
Today we have a guest coming on the show for the second time. He was on about 3 years ago after he paid off his student loans. Today he is back to celebrate paying off his wife's student loans, as well as becoming a Millionaire. He said it has been...
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Shane
This is the White Coat Investor Podcast Milestones to Millionaire Celebrating stories of success along the journey to financial freedom.
Jim
This is Milestones to Millionaire podcast number 233. Dual dot couple pays off half a million dollars in loans while one of them stays at home Mortar Group is a premier real estate investment firm focused on multifamily properties and both ground up and value add projects in the competitive markets of New York City since the early 2000s. With over $300 million in assets under management and over 30 investments since inception, their fully integrated firm model allows Mortar to maximize efficiency and value across their investments in these niche markets. Mortar leverages over two decades of experience in architecture, development and asset management in their projects to build value and minimize risk for investors. Invest in tax efficient high return risk adjusted strategies with mortar group@whitecoatinvestor.com all right, don't forget all of you out there in White Coat Investor land. If you're looking for a little bit extra money for not much more worker commitment, you might be able to be paid pretty darn well for giving your opinion on surveys. People want your opinion. It's valuable and they will pay you for it. If you go to whitecodeinvestor.com surveys you will see a whole bunch of companies that you can sign up with that will send you surveys from time to time. Now they usually have a few screen out questions and they and only some of them pay you if you get screened out of the survey. But assuming you're who they're actually looking for, they will pay you substantially to share your opinion. One of our columnists has even made $30,000 in a year. That's another month or two of income for most doctors taking these surveys. So check that out. All right, this is the Milestones to Millionaire podcast. We celebrate your stories and use them to inspire others to do the same. You can sign up to come on the podcast whiteconeinvestor.com all right, we got a great interview today like we had a month ago. This is another repeat offender, someone who's been on the podcast before and I like doing these because I love illustrating the progression that you guys are making out there in White Coat investor land as you go through your financial careers in parallel with your medical or other careers. Stick around. After this interview we're going to talk for a little bit about the concept of geographic arbitrage or geo arbitrage. We have another repeat offender on our Milestones to Millionaire podcast. Shane welcome back to the podcast, Jim.
Shane
It's great to be with you. I Appreciate you having me back on. Glad there's another repeat offender.
Jim
Yeah, well, you know, we occasionally do have people who come on for another milestone and we love to do that because we love to see the progress all the white coat investors are making out there in their financial lives. For those keeping score at home, the last podcast Shane was on was number 89. And the milestone we celebrated was him paying off his student loans. Here we are now, what, 144 episodes later. That's almost three years worth of episodes later, celebrating your next milestone. Tell us what you've accomplished.
Shane
Well, I had so much fun paying off the first student loan, which was mine, I decided to do it all over again and paid off my wife's student loan. And I think I mentioned it back then as she's also a doctor, but it was very important that she stayed home with our children and be a stay at home mom. And so we transitioned to that and she still had a student loan and was not eligible for PSLF anymore. So I said, well, let's just pay that one off too. And that one was $254,335. And a penny.
Jim
And a penny. The penny is the important part for sure.
Shane
Very important.
Jim
But that's not all. You guys have also hit a net worth milestone recently. Tell us about that.
Shane
We did. We definitely crossed the million dollar net worth mark, which is still pretty surreal to say. I never envisioned that we would be millionaires this early in our career, but a half million dollars of student loans is a pretty decent return on investment and definitely help you get there.
Jim
Yeah, pretty cool. Okay, well, give us the scoop. How far are you each out of training? What part of the country are you in? What kind of income we've been looking at since you got out of training?
Shane
Yeah, certainly. So we finished training, I did in 2018 and my wife did in 2019, and she ended up going to fellowship down here in Phoenix, which is where we still live. Very hot this time of year, but beautiful otherwise. And so she transitioned into that role and mid 20 to end of 2020 and I kept working. I'm a pediatric hospitalist and so my income is kind of in the mid range for pediatricians in the mid-200s per year. And so I think last time I had mentioned that, I had the worst timing in the history of refinancing anything because I refinanced my student loan back when we were both working three days before the CARES act and then they all went to zero. So I was kind of stuck with that. But Ended up working out and I got mine paid off when we talked about it last time. And then my wife was on ineligible for any of the other programs. And so he said we're just going to pay off hers too to ensure that we had that financial freedom and those things moving forward. And so that's when we started, just kept on the march, so to speak. It was pretty easy to transition.
