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Money Talk For ER Docs™

Money Talk For ER Docs™

By: ER Doc Advisor
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Join your host Scott Wisniewski and a thriving community of ER Doctors who are learning to simplify money and make smarter financial decisions. As a hardworking Emergency Physician, it's important to know the vital signs of your financial health, and the profession simply comes with complexities others don't understand. This podcast is created to be your go-to resource for straightforward advice uniquely tailored for ER Doctors. Join us every week for new episodes, and you can find more tools, get personalized help and a free Financial Vital Signs Checkup at erdocadvisor.com/survey. Economics Personal Finance
Episodes
  • Ep #296: Social Security, S Corps, and the Payroll Tax Tradeoff
    Jun 30 2026

    Social Security is one of those topics most people know matters, but few people know exactly how to plan around it. For some, it feels like a promise they've built their retirement around; for others, it feels like a system they're being forced to fund without much confidence in what they'll receive back.

    And for business owners and high-income 1099 earners, the conversation gets even more complicated because the same taxes that fund Social Security are often the taxes they're actively trying to reduce.

    Topics discussed:

    • Why the 2032 trust fund projection doesn't mean Social Security disappears.
    • What actually happens to benefits if Congress does nothing before the shortfall.
    • How the S corporation structure creates a dilemma around payroll taxes.
    • How the Social Security wage base creates a "best of both worlds" opportunity.
    • Why setting an unreasonably low S corp salary is a major audit risk.

    Resources mentioned:

    • ERdocadvisor.com

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    23 mins
  • Ep #295: SpaceX and the Index Dilemma
    Jun 23 2026

    Index funds are often presented as the simple, neutral way to invest: buy the market, keep costs low, and stay diversified. But every index has rules, and those rules determine what investors actually own.

    With several massive private companies potentially entering public markets, those rules are becoming more important than ever. In this episode, we're looking at what happens when "passive investing" still depends on very active decisions behind the scenes.

    Topics discussed:

    • Why the SpaceX IPO is reshaping how indexes handle mega-cap companies.
    • How index funds are forced to buy new additions regardless of valuation.
    • Why "buying the index" still involves active decisions made behind the scenes.
    • How style drift leaves investors owning more risk than they realize.
    • Why concentration in mega-cap stocks undermines the diversification you think you have.

    Resources mentioned:

    • ERdocadvisor.com

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    24 mins
  • Ep #294: PSA for New Attendings: Don't Waste Your First Six Months
    Jun 17 2026

    Every year around this time, a new wave of ER physicians moves from residency or fellowship into attending life, and that transition changes everything financially. The income finally starts to match the years of work, sacrifice, and training—but with that comes a short window where the decisions made early can shape the next several years.

    In this episode, we're talking about why the first few months as an attending matter so much, and why waiting until things "calm down" may be one of the most expensive mistakes a new ER doctor can make.

    Topics discussed:

    • Why the first paycheck as an attending can actually set you back financially.
    • How lifestyle creep quietly consumes income before a plan is in place.
    • The tax opportunity hiding inside your first year that disappears by January.
    • Why W-2 and 1099 income require completely different tax and retirement strategies.
    • Why the next 6 months may matter more than the next 6 years.

    Resources mentioned:

    • ERdocadvisor.com

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    30 mins
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