Investment Fees Are Quietly Costing Clinicians Millions: Expense Ratios, AUM Fees & Fee Drag

Earn $300K working 2.5 days per week

The PA Millionaire Path is officially out! If you’ve ever felt like you’re earning a great income but still barely keeping up, this book is your roadmap for turning PA income into real wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook [https://www.millionairesinmedicine.com/pabook] Aesthetic medicine is one of the most common side hustles clinicians ask about — but the logistics can feel overwhelming fast. How do you get trained? Who covers malpractice? Where do the products come from? What about state rules, documentation, patient payments, marketing, and actually getting paid? In this episode, Kristin sits down with Dr. Sarah Allen, founder and Chief Medical Officer of Skin Clique, to talk about how PAs, NPs, pharmacists, and physicians can explore aesthetic and wellness medicine in a safer, more supported way. Inside, you’ll hear: * How Dr. Allen went from academic medicine to building Skin Clique * Why aesthetic medicine can be a flexible income stream for clinicians * What training, mentorship, malpractice, EMR, and product support can look like * Why state rules matter more than most people realize * How GLP-1s and skin health are changing the aesthetics landscape * What 1099 income can unlock for clinicians from a tax and retirement planning perspective * Why this type of side hustle can feel different from just picking up another shift If you’ve ever thought, “I’d love to get into aesthetics, but I have no idea where to start,” this episode will help you understand what’s possible. Want a real plan for your income, debt, and investing — not random tips? Book your application here: https://www.millionairesinmedicine.com/coach [https://www.millionairesinmedicine.com/coach] Skin Clique: https://www.skinclique.com [https://www.skinclique.com] Dr. Sarah Allen on: * Instagram: https://www.instagram.com/theskinclique/ [https://www.instagram.com/theskinclique/] * TikTok: https://www.tiktok.com/@theskinclique [https://www.tiktok.com/@theskinclique] * Facebook: https://www.facebook.com/theskinclique [https://www.facebook.com/theskinclique] The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

Investment Fees Are Quietly Costing Clinicians Millions: Expense Ratios, AUM Fees & Fee Drag

The PA Millionaire Path is officially out. If you’ve ever felt like you’re earning a great income but still barely keeping up, this book is your roadmap for turning PA income into real wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook [https://www.millionairesinmedicine.com/pabook] Two medical professionals can earn the same salary, invest the same amount, start at the same age… and still end up with a million-dollar difference in retirement. The difference? Fees. In this episode, Kristin breaks down the hidden investing fees that quietly drain retirement accounts for PAs, NPs, PharmDs, physicians, and other medical professionals — especially inside 401(k)s, HSAs, and financial advisor-managed accounts. This isn’t about stock picking, market timing, or complicated investing strategies. It’s about understanding the one thing you can actually control: your fee burden. Inside, you’ll hear: * What expense ratios are and why they matter * How actively managed mutual funds can quietly eat into your returns * Why AUM fees can feel “free” even when they cost you hundreds of thousands * How fee stacking happens when advisor fees and expensive funds overlap * Why every extra 1% in fees can add years to your working life * A simple weekend fee audit you can do inside your 401(k), HSA, IRA, or brokerage account If you’ve never checked what your investments actually cost, this episode will help you understand what to look for and why it matters so much. Want a real plan for your income, debt, and investing — not random tips? Book your application with the Millionaires in Medicine Team here: https://www.millionairesinmedicine.com/coach [https://www.millionairesinmedicine.com/coach] Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

Why Most Couples Get Money Conflicts Wrong — And How to Fix It

Buy Kristin’s book on Amazon The PA Millionaire Path is here! If you’ve ever felt like you’re earning a great income but still barely keeping up, this book is your roadmap for turning PA income into real wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook [https://www.millionairesinmedicine.com/pabook] Money fights usually aren’t just about the spreadsheet. In this episode, Kristin sits down with Dr. Jenny Olson, Assistant Professor of Marketing at Indiana University’s Kelley School of Business, to talk about how couples actually navigate money: joint accounts, separate finances, spender/saver dynamics, income differences, debt, and financial infidelity. If you and your partner have ever had the “should we combine finances?” conversation, avoided a money talk because it felt too loaded, or wondered why one of you saves while the other spends, this episode gives you the research-backed language to make the conversation less tense and more productive. Inside, you’ll hear: * What the research says about joint vs separate bank accounts * Why savers and spenders often end up together * How to talk about money without turning it into a character attack * What happens when one partner earns more or brings more debt * Why financial infidelity is more common than most couples realize * How to plan better money conversations with your partner * Why “we” language matters when you’re building a financial life together Guest Dr. Jenny Olson is an Assistant Professor of Marketing at Indiana University’s Kelley School of Business. Her research focuses on consumer financial decision-making, romantic couples and money, financial infidelity, and how people perceive spending, saving, and purchases. Her work has been published in peer-reviewed journals and featured by outlets including The Wall Street Journal and Forbes. What you’ll learn * Why joint accounts may help preserve relationship quality over time * How transparency can create better shared financial goals * Why “spender” and “saver” labels can become harmful when they turn moralistic * How to approach unequal income or unequal debt as a team * What financial infidelity actually means * Why planned money conversations tend to go better than surprise ones * How to make money talks feel less like conflict and more like connection ✅ Book a call with the MiM Team If money feels tense because your income, debt, and investing plan are not fully aligned yet, don’t keep guessing. Book an application call with the Millionaires in Medicine Team here: https://www.millionairesinmedicine.com/coach [https://www.millionairesinmedicine.com/coach] Resources / links Dr. Jenny Olson’s website: http://www.jennyginolson.com/ [http://www.jennyginolson.com/] Dr. Jenny Olson's Linkedin: https://www.linkedin.com/in/jennyginolson/ [https://www.linkedin.com/in/jennyginolson/] The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

