have spent their youth learning weakness, even if they come in great numbers.
Goldman Sachs sees the death of value investing. I don’t agree, but I highly respect their view here and I see why they come to this view. True value investors have changed form and this is what they miss. Still, their thoughts are A+.
What a powerful vision and talk about building something that lasts. Embrace and pursue your vision.
We are about to release a podcast platform for podcasts to make it easy to subscribe to our podcasts. Expect this change to come in the next week. The podcast platform will feature all podcasts and related yearly specials and will offer subscribers the best way to get access to the content. If this is popular, we will continue it in 2018; if not, we will terminate it. If piracy of content is discovered, we will terminate future podcasts and bonuses.
In 4 Financial Lessons From Alexander Suvorov we learned about finance from the context of history’s greatest general. Alexander Suvorov was never defeated in battle and was almost always the underdog. In addition to ending the Russian-Ottoman War, he also defeated Napoleon’s top commanders. In practices, his favorite virtues were discipline, courage, humility, and urgency. History has no other general equal to Suvorov.
In most cases, renting beats owning though we can find a few exceptions to this and in this article we look at these exceptions. We assume that people do the sensible thing and buy more land than home, as large homes waste more resources, cost more, and are energy inefficient over smaller homes. In addition, the median US family size in 1970 was larger than today, yet the median size of a home in 1970 was 50-60% smaller. People should complain less about the rising price of homes and spend more time complaining about their rising sense of entitlement.
1. If we plan to live in our area for the rest of our life. In most cases, a person who plans to live in his area for more than a decade should buy a home because the cost of owning versus renting favors owning after a significant period of time. Be careful here! All areas differ by size, so a major city is not “one” city, but often an aggregate of multiple cities. If the person’s job changes, then his commute may add an additional cost.
2. We are in a stable career; most paths are not stable. Only medicine is stable. With the exception of medicine, this doesn’t apply for most careers anymore. Only medicine is currently experiencing a labor shortage; other career paths have too little future potential with too much labor entering them currently. It should be of note that this will become clearer in 10 years, but won’t appear to be the case for now.
3. If we’ll be living in an area for an extended period of time. This is similar to the first one, but we may plan on living in a different area when we’re older. The example to consider here is a person living in San Francisco for twenty years, but planning to retire in Omaha. In this case, buying a home makes the most sense, as a longer time scale favors owning over renting.
4. We want to own a house and we’re completely uninterested in selling the house. Some people buy homes because they want to turn the house into a cash flow asset. If we intend to do this, owning a home is our only option. Because the house becomes a cash flow asset, we can generally use the cash to pay for the house and offset the costs.
5. The rent to own ratio favors owning and at minimum one of the above applies to you. Sometimes rents in an area become unsustainable and begin favoring homeowners. When this occurs, we should consider owning a home, provided that one of the above items applies to us.
Solomon wrote that “there’s a time and place for everything under the sun” and this holds true for everything. This requires understanding the time and we’ll see times in which owning will be a better choice than renting.