Moderately Frugal: Wealth without Wellness

By Jimmy Turner, MD
The Physician Philosopher

Quite possibly, this should have been my first post.  A significant portion of this website is going to be focused on building wealth and my journey to get there.  Being a philosophy major in undergrad, this begs the question:  What is the purpose of obtaining wealth?

Some reasons (other people give) to obtain wealth: 

  1. To become financially independent (i.e. you don’t owe a dime to anyone)
  2. Speaking of not owing dimes to anyone, since you own a lot of dimes yourself, you can choose to give them to whoever you want.
    Frugal Beer

    Beer (in moderation!) and golf. Part of my wellness program. This beer was a Pliny the Elder on draft. Yum.

    1. Charitable giving is a good thing!  Wealth allows you to help those that need it.
  3. Retiring early (some even call their investments an “F off Fund” to stick it to “the man” when they tell them how to do their job).
  4. To have the ability to partake in the hobbies you enjoy (If it were me this would involve buying a nice car, brewing beer, and playing golf.  See picture to right).
  5. Time to spend with family.  Remember all those holidays you couldn’t go and see family because of your work schedule.  This is now a non-issue.  Family first, right?
  6. Speaking of family, wealth allows you to protect your family by leaving an inheritance to help them live a life of wealth and wellness, too.
  7. If you are in the practice of medicine, the best way to reduce the chance of litigation is to stop practicing it or to practice it less.
  8. Because you can, why not?
  9. With burnout being a hot topic and an increasing issue, wealth allows you to leave behind any career that doesn’t work out as planned.
  10. It allows you to practice medicine as you should, because you aren’t worried about the administration’s perspective on your practice (see “F off Fund” above).

Okay, but what is the point?

So, I’ve given you several reasons why wealth may be beneficial.  This doesn’t really answer the question of the purpose behind obtaining wealth, though. [Remember, philosophy major here].

Financial independence, charitable giving, retiring early, spending time with family, money to invest in hobbies, practicing medicine the way you see fit.  All of these things amount to the following concepts:  Wellness and joy.

The purpose of obtaining wealth is to establish wellness and to be able to spend it joyfully.

So, while I understand the math behind living “like a resident” after residency (and during residency), I take a less hard-lined approach to this than many others.

This is the point where most would tell you that if you save an additional $250 per month by not buying the golf membership for unlimited golf, this would amount to $3000 per year.  If you, instead, invested this $3000 each year you would have ~$367,000 in 30 years (assuming 8% in earned interest).

This line of reasoning in famous financial blogs and books came about for good reason.  We, as medical professionals, are terrible about not spending money to “keep up with the Joneses.”  So, the pendulum has swung very far in one direction to encourage you to save as much money as you possibly can.

However, the problem with this is that as humans we know that the head and the heart don’t always agree.  Yes, we should usually/probably follow our heads.  However, we don’t always do that, and for good reason.  Some things don’t make sense, but bring us an immense amount of joy.

Why did you have a second child (or even a first) if you know that the average cost of a raising a child is more than a quarter of a million dollars.  (Physician on Fire writes a great post on this subject).  Likely, the reason you had the second kid is because of one of a few reasons 1) The first kid brought you joy, 2) You presumed the 2nd kid would bring you joy, 3) The second kid would bring your family (spouse, grandparents, siblings, etc) joy.

I have three kids, and based on POF’s assessments, I can expect this to cost my wife and me about $500,000 over their lifetime. Fortunately for my finances, we are done having kids.  But I’ve gotta say, I don’t regret having any of my children. And no, not because that would be a terrible thing to say publicly, but because I cannot measure in money the amount of joy that my children have brought me.  It is truly an honor to be their dad.

Moderately Frugal

As much as you love hearing about how much joy my kids bring me, let’s be honest…you didn’t come here for that.  If you’ve hung with me this far, here is the point.  Wealth is about being able to enjoy life fully, to be able to spend and give joyfully, and to produce wellness.

Is it worth it to reach financial independence and early retirement, if you are burned out, depressed, or loathsome along the entire way?  Likely not.  

So, yes, I understand the Latte Factor.  However, I also understand that if you are saving 20-30% of your gross income, destroying your debt, and preparing for your future… you can enjoy some of your current finances on some of the above that bring you joy: giving to charity, hobbies, and even (I am gonna say it!) buying a car.

Now, don’t go buy a Mercedes AMG S65.  Buy a reasonable car.  Don’t go overboard.

What, then, does moderately frugal look like, you ask?  The moderately frugal person who is destined to meet early retirement and wealth while also enjoying wellness is doing the following:

  1. Investing 20-30% of their gross income.  Pay yourself first.  Straight off the top.
  2. Destroying debt.  Ideally this will be set up to be accomplished in five years or less after finishing residency. [For some perspective: some have paid their debt off during residency]
  3. Enjoying the rest of the money, while mostly living like a resident after residency until your debt is paid off, on things that bring them wellness and joy.
  4. Remembering that this is a “moderate” philosophy.  Don’t go buy the house, car, country club membership, etc. right when you finish.  It is sage advice to live mostly like a resident after you finish training for a few years!

