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Dave Ramsey
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George Kamel
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Kelly
My question is, where would a vasectomy reversal fit in on the baby steps? I've looked into my insurance and my fiance's, and neither one covers it. It's going to be about $10,000. And we do have consumer debt. Obviously not working that together at the moment. Waiting until we get married, but just kind of wanting to plan. Do we pause that and stock up the money because we want to start a family or.
Dave Ramsey
How much debt do you guys. How much debt do you guys have separately?
Kelly
I have about 15,000, and he has about 50.
George Kamel
Oof.
Dave Ramsey
And I'm assuming he. He agree he's in agreement with this reverse vasectomy?
Kelly
Yes.
Dave Ramsey
Oh, boy. I gotta tell you, that's a good dude.
George Kamel
How old is he?
Dave Ramsey
How old is this guy?
Kelly
He's 42, and I'm 33, so I'm a little bit older too. So we're not wanting to wait.
George Kamel
So time is of the essence.
Dave Ramsey
That was my next question. So now I see why you're trying to do this quickly.
Kelly
Yes.
Dave Ramsey
Well, not the procedure. We want this doctor to be steady and slow on that one.
Kelly
Take your time.
Dave Ramsey
On behalf of every dude who's listening and watching this call right now.
George Kamel
The next question is, who's paying for it?
Dave Ramsey
Yeah, well, they are. They're going to wait until they get married, like, together.
Kelly
So we get married.
George Kamel
Okay. When is that?
Kelly
The end of the summer.
George Kamel
Okay, so we'll call it. And are you wanting to immediately, you know, try to have a family at that point?
Kelly
That's kind of the plan. I'm a little nervous, just not for the financial aspect, but for the medical risks involved with the procedure. But he's talked to his doctor and is willing and all in, so.
Dave Ramsey
All right.
Kelly
So, yeah, we're going to want to start as soon as possible.
Dave Ramsey
Okay. And how old are you?
Kelly
I'm 33.
Dave Ramsey
Okay. So because this is a financial question, and I know George is more than ready to answer this, but I feel like we've got to have a real conversation for a second. Um, there's no guarantee that the. That it's going to work. And I'm sure you guys know the medical percentages of it happening, but there's no guarantee. There's also no guarantee that even if the procedure goes fantastic, that you guys are going to be able to conceive in the timeline that you would like. You acknowledge this, yes or no?
Kelly
Yes.
Dave Ramsey
And so I don't wish that on anybody. I mean, I Want everything to work in the timeline, but, you know, you know, it has to be discussed when we start talking about a $10,000 bill. And, you know, we don't want you to go into debt. So. George, I, I bring this up to say I, I think I want to make the best financial move, period, for this couple. Not the best way to figure out how to pay for this procedure, which may or may not yield what they want it to.
George Kamel
Yeah, I mean, there's, there's risk there for sure.
Dave Ramsey
Does that change? I guess my point is I'm asking you a question on behalf of Kelly. Does that change your advice? I may have a different take than you.
George Kamel
My take is that if this is, I mean, this, this is a very unique situation. So I'm not going to say this is blanket advice for anyone who called in, but for Kelly, I would say let's pause the baby steps and let's both stack up as much cash as we can. Make sacrifices needed, make minimum payments on the debts until we're married. We have the money to do their, to do the surgery and the reversal, and then we'll push play on the baby steps. All right.
Dave Ramsey
That's your take, huh?
George Kamel
That's my take. I mean, this is, you know, starting a family that kind of supersedes the baby steps. If this was, let's say, you know, IVF or something like that, Dave would say, hey, let's pause the steps and let's save up to pay for this in cash.
Dave Ramsey
Yeah.
George Kamel
The goal, the A1 is not going to more debt. A2 is pay off existing.
Kelly
George, we do make 165,000 combined, so. So it shouldn't take more than three months.
George Kamel
So what if we aggressively said we're going to save up the 10k and then pay off all of our debt before we're even married?
Dave Ramsey
Well, but then does that change her timeline? Kelly, we have a two part question there. What's your answer?
Kelly
Yeah, I mean, we can. Our finances obviously aren't combined and we are both working them separately. So he has, you know, a second job as well. I am working towards that as well. So I mean, it's possible that we might be able to knock out a lot of it in the next six months.
George Kamel
Well, now there's a total goal of, you know, obviously it's not combined because you're not married, but we're looking at $75,000 paid off in, let's call it seven or eight months. So collectively, can we be throwing 10 grand a month, these debts that might look, you know you're throwing four, he's throwing six. Whatever. But the goal is, can we be debt free with money in the bank to pay for this by the time the end you got to pay for a wedding. Right. Is this a small courthouse situation or is this lavish?
Kelly
Yeah, it's going to be a small.
Dave Ramsey
Yeah. What's the calendar on this courthouse? And then he's in the doctor's office the next week.
George Kamel
Like no honeymoon, straight to the emergency.
Dave Ramsey
It feels like what I'm hearing. Am I right, Kelly? Or tell me if I'm wrong.
Kelly
No. So it would be like an elopement situation where it'd be a five day wedding, honeymoon, and then come back.
Dave Ramsey
And then when is he going under the knife again?
Kelly
Well, he has to meet with a specialist, a urologist, but he's talked to his general doctor about it and they see no problems with his age or the reversal, but they want him to go to the urologist to get it.
Dave Ramsey
All right, so we're on the same page. No reason for debt.
George Kamel
I'm tweaking my advice, though. I'm going to rescind it and go, let's attack this debt and then we're going to be able to save up for the surgery within a month. At that point, once we're married.