Jim
Let's talk about the decision for one of you to be a stay at home parent. Tell us when that came, what you weighed as you made that decision, the financial ramifications. Let's talk about that.
Shane
Absolutely. It's not a decision we made lightly and I think that a lot of our training was, as I'm sure you appreciate, you're kind of on the hamster wheel and you're always thinking about the next thing. You're always trying to finish. You go to undergrad and then you go to med school and then you go to residency and it's always like trying to climb the mountain and move on to the next thing. And then once you kind of get past that, you start sitting down and you're older and you think about what's important to you in life and it's kind of remembering your why and remembering why you want to do things like this, like pay off a student loan. And so for us, our oldest daughter has some special needs. She has Williams syndrome. And so she, she's dear special to our heart. And my wife was really tired of missing things that was happening in her life as far as some of her medical problems and some of her schooling needs. And so she said that's the most important thing to me is to be a mom to take care of her and her other kids. And now we have three, with number four on the way next month and, and she has not looked back at all. It's, it's been very fulfilling to her and, and fortunately we're in a, in a profession where my income supports the whole family, you don't need two people to work. And I know that's not the reality for a lot of people, but we were very blessed and fortunate to be able to make that decision and it's been the best one for our family.
Jim
So how far after she completed her training did you guys make that decision?
Shane
She was in the, she had just finished the first year of her fellowship in maternal fetal medicine when that decision came down. And so that was about five years after graduation from medical school.
Jim
And her career plans, does she plan to go back and practice at some Point. Use the degree in some function or is she content to be a stay at home parent at this point? Point.
Shane
She's very content and she is amazing at it. I mean, she's obviously the best wife and the best stay at home mom I could have ever asked for. And so I definitely support her in that. And I think that that is her primary vocation. I can imagine sometime in the future when the kids are grown, she'll end up probably going back and practicing a little bit because she still does enjoy medicine, but definitely in a reduced capacity and she's glad to be in her primary vocation now.
Jim
And you never know, right? When Katie started her next career, now she's a politician, right. She was elected to the school board. So you never know what the next chapter in your life is going to look like.
Shane
Congratulations.
Jim
Yeah, exactly. You know, I, I hear the job description, I'm like, that sounds like the worst job ever, Katie. But she loves it and she's making a difference and she's very good at it.
Shane
Yeah, good for her. Good for you guys.
Jim
At any rate, let's talk about the financial journey here. I mean, you guys have not been out of training that long to be millionaires. You know, you've only been out seven years. It took us seven years to become millionaires. And we did not start anything anywhere near the student loan debt that you guys have. So tell us how you did it. I mean, I mean, I calculate if I, if I just look at your income Here, you know, mid-200s ish, the amount of money you've made over the last, you know, seven years is less than 2 million and you've got a million of it left. I mean, this is remarkable. So tell us how you did this.