RAP Plan Explained: The New Income-Driven Repayment Plan Starting July 1, 2026

The RAP plan (Repayment Assistance Plan) goes live July 1, 2026 — and if you have federal student loans, you need to know what this changes. In this episode, Kristin sits down with Kaitlin Hile (PharmD, BCCP) to break down what RAP is, how it works, and how to know whether it’s actually the right income-driven repayment plan for your situation (especially if you’ve been on SAVE or were planning to use SAVE). Inside, you’ll hear: * What RAP replaces and why payments may look different than SAVE * The simple way RAP payments are calculated (and why AGI strategy matters) * Who may be better served by a different IDR option depending on when they borrowed * The big tradeoff to understand before you commit to an income-driven path long-term * What to do now so you’re not scrambling when July 1 hits What you’ll learn * RAP plan basics + what changes July 1, 2026 * RAP payment calculation overview (AGI + household factors) * RAP vs “new IBR” considerations for certain borrowers * How to think about IDR plans in the context of your broader strategy (PSLF vs taxable forgiveness vs repayment) ✅ Book a call (MiM Team) If you’re not 100% sure which repayment path you’re on (or what the total cost will be), don’t guess. Book an application call with the Millionaires in Medicine Team here: https://www.millionairesinmedicine.com/coach [https://www.millionairesinmedicine.com/coach] ✅ Buy Kristin’s book The PA Millionaire Path is officially out. If you’ve ever felt like you’re earning a great income but still barely keeping up, this book is your roadmap for turning PA income into real wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook [https://www.millionairesinmedicine.com/pabook] Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

W2 vs 1099 for PAs: The Real Pros/Cons + What No One Plans For

A lot of surgical PAs are quietly asking the same question: Is there a way to earn more and build real flexibility… without leaving the OR? In this episode, Kristin sits down with Dan Payson, founder of All Star Surgical, to break down what it actually looks like for surgical PAs to go independent (1099), how the pay structures work, and what you need in place so the extra income doesn’t turn into chaos—especially on taxes and backend systems. Inside, you’ll hear: * The difference between “freelancing” and building a real surgical PA business * How independent surgical PA pay is often structured (and what makes rates vary) * The biggest blind spot that blows up 1099 income (and how to avoid it) * What it takes to be successful outside your “home hospital” comfort zone * Why backend infrastructure matters as much as clinical skill * Want to know if your current income plan is leaving money on the table? Book an application call with the Millionaires in Medicine Team and we’ll assess where you are, identify the biggest gap, and outline what coaching would change for your situation: https://www.millionairesinmedicine.com/coach [https://www.millionairesinmedicine.com/coach] If you’re a PA thinking about going 1099, here’s the real question: Will the extra income actually turn into wealth… or just a bigger, messier version of your current life? That’s exactly why I wrote The PA Millionaire Path — because most PAs don’t need “more hustle.” We need a real system for what happens after you earn more: how you structure income, handle debt, and invest in a way that actually builds freedom. 👉 Grab The PA Millionaire Path on Amazon here: https://www.amazon.com/dp/B0GW8SXJ5R [https://www.amazon.com/dp/B0GW8SXJ5R] (If you’ve ever felt like you’re earning a solid income but still barely keeping up, start there.) Guest Dan Payson — founder of All Star Surgical, helping surgical PAs create more income flexibility through independent work and backend support. Links: All Star Surgical: https://allstarssurgical.com/ [https://allstarssurgical.com/] Dan on LinkedIn: https://www.linkedin.com/company/all-stars-surgical-assist/ [https://www.linkedin.com/company/all-stars-surgical-assist/] Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.