What do you think?  Are you moderately frugal?  Or are you all in frugal?  Not frugal at all?  



  1. Beej

    I am not frugal by nature so the idea of being moderately frugal sounds like a more realistic goal. Enjoyed the read!

    • The Physician Philosopher

      Thanks! I think that this is more reasonable and allows us to obtain both goals we should be shooting for: Wealth & Wellness! Come check us out again sometime!

  2. Millionaire Doc

    Moderation is the key word. I’m not terribly frugal being 15 years out of residency, but I don’t have to. Good to hear another physician voice in the blogosphere. I think a lot your writing will resonate with high income folks.

    • The Physician Philosopher

      Thanks Millionaire Doc! I look forward to not having to be as frugal once I get these first 3-5 years under my belt, but have enjoyed a little bit of lifestyle creep to allow for some wellness while building wealth.

      I appreciate the encouragement! I am enjoying writing the content, and look forward to the blog growing if people are enjoying what they read!

  3. Dr. Curious

    I have a very similar…philosophy…when it comes to wealth and spending 🙂

    The consensus opinion seems to be that, if you are going to spend money on something, make it an experience rather than a “thing.” While I agree with this for myself—I am a travel fanatic—I realize that others can gain actual joy from physical items purchased. My own brother, for example, really loves cars and has spent a good chunk of change on a nice Mercedes (I could not care less about cars, so I don’t know the model number, but it looks great!).

    Your post is spot on, IMO. Welcome to the blogosphere!

    • The Physician Philosopher

      Thanks for the feedback!

      I am more in line with your brother, myself. The little bit of lifestyle creep I allowed after finishing training was buying a car. The only travelling I really do is an annual beach trip and to medical conventions, though my employer pays for my travel and accommodations. Particularly if I am presenting.

      Everyone is different and derives joy from different things/places/hobbies. As long as the lifestyle creep is kept to a very small minimum after training and that money is spent on things/places/hobbies that produce joy and wellness, I am all for it.

  4. hatton1

    I have been seeing your post on WCI so I found this blog. My purpose on telling people not to buy a house or to track their spending is to hopefully provide a reality check. I am living fairly frugal now but that was not always true. I spend money on things that are important to me. While you are paying off your school loans any money you put into your retirement accounts or a taxable account will ensure that happy time called retirement. I was at a funeral this week and I was trying to this doc that I know about WCI and he became defensive about money. He is in his 50s and his 3rd wife and survives because his rich daddy bails him out. Don’t be this guy. BTW I have blown some money recently buying my dogs christmas sweaters and collars. Everyone has a financial weakness. Merry Christmas.

    • The Physician Philosopher

      I agree that a reality check is necessary for many. It certainly was for me, and am glad that I found it. I’ve also seen people go to the other extreme though where extreme frugality becomes an issue for their personal life (relationships, mental health, etc). Like most other things, moderation is key.

      Merry Christmas to you, too!

  5. VagabondMD

    I am not generally the frugal type. I watch what I spend but do not obsess over it. I have used the term, “selectively extravagant”, to describe my spending philosophy, which is to not waste money on unimportant (self-defined) stuff, but to, within reason, “Go Big” when it matters.

    As an example, I just spent a week in Spain with my wife, and I gave little thought to shopping for best price, eliminating an activity because it might be expensive, or otherwise cost-cutting or making sacrifices.

    • ThePhysicianPhilosopher

      I think that as long as you are accomplishing your financial goals (putting >20-30% of gross income away in investing, destroying any debt you have, and protecting yourself with appropriate insurance products) you should be able to spend some extravagantly.

      If you pinch every penny and end up depressed I am not sure that it’s good for anyone.


Submit a Comment

Your email address will not be published. Required fields are marked *

You might also be interested in…

Budgeting That You Won’t Hate: Backwards Budgeting

Budgeting That You Won’t Hate: Backwards Budgeting

Let’s be real. Most of us hate budgeting. I know that I do. That said, I am a big believer that unintentional plans lead to lots of people ending up broke. What if I told you that there is a way to budget that you won’t hate, and it will accomplish all of your goals automatically? Too good to be true? Read on to find out…

Tips for Moonlighting in Residency: Making Extra Cash

Tips for Moonlighting in Residency: Making Extra Cash

As a PGY-4 in my anesthesiology residency, I easily doubled my salary by moonlighting in residency. Many opportunities exist for moonlighting, and the pay usually ranges from $60/hour to $150/hour depending on the nature of the call.  Today, let's hammer out the...

Time is money, but money can’t buy time

Time is money, but money can’t buy time

Please, tell me I am not the only one who thinks like this?  My monetary mindset currently revolves around our biggest (current) financial goal: Paying off our student loans. I hope that some day I can truly learn that Time is Money and that money is a means to an end. It’s not an end in itself.

Are you ready to live a life you love?