Shane
One bite at a time, one step at a time. It's the med school adage about drinking from the fire hose was definitely applicable like we were talking about. You definitely take it one step at a time. And so I decided last time we visited, I ended up working a lot of extra jobs locum wise to supplement the income. And we've always had a savings rate of about probably 25 to 30%. And so we always maxed out our, our deferred retirement accounts while she had one. And then for me, and we ended up maxing 457 and then the Roth IRAs and the HSA and then everything on top of that kind of went to the student loan and I ended up having to work some extra job to make sure those payments were still being made on the, on the Timeline that we had established. And so it did. It did require some extra work. And that was kind of part of the journey. And as I sat back and I reflected on the day that we made the last payment, I remember exactly where I was sitting as far as when the journey started. I just graduated residency, we were still in Illinois. And when you work for the university up there, they pay you monthly. And so it's that first attending paycheck, it's five figures, it hits your bank account. And I was sitting in a Panera Bread in Peoria, Illinois, thinking, man, what am I going to do with this? I really wanted to buy a car. I really wanted to do some other things that we had postponed. You live like a resident for three years in a really difficult residency program, especially for my wife and ob. And I remember sitting there and I wrestled with that decision and eventually I decided to pay off in bulk my last undergrad loan for 5,000 and some change. And so I made that payment after much fussing and discussing amongst myself at that Panera. And I really never looked back. And I think that was kind of the watershed moment for me and said, well, this is important to us to be out of debt and you gotta take the first step somewhere. So that was our first step. And then like you mentioned so much on your blog and in your book that it's a lot of motivation and you have a lot of fortitude, but once you see that sum start going down by four or five figures every month, it becomes really motivating and it's a little bit easier to kind of delay that gratification.
Jim
Yeah. Now there was a move at some point, it sounds like from the Chicago area, not that cheap of a place to live. Maybe docs don't necessarily get paid all that much there. And you know, the tax rate's relatively high and the cost of living is relatively high. To Phoenix, which has a state income tax, but it's lower and you know, it has. It's not the cheapest place in the nation to live, but it's much cheaper than Chicago. Tell us about the decision to go someplace that you know was a little bit cheaper. Cost of living.
Shane
Yeah, certainly the decision was actually pretty easy because that's where my wife ended up. Accepted into fellowships. That's what drove us to move down here to Phoenix and very family friendly program and a little bit cheaper than Illinois as far as taxes go. The cost of living is still pretty high out here, especially post Covid. But that was where the decision started. And then I landed in A very good job, working for a very good health system that's taking great care of us. And so that kind of offset a lot of those somewhat increased living expenses. Although the tax rates were certainly lower down here as far as state income tax and some of the other taxes that you did. Getting out of Illinois, I mean, I love Peoria and I love downstate Illinois, but getting out of Illinois and the tax burden definitely feels like the last chopper out of Vietnam type situation right before 2020.
Jim
Yeah. It's amazing how much faster it is to build wealth in places where you're paying much less in income taxes is a substantial expense for many physicians across the country. Okay, let's give some advice to people out there that are maybe in your shoes, right. Maybe they're two young attendings and one of them is. And they've got, you know, a kid or two and one of them's thinking about going part time or thinking about stopping for a few years or stopping permanently. What advice do you have for them as far as their finances?
Shane
I think that you always have to remember your why and you always have to remember what's important to you and what do you want to get out of life. And for my wife and I, it was certainly the, well, her well being and the well being of our children. And they've been homeschooled for five years now. And it's been the most fruitful endeavor that we've undertaken and that was very important to us. And so I think that it's really easy to get caught up in the, in the rat race, get caught up in the, in the, keep up with the Joneses and all those things that you talk about on your blog. And behaviorally it's easy to put that as the primary focus, but it's, it's always necessary to take a step back and kind of evaluate what's important to you. And your money's a great servant, but it's a terrible master. And I think it's easy to get caught chasing the, chasing the money and chasing the security, whereas it should be at the service of something greater. And for us, that was our family and have. And that security and the ability for my wife to stay home and care for our children.
Jim
So you'd encourage other people to, you know, figure out their why and, you know, prioritize what's most important to them.
Shane
I would. And I think that's probably the most important. And like, you make a written investing plan, you make a written financial plan and you try to stick to it. I mean, you definitely should have a personal statement for your family. You should have a statement of goals or a mission statement for your family and what's important to you. And then you should put your resources at the service of that. And that would be the advice I would have for anybody young attending starting out. And if a pediatric hospitalist can pay off a half million dollars in loans, then you can do it too. No matter what specialty you're in, if that's what's important to you, then you should go for it. And if you want to put your money at the service to something else, just make sure it's what's important to you and make sure that you've had that talk with your spouse, your significant other, and always have that at the forefront of your decision making.
Jim
Now you guys have freed up a substantial percentage of your income that was going to lenders. What are you doing with it?
