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The S&P is up 17%. How is every thing struggling?

re: Medical School Expenses

Posted by GeauxTigers777 on 7/14/25 at 12:49 pm to
Agreed with the above. Just be aware that there are some fields that don’t make a ton of sense to incur such a debt (peds, employed family med,etc). This is terrible life advice as I’d never want anyone to give up a passion to chase money, but I would be mindful of what high earning specialities are, and have him at least consider those. If he goes into a high earning sub speciality, I’d not do military nor pay for his school. He will be fine. Prestigious medical schools do tend to favor prestigious residency, but that is definitely not the end all be all. Not sure how that has changed with pass fail STEP test. Tell him to bust his arse with the goal in mind. Need as close to 4.0 in college as possible and volunteer/work experience (especially if white male, not political just a fact).
To add some depth of some misunderstanding in this thread.

Controlled meds are required to be screened (by the government) in order to keep your DEA (ability to rx). This a federal regulation in which you can go to jail for not conforming. It is not the Drs making these rules. Same reason why you can't rx over 3 days of pain meds without a PMA/drug screen (techincally).

Regarding medical billing, people become fixated on the bill amount, but that is just a standard bill. Every practice is going to bill higher than their highest insurance maximum allowed. THis is, as stated above, because every insurance has a negotiated rate, and anything billed over this is written off as contracted with that insurance company. No one is going to bill less than the rate they are going to be able to recoup. Medical reimbusement continues to go down, and administrative and insurance profits continue to increase. You are complaining about the wrong thing.

If someone is willing to pay cash, most providers will give lowest rate allowed (most the time around medicaid rate).

I don't think anyone is happy with the way things have conitnued to transpire, but your frustration is mostly misguided. You would be the same person that would sue for someone not catching a detectable medical event with preventative screening while also complaining about the necessity of preventative screening. Preventative labs are a numbers game. You have to perform x to catch a certain percentage. The vast majority of those patinets are going to be fine and would have done fine without screening, but the screening is efficient enough to make it worthwile. I promise if your the screening percentage isn't high enough, your insurance wouldn't pay it. Insurance companies don't give a damn whehter you live or die. What they care about is what is the cheapest way to get you to your death/medicare age. If they can do a screening that will cost them $500 a year, but will potentinally prevent a $500,000 bill, they are willing to do that 99x to save that percentage over a 100 patients. If the screening will cost them $10,000 a patient, but the disease will only cost them $20,000, they would rather take the risk with the disease. THis has very little to do with your actual health.

Regarding not paying your medical bills, good luck. That luck will run out at some point, and you will find yourself in a difficult situation. I wish you good health.

Regarding estimates, they are estimates of the care and bills to be recieved. It is like if you went to have a car worked on and they said it is likely to cost x, but they get in there, and find out it is going to take more work. The bill is going to go up. There is also the issue of deductible that patients don't understand. You are responsible for your percentage of the deductible until it is hit.

I would love some reform, but also realize that overall, our system is very good for allowing quick direct access to care. It is far from perfect, but every system is. It becomes incredibly more difficult with a diverse patient population and extreme wealth gaps.
I currently have 44/47/50/55/60. Will dump one soon, but trying to see real life gapping for a few rounds.
A little bit of a disingenious statement given we had COVID during that time. We will definitely have some dips and some gains, but to expect dips up to 35% is probably unlikely. TO have any S&P gains over norm is also unlikely too. The reality is no one can answer this question (people paid a lot of money to do it can't answer this), so if you are risk averse in the next 4 years, don't invest in the market. If this is a long term play, the S&P will average (historically) 10% over it's lifetime.
How much do you pay per year for someone to manage it? For me that would be a hell of a lot more than 7.5K. I have had two visits with a fee only advisor at $1k a pop. That has been over 5 years. THey have made a couple of good suggestions I have put in play, and a few suggestions I did not agree with. I have zero desire to give 1% a year when I can mimic S&P by myself, know how to tax harvest/ limit exposure/ tax benefits/ run retirement calculators. I might need someone later in life to help me minimize tax burden, and at that point, I will be wiling to pay for advice. I'm not willing to pay the equivalent of multiples tens if not hundreds of thousands to put my account in an algorithim and tell me it is doing ok once a year. I'm also not willing for them to bet their "knowledge/hunches" and statistically underporm the S&P over a 10 year time period.
Sorry Orange Beach. Shouldn't have abbreviated it

Inshore trip in OB for kids

Posted by GeauxTigers777 on 9/16/24 at 11:04 am
Any recs for an inshore guide for OB that are good with kids? Would take my 7 year old with me.

re: eBay for clubs

Posted by GeauxTigers777 on 9/9/24 at 10:47 am to
You also have auto increase, so it very well can continue to go up. I honestly have just moved to buy it now or best offer and don’t even place bids anymore. Also, golf wrx has a great classifieds that is normally cheaper than eBay. You lose some protection, but I’ve bought probably 8 clubs off of there without issue.
I have about 15% cash, but that’s funds that will likely be needed in the next 6 months for a protect, and money market account pays higher than my savings. If I don’t have anything on the horizon, I keep zero cash.
Mainly realtor fees (traditionally 6% of closing cost paid by the seller)

re: Driver spin question

Posted by GeauxTigers777 on 6/18/24 at 12:06 pm to
But I guess what I’m saying is that is still the shaft changing the spin numbers even if indirectly. Turning the loft down solely on the club can bring in other factors. Obviously knowing launch angle would help a lot with that.

re: Driver spin question

Posted by GeauxTigers777 on 6/18/24 at 10:21 am to
Shaft can have a huge impact on spin. On the same sim with same driver shaft and same ball, my same hits can vary by 1500 spin depending on shaft (even with the same flex). If you are under flexed, that can add a load of spin. With a reg shaft, my spin numbers would hit 4500. With a Venus black 8x tipped, they were 1500. Obviously neither of those are good.
Yeah. 4 stroke with spot lock trolling motor, radio, garmin electronics on bow and helm (no livescope transducer), lights, lithium batteries, and a few other minor upgrades. It is mid 20s which I think is overly fair.
As long as checking out, ended up going with a couple year newer with garmin screens and an upgrade trolling motor with spot lock and newer engine for 25. Not the biggest boat or engine, but I'm hoping it will fit my needs well.
Great shape. Carpet and seats literally look almost new. Only 50 hours on the motor. Electronics are just your standard Lawrence. 12v trolling which is the only downside.

Any opinions on a Triton 179TRX

Posted by GeauxTigers777 on 6/3/24 at 1:28 pm
Will be for fishing a small lake (couple hundred acres). It comes with a 115HP. 2016 model. Any concerns fo things to look for? I don't need a speed demon and 45-50 MPH is more than enough. What would you consider fair market value in today's market? Thanks
Would you clarify last few and your reasons behind that? Thanks
Sedona. Is a nice trip, but not sure about June

re: Houston Area Private

Posted by GeauxTigers777 on 12/21/23 at 3:14 pm to
Awesome. Any insight on what to expect? That’s the current itinerary