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The Dark Side of Student Loans
Issue #528, June 25, 2018

The Cost of Out-sourcing Convenience
Issue #527, June 18, 2018

Social Security: 66 or 70?
Issue #526, June 11, 2018

Student Loans: There’s (Unfortunately) a Lot More!
Issue #525, June 04, 2018

Co-signing a Note
Issue #524A, May 31, 2018

The Knight Frank Luxury Index and Collectables
Issue #524, May 28, 2018

The Importance of Diversification: The Myth of Diversification
Issue #523, May 21, 2018

How to Save Thousands on Your Food Bill
Issue #522, May 14, 2018

MoviePass and Other Things
Issue #521A, May 10, 2018

Degree Inflation, Long Training Periods, and “Certification”  Part III
Issue #521, May 07, 2018

Degree Inflation, Long Training Periods, and Certification” Part II of III
Issue #520, April 30, 2018

Follow-up on Several Things
Issue #519A, April 25, 2018

Degree Inflation, Long Training Periods, and “Certification”: Part I of II
Issue #519, April 23, 2018

The Kids Birthday Party Hustle
Issue #518A, April 18, 2018

A Pension Question: Part II of II
Issue #518, April 16, 2018

A Physician is an Executive
Issue #517A, April 11, 2018

A Pension Question: Part I of II
Issue #517, April 09, 2018

Is the Correction Over?
Issue #516A, April 05, 2018

Used Car Dealers, Student Loans, the Chinese, and Uncle George’s Rule
Issue #516, April 02, 2018

Starter Homes
Issue #515, March 26, 2018

Redecorating: Beware!
Issue #514, March 19, 2018

NASDAQ Closes at Record High
Issue #513, March 12, 2018

A 40% Chance
Issue #512, March 05, 2018

Several Things
Issue #511, February 27, 2018

Human Capital, Education and Wealth
Issue #510, February 19, 2018

Another Stock Market Update
Issue #509A, February 18, 2018

Some Thoughts on Savings
Issue #509, February 12, 2018

A Stock Market Upfate
Issue #508S, February 10, 2018

Who Can You Trust? Part II of II
Issue #508, February 05, 2018

The Christmas Decoration Pre-worn Jeans Hustle
Issue #Interim Bulletin #507A, February 03, 2018

2018 Outlook for Financial Markets
Issue #507, January 29, 2018

Who Can You Trust? Part I of II
Issue #506, January 22, 2018

Life Insurance Settlements
Issue #505, January 15, 2018

Commodities and Buying the Breakout
Issue #504, January 08, 2018

Buffett Wins His Bet
Issue #503A, January 04, 2018

Practice Real Estate and Free Agency
Issue #503, January 01, 2018

Outlook for 2018: Part III: Stocks and Bonds
Issue #502, December 25, 2017

My Outlook for 2018: Part Ii: Precious Metals
Issue #501A, December 21, 2017

Outlook for 2018: Hard Assets: Part I of III
Issue #501, December 18, 2017

More Thoughts on Bitcoin
Issue #500A, December 14, 2017

Fees and Good Relations with Bankers
Issue #500, December 11, 2017

Salvator Mundi
Issue #499A, December 07, 2017

Should You Rent or Own a Home?
Issue #499, December 04, 2017

A Gift Subscription
Issue #Interim Bulletin #498A, December 02, 2017

Stocks vs Real Estate: Asset Allocation: Part II of II
Issue #498, November 27, 2017

When Good Enough is Fine
Issue #497A, November 22, 2017

Stocks vs Real Estate: Asset Allocation. Part I of II
Issue #497, November 20, 2017

The Saudi Arrests and the Perils of Foreign Investing
Issue #496, November 13, 2017

Gambling and Las Vegas
Issue #495, November 06, 2017

Some Tips on Auto Insurance
Issue #494, October 31, 2017

Bitcoin and the Digital (Crypto) Currencies
Issue #493, October 23, 2017

The Coming Bear Market: Part II How to Prepare
Issue #492, October 16, 2017

Some Observations on Cemeteries
Issue #Interim Bulletin #491A, October 12, 2017

The Coming Bear Market: Part I: The Myth of Buy and Hold Forever
Issue #491, October 09, 2017

The Market makes New Highs
Issue #490, October 02, 2017

The Importance of a New High
Issue #489, September 25, 2017

A Little Insurance: Wealth, War and Wisdom
Issue #488, September 18, 2017

Some Observations
Issue #487, September 11, 2017

How to be Successful in Your Career
Issue #486A, September 07, 2017

How NOT to Buy a Home
Issue #486, September 04, 2017

This Week in the Market
Issue #485, August 28, 2017

Is the “Trump Bump” Running Out of Gas?
Issue #484, August 21, 2017

Gold is on the Move
Issue #483, August 14, 2017

The Importance of Estimation
Issue #482, August 07, 2017

Buying Art and Collecting: Part II of II
Issue #481, July 31, 2017

Buying Art and Collecting in General, Part I of II
Issue #480, July 24, 2017

Physicians need to be More Forceful: Follow-up
Issue #479, July 17, 2017

Physicians need to be More Forceful
Issue #478, July 10, 2017

Your First “Real” Investment
Issue #477, July 03, 2017

Leasing a Watch: Don’t
Issue #476, June 26, 2017

The Importance of Your Children having a Job
Issue #475, June 16, 2017

The Problem with Medical Student Debt is—the Med Schools
Issue #474, June 12, 2017