Shane
That's a great question. Haven't quite figured it out yet. I think that I would like to kind of lubricate the lifestyle just a little bit. And I've been driving a 2012 Nissan Versa for the past 13 years. I may upgrade that a little bit and we may take a couple trips now that it's paid off. But then I think we're going to get back to really trying to reach that financial independence because I definitely, I love practicing medicine. It's what I envision doing for a long time. But I would like to practice it on my terms into the future and not have that commitment, that commitment long term. You feel like you have to do certain things, the pressure to pay off student loans or to maintain a certain lifestyle. So I think keeping investing and maybe dabble a little bit in real estate and I think that's kind of the next steps for us. But like you said, you never know what comes next. I don't think I'll be in politics though.
Jim
Very cool. Well, I'll tell you what, I do enjoy part time medicine. It's everything I like about medicine and a whole lot less of the stuff I don't like. So I definitely encourage that sort of thing. But okay, well let's celebrate this with you. I mean, you have accomplished something that is really profound. We're always getting asked by people, get more pediatricians on, we want more lower income docs on. And here we go. Lower income doc paid off a gob ton of student loans, right. And became a millionaire just as quickly as I did as an emergency doc who didn't have student loans. So congratulations to both of you. And thank you for being so willing to come on the podcast and share your story with the community.
Shane
You bet. It's a pleasure to be with you and appreciate you. Let me tell our story.
Jim
All right. Hope you enjoyed that interview as much as I did. I love having repeat clients, customers, visitors, guests, offenders, whatever you want to call them on the podcast because it's fun. Because I often do ask, hey, what's your next financial goal? And then actually getting to hear about them accomplishing it a year and a half, two years, three years later is pretty awesome. So congratulations to all of you out there, whether you've been on the podcast or not, that are accomplishing financial goals and working toward them. You know, it's a one player game, right? It's you against your goals. You're not competing with the person on the podcast. Right. You're not competing with your partners at work. You're not, you know, competing with anybody else. It's just you and your goals. Single player game. But it's nice to celebrate it with some other people in the community from time to time. Okay, I promised you at the top of the podcast, we're going to talk about this concept that we alluded to in the interview, geographic arbitrage. And I think this is really powerful. I've seen this work very, very well in the lives of many white coat investors. It just costs a lot of money to live someplace like the San Francisco Bay area, to live someplace like Manhattan, to live someplace like Washington, D.C. and as the price of housing in particular goes up all over the country, more and more and more areas are becoming high cost of living areas and very high cost of living areas. Well, that isn't everywhere in the country. There are places in this country where housing is not that expensive. And you go there and look at a big fat, multi thousand square foot, you know, doctor home on multiple acres, and you're amazed how cheap it is. You know, you come from California to Nevada or wherever and you're like, wow, it's only $600,000. I'll take two. Because that house was two and a half or $4 million in the Bay Area. So you realize that with housing, your money goes a lot further. Well, that's not all right. There are other expenses as well because everybody else living in the Bay Area has also got high expenses. They have to charge a lot for their services. You find when you go to the Midwest or Texas or the south or whatever, you find out that everything is cheaper. Your childcare is cheaper, your groceries are cheaper. People that come Work on your house are cheaper. And it's amazing. But you know what's amazing about those places? Medicine pays the same or better. Sometimes it pays better. You go to a small town or medium sized town and there are things thrilled to have you. They're spending 50 or $80,000 just to recruit you to come to that town. So they might give you a big fat signing bonus in addition to this lower cost of living. Plus, you got to realize the tax burden is not the same in every state in this country. Right. You're going to pay more in income tax in some places than others. Now, I live in a relatively medium, you know, moderate kind of income tax state. I think we're at 4.65 or 4.75 or something. But it's a relatively flat tax. It's not progressive system. In Utah, it's kind of in the middle. There are seven states that don't charge income taxes at all. Right. You want to go to Texas or Florida or Alaska or Nevada or Wyoming or. I know I'm forgetting a few. And that's okay. You guys know what they are. If you live there, they don't charge income tax at all. And there's lots of places that charge much less than New York or California or some of these, for lack of