Concierge Medical Services

This will be a short TGIF 2 Minutes …on a topic that could take much, much, much longer and can be very, very, very expensive. The topic is healthcare and doctor selection and coverage.

The word, “selection”, is used for a reason. Selecting a Medical Doctor used to be fairly easy. Now, there are less Medical Doctors to go around, they are more expensive, and it seems all the best Medical Doctors have closed their practices. There is a myriad of reasons – beyond the scope of this discussion. Perhaps one of the reasons is outlined below under “concierge medical services”.

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The Economics of a Hole In One

Despite holding an MBA in finance and the CFP certification, the “economics” of a Hole in One are over my head. It is summer, so the topic is relevant – and there have been one or more Holes in One per month for the last year at my golf club. Even pickle-ballers can sound in on this one.

A Hole in One for a golfer – from professional to putt-putt – is a big deal! On a regulation golf course, public or private, there are actual (unwritten but established) rules around the accomplishment ranging from:

  • Tradition since the beginning of time holding that the person scoring the “ace” buys everyone in the clubhouse a cocktail or drink.
  • Local members of golf clubs and friends are known to have driven from home to participate in the “free drink” celebration. (Hold the thought: “free drink”).

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Top of Mind Issues in US Presidential Transition

Today’s edition could be a risky one to write, as anything related to the recent US Presidential election can stir up division. BUT – there are a healthy handful of issues that unite all Americans. These issues, ironically, are similar to those facing the 2016 version of President-Elect Trump.

Below are excerpts (in italics) from a November 2016 edition of TGIF 2 Minutes with thoughts on updates for 2024 (in bold) –

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Decluttering Financially & In Real Life

Decluttering can be a sensitive subject. But mostly, decluttering is a positive game changer – financially and in real life.

The reason decluttering in “real life” can be sensitive may be obvious to married couples who, together, have gone through their garage lately (grown men can cry over getting rid of old ski gear from the 1990s – story from a friend).

Barriers to decluttering include:

  • emotional attachment to “stuff”
  • memories of times long ago when the stuff was useful
  • the hassle of carting all the old stuff off to a reclamation center (AKA the dump) which is time-consuming.

These factors prevent decluttering from happening.

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Kids Driving Cars & Inflation

Most kids (over the age of 20) of my friends and clients have cars, but a handful of the most resourceful ones do not. OR, by necessity and affordability of car insurance, certain kids – in discussions with parents – have made the smart decision to forego owning a car until a future date. This situation may continue to happen especially in families, even wealthier families, with multiple kids under the age of 25.

Car insurance is expensive and becoming more so. The number of uninsured drivers (why is that even legal?) ramps up the cost of car insurance for all – even drivers with impeccable driving records. In addition, lingering inflation is contributing to exorbitant increases in auto insurance premiums.

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Elections, Debates & Markets

As this edition of TGIF 2 Minutes was written prior to the first US Presidential debate, one piece of the “proof” will already be in the pudding for readers post-debate on Friday morning. Though not much should matter to markets related to the debate.

For the sake of thought and discussion elections can matter to stock and bond markets in the short- to intermediate-term. Debates – and State of the Union speeches – may (and may not) matter in the short-term as well. Big-picture policies like taxes, healthcare (drug prices and insurance coverage), social security, Medicare policy, government spending and more… these are all mentioned in presidential debates and speeches.

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10th Anniversary Edition!!

Hooray! TGIF 2 Minutes has entered its 11th year! It has been an absolute joy to hear from readers over the past 10 years and be part of your Friday morning cup of coffee or weekend reading time. For kicks, below is an excerpt from the very first edition in May 2014:

Good morning and TGIF,

In my efforts to give you Short & Sweet messages that make a POSITIVE difference in your LIFE, I am starting a “TGIF 2 minutes”. It will not be every Friday but when there’s something to say, it will be on Friday when you may have an extra 2 minutes in your day- or weekend- to read it. It will be worth reading! Please let me know your thoughts.

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Lack of Clarity = Volatility

Markets prefer certainty. In times of relative economic certainty, market trends can be more defined and steadier. In times of economic uncertainty, markets react with volatility similar to the past 6 to 7 months. Two simple pieces of data:

  • The 10-year US Treasury yield was as high as 5.0% in late-October, then as low as 3.79% just after Christmas, then back up to 4.28% in March and very recently higher to 4.68% a mere few days ago. These levels – and the speed with which they have changed – represent fairly massive volatility based on historical 10-year US Treasury rates.
  • In the US stock markets, there has been similar volatility in both small-company indexes and the larger-company S&P 500 since last year with a noticeably weak 3Q 2023 and then all-time highs taking place just this past April 2024.

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A Cost That Cannot Be Underestimated

Guess what might be one of the most painfully underestimated costs of all? If you guessed healthcare and end-of-life care you are correct. Read on for a handful of reasons why it can be dangerous to avoid addressing this topic.

First a brief introduction. Anyone who has been a direct or indirect care giver for an aging relative or friend knows the pain and stress that can be involved. Of course, there are joyful care relationships, which ultimately are the goal. Where the difficulty begins is in estimating the costs of later-in-life care. Then, even worse can be executing the logistics of care and the ultimate reality of having to pay for – or running out of funds to pay for – care, whether for oneself or a spouse or relative. Timing is often almost completely unpredictable.

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Border Security (not what you think)

Nearly every American is aware of the lack of security at the US-Mexico border. The toxic politics around that issue make it front page news nearly every day and evening. But the other border – that of the border protection around your sensitive personal information – can be just as vulnerable.

Yes, yesterday’s TGIF 2 Minutes covered this issue. But the issue is so serious, it requires a follow-up, with practical examples and then a handful of steps readers can research or choose to take.

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