Dave Ramsey
I am in agreement with that, George. I was going to go. Not. I mean, it's not that I disagree with you and Dave on the family first, but it's like, can we wait a little bit? Can we get married? Can we. You know what I mean, before we start putting this pressure on ourselves to get pregnant. That.
George Kamel
Yeah, I'm just talking about waiting two years. We're talking about waiting a month or two. Yeah.
Dave Ramsey
At max, something like that. I just, I, that's. We a. It's all cash, Kelly. Of course, you guys don't need to go into debt for this. But to George's point, you could pause, you could pause the baby steps in his plan, but I don't think we need to do that. I think you guys can knock the debt out and cash flow. This, this.
George Kamel
The reason I like putting the debt first is it puts fuel on this debt free journey because now you have a much deeper why. And when you have that deeper why you're willing to take on that second job, you're willing to do the extra shift because you want to get to that surgery and get to having that family.
Dave Ramsey
So what we want for you, Kelly, is debt free and baby on the way. That's. That's what we want. I think that's what you want.
George Kamel
Is he on board for all this?
Kelly
Yep.
Dave Ramsey
This is a good dude.
Kelly
Yep. He's great.
Dave Ramsey
Listen, he's willing to go through that to say was he's 42 and he's gonna go get a reverse vasectomy. And this is a good man. This is a good man. Might be slightly crazy, but he's a good man.
George Kamel
I need a TUMS after that one.
Dave Ramsey
Ken, no, it's the wrong pill.
George Kamel
Oh, sorry.
Dave Ramsey
Maybe some AM and an ice pack. This is the Ramsey Show. Create your free every dollar budget today.
George Kamel
The simplest way to budget for your life.
Summary of "Should We Prioritize A Reverse Vasectomy?" Episode of The Ramsey Show Highlights
Introduction to the Financial Dilemma
In the January 26, 2025 episode of The Ramsey Show Highlights, Kelly reaches out with a pressing financial and personal question: "Where would a vasectomy reversal fit in on the baby steps?" ([00:06]). Faced with the high cost of approximately $10,000 for the procedure, which is not covered by either her or her fiancé's insurance, Kelly seeks guidance on whether to prioritize this medical expense amidst existing consumer debt.
Assessing the Financial Situation
Dave Ramsey promptly addresses the root of Kelly's concern by inquiring about the total debt burden: "How much debt do you guys have separately?" ([00:36]). Kelly reveals a combined debt of $65,000, with $15,000 on her side and $50,000 on her fiancé's ([00:42]). Recognizing the gravity of their debt, Dave emphasizes the importance of understanding the implications of taking on additional financial obligations.
Evaluating the Medical and Financial Risks
Dave Ramsey raises a critical point about the uncertainties surrounding the vasectomy reversal: "There's no guarantee that it's going to work... there's no guarantee that even if the procedure goes fantastic, that you guys are going to be able to conceive in the timeline that you would like." ([02:02] - [02:40]). He stresses the necessity of weighing the financial investment against the potential, yet uncertain, medical outcomes.
George Kamel’s Strategic Financial Advice
George Kamel offers a tailored approach to Kelly and her fiancé's situation: "Let's pause the baby steps and let's both stack up as much cash as we can... and then we'll push play on the baby steps." ([03:20] - [03:44]). He suggests temporarily halting their progress through the established baby steps to focus on aggressively saving for the vasectomy reversal while simultaneously paying down their substantial debts.
Balancing Debt Repayment and Medical Expenses
Kelly provides additional context, mentioning their combined income of $165,000 and the possibility of eliminating their debt within three months ([04:12]). George reinforces the strategy by proposing an aggressive savings plan: "Can we be throwing 10 grand a month... knock out a lot of it in the next six months." ([04:47]).
Dave Ramsey concurs, highlighting the importance of avoiding further debt: "It's all cash, Kelly. Of course, you guys don't need to go into debt for this." ([06:26]). He supports George's recommendation to prioritize debt repayment while saving for the medical procedure, ensuring they remain financially stable.
Final Recommendations and Encouragement
George emphasizes the motivational aspect of being debt-free: "Putting the debt first... puts fuel on this debt-free journey because now you have a much deeper why." ([06:42]). This deeper motivation can drive them to make necessary sacrifices, such as taking on additional work, to achieve their financial and family goals.
Dave concludes by reiterating the optimal path for Kelly and her fiancé: "What we want for you, Kelly, is debt-free and baby on the way." ([06:57]). He commends her fiancé's commitment to the process, underscoring the importance of their united effort in achieving both financial freedom and their desire to start a family.
Key Takeaways
Prioritize Debt Repayment: Before undertaking significant medical expenses, it's crucial to eliminate existing debts to ensure financial stability.
Aggressive Savings Plan: Utilize combined income and potential additional jobs to save the necessary funds for the procedure within a feasible timeframe.
Assess Medical Uncertainties: Understand and accept the inherent risks and uncertainties associated with medical procedures like vasectomy reversals.
Maintain Financial Discipline: Adhering to the baby steps while strategically pausing to address immediate financial priorities can lead to long-term financial health and personal goals.
Notable Quotes
Conclusion
This episode of The Ramsey Show Highlights provides a comprehensive examination of balancing significant medical expenses with existing debt. Through thoughtful discussion and strategic advice, Dave Ramsey and George Kamel guide Kelly and her fiancé toward a path that prioritizes financial health while addressing their desire to expand their family.