a better term, typically blue states that have relatively high tax burdens. Now, sometimes you get more for those taxes and sometimes you don't. Sometimes it's just kind of a sunshine tax you get because the weather there is nice. Well, the weather is not that bad in other places and sometimes just as nice. So you've really got to weigh the benefits of being in those high cost of living areas and make sure they're really worth it to you. Right. And it might be because you have family there. I get it. I like living near family as well. Although when we moved here, we didn't have any family living here. They subsequently moved to where we were, amazingly. And that could happen, I suppose, in your family as well. You also might be there because it has something unique about the job. Maybe it's a particularly unique academic job or there's something really cool about it that you can't do somewhere else. I get it. It might be worth it to you, but at least calculate the cost. It might be you get to live around people that are like you are. Maybe it's a more diverse kind of place. That's often the case on the coast where cost of living tends to be higher. But again, you've got to ask yourself, is this worth it to me and actually calculate out the cost. What does it mean if you live in Portland instead of the Indianapolis? What does it mean for your finances if you move to Texas or Florida or Nevada? And if you take that income tax savings and you put it toward retirement, how many years sooner do you retire? How much more can you spend during retirement? Maybe it's five, six, seven years sooner than you retire. And you've got to ask yourself, is practicing and living in California worth having five to seven fewer years of those go go years of retirement? Maybe it is, maybe it isn't. But I want you to make that decision consciously and deliberately and with all the information you need to have. And I think there's a lot of docs out there that don't care that much where they live because their hobbies or whatever, where their family is. It's no different whether they're living somewhere else. And I'll tell you what, the people in those areas definitely need medical care and they will be thrilled to have you come to their communities, practice there, live there, establish a life there, and you'll be pretty amazed how awesome of a life you can have in some of these areas with a much lower cost of living. So that's geographic arbitrage. Consider it. It's not right for everybody, clearly. And I know the people in expensive high cost of living areas are thrilled to have doctors there to take care of them as well. So maybe everybody shouldn't le those areas. I want them to have medical care as well. But particularly if you are in a difficult financial position for whatever reason, particularly low income or particularly high student loans or whatever, give geographic arbitrage some consideration. You might be surprised just how much of a difference it can make in the quality of your overall life. All right. Our sponsor for this episode is Mortar Group, a premier real estate investment firm focused on multifamily properties in both ground up and value add projects in the competitive markets of New York City since the early 2000s. With over $300 million in assets under management and over 30 investments since inception, their fully integrated firm model allows Mortar to maximize efficiency and value across their investments in these niche markets. Mortar leverages over two decades of experience in architecture, development and asset management in their projects to build value and minimize risk for investors. Invest in tax efficient high return risk adjusted strategies with mortar group@whitecoatinvestor.com Mortar all right, thanks for being with us. I hope you're having a wonderful summer. I know we are in between the time I record this and when you listen to it. I've got a couple of awesome trips planned that I'm looking forward to and I hope you have had some good stuff happening as well. Congratulations to all of you accomplishing your milestones out there. We'd like to hear from a few of you. Sign up@whitecoatinvestor.com Milestones and we will celebrate this with you and use it to inspire others to do the same. Keep your head up and shoulders back. We'll see you next time.
Shane
The hosts of the White Coat Investor are not licensed accountants, attorneys, or financial advisors. This podcast is for your entertainment and information only. It should not be considered professional or personalized financial advice. You should consult the appropriate professional for specific advice relating to your situation.
White Coat Investor Podcast Summary
Episode Title: MtoM #233: Dual Doc Couple Pays Off Half Million in Loans While One Stays at Home and Finance 101: Geographic Arbitrage
Host: Dr. Jim Dahle
Release Date: July 28, 2025
In episode #233 of the White Coat Investor Podcast, Dr. Jim Dahle welcomes back a familiar guest, Shane, to celebrate significant financial milestones achieved by a dual physician couple. The episode not only highlights their impressive journey to financial freedom by paying off half a million dollars in student loans but also delves into the strategic financial concept of geographic arbitrage.