Critters and Varmints in your Home and Yard
Issue #473A, June 07, 2017

Leveraged ETFs
Issue #472, May 29, 2017

Leasing a Vehicle: Don’t!
Issue #471, May 22, 2017

Issue #470, May 15, 2017

More on Buying Jewelry
Issue #469, May 08, 2017

Buying Jewelry: Gold, Diamonds and Pearls
Issue #468, April 30, 2017

Thomas Sowell: Part III of III
Issue #467, April 24, 2017

Thomas Sowell: Pat II of III
Issue #466, April 17, 2017

Live Close to Where You Work
Issue #465, April 10, 2017

Medtronic in Hospital Management
Issue #Interim Bulletin #464A, April 07, 2017

Thomas Sowell: Part I of II
Issue #464, April 03, 2017

A Political Contribution a an Investment: Part II of II
Issue #463, March 27, 2017

A Political Contribution as an Investment: Part I of II
Issue #462, March 20, 2017

Buffett Selling Vacation Home
Issue #461, March 13, 2017

Advanced Placement (AP) ourses
Issue #460, March 06, 2017

The Importance of a Credit History
Issue #459A, March 02, 2017

A Credit Card Scam
Issue #459, February 27, 2017

The Electronic Health Reord
Issue #458, February 20, 2017

Issue #457, February 13, 2017

Platinum and Palladium
Issue #456, February 06, 2017

Economic Outlook for 2017: Part II of II
Issue #455A, February 02, 2017

Economic Outlook for 2017: Part I of II
Issue #455, January 30, 2017

A Story From Vegas
Issue #454A, January 25, 2017

Land Donation Deals and the IRS
Issue #454, January 23, 2017

The Theory of Gambler’s Ruin
Issue #453, January 16, 2017

Student Loans: But Wait, There’s More!
Issue #452, January 13, 2017

A Second Home
Issue #Interim Bulletin #451A, January 04, 2017

The Consumer Confidence Index
Issue #451, January 02, 2017


By Robert M. Doroghazi, M.D., F.A.C.C.

This Newsletter

Issue #439A, October 12, 2016

    November will be the start of the 11th year of this newsletter. It was originally priced at $60 per year, and came out every other week. Things went well, and several subscribers thought the newsletter was a great value, and actually encouraged me to raise prices. So at the beginning of year 3, I made the cost of a standard subscription $75, where it has stayed since then. I believe it is time to raise prices again. The newsletter is now weekly, supplemented by Interim Bulletins.
    As of November 1, prices will be:
    1) Student                             $25 per year (one Starbuck’s coffee per month)
    2) Physician-in-training               $50 per year (two Starbuck’s coffees per month)
    3) Standard subscription, finished
      all schooling and training           $100 per year (one movie ticket per month)
    4) Two-year standard subscription   $150 (an even better deal)
    5) Institutional subscription           $200 per year (pennies per employee)
    I continue to be impressed with how the VIX (Volatility Index, reviewed in Issue #422, 6/14/16) anticipates the market. To remind you, the VIX tends to move the inverse of the market: when the market goes up, it drops, when the market drops, it pops.
    Early on Monday, the market was up almost 150 points, but rather than drop, the VIX was flat. Sure enough, by the end of the day the market had given back half of its gains, and Tuesday, it was down 200 points.
    RMD comment: watch the VIX.
    Possibly my best newsletter ever was “A Wedding as an Investment (#241, 12/24/12)”. From a recent subscriber (They and their spouse are both professionals):
    “You would love our wedding. We eloped!! No planning, no hurt feelings about guest lists or family, no money. Our marriage has outlasted many with a big wedding”. 
    RMD comment: Impressive, most impressive.
    Last weekend I spoke at the meeting of the Kentucky Chapter of the American College of Cardiology in Lexington on “Negative Secular Trends in Medicine”. Thanks to Drs. Jesse Adams and Susan Smyth, the past and current State Governors, for the invitation. It was a first-class event.
    One of my basic concerns is physicians becoming hospital employees, and giving up all leverage and influence. A physician told me:
    “I started in a physician-owned practice. Sadly, like so many others, I’m now in a hospital-owned practice and “work for the company store”. However, the very things that led me into Medicine in the first place—scientific curiosity, caring for patients one on one, and colleagues who do the right thing—has not changed”.
    RMD comment: people in a University setting, are, by definition, employees. My comment about not becoming a hospital employee is directed to private practice. 
    In a recent Interim Bulletin (#437A, 9/29/16), I thought that a great part-time job for a high school or college student was to be a housekeeper. The more I think about it, the more I believe this is one of my better recommendations. The pay is twice what it would be flipping hamburgs at McDonalds or any other similar minimum wage type job, the hours are yours, the working conditions are better, you meet people with money who can help you later in life, and you can wear it like a badge of honor that you cleaned privies to get ahead in life.
    I’ve thought of another reason. One thing that makes it easier to meet the opposite sex is if you can dance. Can you imagine how desirable it would be if a high school/college age man knew how to clean the house! Mothers would actively encourage their daughters to go out with you!
    Public service announcement: I have blond hair, blue eyes, fair skin, and was outside all the time while growing up. I just had my 7th skin cancer removed, this from the top of my head. All previous have been basal cell, the least aggressive type. This had a few squamous cells, which is more aggressive.
    RMD comment: I believe sun screen is one of the greatest inventions of the 20th century. Please use it liberally. There is no reason for you or your children to have a sun burn. 

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