Shane's Journey to Debt Freedom
Shane returns to the podcast, marking his second appearance since episode #89, where he celebrated paying off his own student loans. Now, alongside his wife, he has successfully eliminated a combined student loan debt of $254,335. Reflecting on this achievement, Shane shares:
"And a penny. The penny is the important part for sure."
— [03:07] Shane
Additionally, the couple has surpassed the $1 million net worth milestone, a testament to their disciplined financial strategies despite substantial student debt.
Background and Career Progression
Training and Location:
Income Details:
"I remember sitting there and I wrestled with that decision and eventually I decided to pay off in bulk my last undergrad loan for 5,000 and some change."
— [08:04] Shane
Balancing Family and Career
A pivotal decision in their financial journey was for Shane's wife to become a stay-at-home mother, allowing her to focus on their children, including their eldest daughter with Williams syndrome. Shane emphasizes the importance of prioritizing family over the relentless pursuit of career advancement:
"She said that's the most important thing to me is to be a mom to take care of her and her other kids."
— [05:14] Shane
Impact on Finances
This choice rendered Shane's wife ineligible for certain loan forgiveness programs (like PSLF), but the couple remained committed to paying off her student loans to ensure long-term financial freedom. Shane notes:
"She's very content and she is amazing at it... she still does enjoy medicine, but definitely in a reduced capacity."
— [06:34] Shane
High Savings Rate and Strategic Investments
The couple maintained a savings rate of 25-30%, maximized contributions to deferred retirement accounts, Roth IRAs, and HSAs. Shane supplemented his income through extra work (locum tenens) to accelerate loan repayments.
"One bite at a time, one step at a time... It's important to take the first step somewhere."
— [08:04] Shane
Motivation Through Visible Progress
Seeing their loan balances decrease by thousands of dollars each month provided continuous motivation, making it easier to delay gratification and stay committed to their financial goals.
After celebrating the couple's success, Dr. Dahle introduces the concept of Geographic Arbitrage, a strategy where individuals move to regions with lower costs of living and taxes to enhance their financial well-being.
Key Points Discussed:
Cost of Living Differences:
Tax Considerations:
Financial Impact:
Quality of Life Improvements:
Career Opportunities:
Considerations for Physicians:
Personal and Professional Goals:
Community Impact:
"If a pediatric hospitalist can pay off a half million dollars in loans, then you can do it too."
— [12:42] Shane
Shane offers practical advice for young physicians contemplating similar financial strategies:
Define Your "Why":
Create a Written Financial Plan:
Be Disciplined and Consistent:
Communicate with Your Partner:
Consider Geographic Arbitrage:
"Your money's a great servant, but it's a terrible master."
— [12:35] Shane
Dr. Jim Dahle commends Shane and his wife for their remarkable financial achievements, emphasizing that their strategies can serve as a blueprint for other physicians aiming for financial freedom despite significant debt burdens. The episode underscores the importance of disciplined financial planning, strategic lifestyle choices, and the power of geographic arbitrage in accelerating wealth building.
Shane concludes with insights into their next financial steps, including potential investments in real estate and continued pursuit of financial independence while maintaining a fulfilling career in medicine on their terms.
"If a pediatric hospitalist can pay off a half million dollars in loans, then you can do it too."
— [12:42] Shane
Debt Repayment is Achievable:
With a high savings rate, disciplined investment, and supplemental income, significant debt can be eliminated even with substantial student loans.
Prioritize Personal Values:
Align financial decisions with personal and family priorities to ensure long-term satisfaction and fulfillment.
Geographic Arbitrage as a Strategic Tool:
Relocating to areas with lower living costs and taxes can significantly enhance financial stability and accelerate wealth accumulation.
Continuous Learning and Adaptation:
Stay informed about financial strategies and remain adaptable to seize opportunities that align with your financial goals.
Note: This podcast episode is intended for informational purposes only and should not be considered professional financial advice. Consult with a certified financial advisor for personalized guidance.