Mortgage rates continue to build on improvement seen last week, with the bellwether 10-year bond yield now down below 4.9%.
That’s the lowest yield we’ve seen in nearly two months, driven by a big October rally in bonds.
Of course, that rally was at the cost of tech stocks, which got battered as investors performed a flight to safety out of risk and into boring, old (guaranteed to be paid) Treasuries.
Interestingly, things could get even better for mortgage rates because there are still other levers that have yet to be pulled.
That includes jobs data, which if weak could further lower mortgage rates, along with any progress on the Middle East conflict.
Oil Prices Fall on Hopes of Diplomatic Solution with Iran
It could be a very eventful week, with the midterm elections tomorrow, the jobs report Friday, a lot of other jobs data in between, and renewed Iran peace talks.
Rumblings of some sort of deal helped push oil prices down about 7% today, with Brent falling about $8 per barrel.
Secretary of State Marco Rubio said the president would like to resolve the Iranian war “diplomatically,” which would be a big departure from the aggressive talk and fears of larger strikes post-midterms.
That matters because oil has been a big driver of inflation lately, and inflation worries are what push bond yields (and mortgage rates) higher.
Of course, we’ve seen this movie before, many, many times. Only to see President Trump make threats the very next day.
So I would imagine the market is still pretty cautious any time they hear stuff like this.
But it does put the spotlight back on oil prices after weeks of focus on the AI trade and Big Tech.
And it makes me wonder if those forces work in tandem, mortgage rates could get an even bigger push lower.
[Compare five different mortgage rates and payments side by side with my mortgage rate calculator.]
Is the Worst Over for Mortgage Rates?
What a difference a month makes.
In early October, the 10-year bond yield was above 5.3% and climbed as high as 5.37%.
Today, it’s nearly 50 basis points (0.50%) lower, which is quite a 30-day swing.
Back then, there were fears the 10-year could climb to 7%, but now it seems like we worst might be behind us.
Sure, things can change, but it feels like there are more potential tailwinds for yields to drop than the inverse.
As noted, we’ve got some positive news regarding Iran, we’ve got AI that has cooled off, and we’ve got more jobs data incoming.
The fact that yields and mortgage rates seemed to top out last month tells you they could resume their trajectory seen before the war began in March.
As opposed to climbing back toward 8% as they did in late 2023.
Can Mortgage Rates Get Back to a 6-Handle This Year?
The near-term goal for mortgage rates is to build on their current downward momentum and avoid any setbacks.
The midterms could make for choppy movement this week, though the more important things continue to be the war, oil prices, and jobs data.
And aside from the monthly jobs report Friday, we have the JOLTS job openings report Tuesday, the ADP jobs report Wednesday, and weekly jobless claims Thursday.
So there is plenty of employment data to parse as the week goes on.
Assuming we can get through all of that unscathed, the 30-year mortgage could inch closer and closer to the 6s again.
At last glance, it’s around 7.25%, down from a recent high of around 7.625%.
So it’s more than halfway back to the 6s, though we’ll need to see more of the same drivers that have pushed rates off those highs.
Ideally, with less of a stock market rout and more driven by positive developments in the war
Keep a close eye on oil prices and the Iran headlines, along with the tech trade, and be aware that a lot of jobs data is coming down the pike as well.
Read on: How are mortgage rates determined?
Before creating this site, I worked as an account executive for a wholesale mortgage lender in Los Angeles. My hands-on experience in the early 2000s inspired me to begin writing about mortgages 20 years ago to help prospective (and existing) home buyers better navigate the home loan process. Follow me on X for hot takes.
Luana Lopes Lara is a former ballerina, an MIT graduate and the world’s youngest self-made female billionaire.
She made her fortune by co-founding Kalshi, a prediction market exchange that allows users to bet on everything ranging from weather to sports.
She said many smart founders fall into a common trap when it comes to starting their own business.
As a teenager, Luana Lopes Lara studied ballet at the Bolshoi Theater School in Brazil. Competition was cutthroat; students sometimes tried to sabotage each other by hiding glass fragments in each other’s shoes. She attended technical school in the morning, then went to ballet training from the afternoon to the night.
“Since I was very little, I wanted to do big things,” Lopes Lara said in a recent episode of the podcast Confession with Ali Partovi.
That discipline laid the foundation for Lopes Lara’s later success. Now, at 30 years old, the entrepreneur is the world’s youngest self-made female billionaire, unseating pop star Taylor Swift and tech billionaire Lucy Guo in December 2025 to claim the title. Lopes Lara has a net worth of $2.6 billion, according to Forbes.
She made her fortune by co-founding Kalshi, a prediction market exchange where users can buy and sell yes-or-no contracts based on real-world future events, such as elections, economic data, weather and sports. Lopes Lara is working towards a future where people can essentially bet on anything.
Kalshi is “the first federally regulated exchange in the United States dedicated exclusively to trading on the outcomes of future events,” according to its site.
The common trap
Lopes Lara said on the podcast that many smart founders fall into a common trap when it comes to starting their own business: They become “obsessed with probabilities.”
“You can psych yourself out of doing anything,” she said. “I think that going for it, taking the risk, believing that things will work out, is very important.”
Lopes Lara said that if a startup’s employees are only thinking about the math of whether the company is going to work or not, it becomes a “super negative culture that overreacts to every new information you have.”
“It’s important to have a lot of optimistic people who want to build things in the company,” Lopes Lara said.
How she started Kalshi
Lopes Lara created Kalshi in 2018 with her co-founder, Tarek Mansour. They both graduated from the school in 2018. Lopes Lara majored in computer science and mathematics, while Mansour majored in electrical engineering, computer science and mathematics. They met because they had classes in common, and Lopes Lara always sat at the front of the class. Mansour wanted to learn from her example, so he started sitting next to her.
Lopes Lara came up with the idea for Kalshi when she was interning at Five Rings, a New York trading firm. She noticed that people on social media were pushing the narrative that reality TV star and entrepreneur Kylie Jenner was pregnant.
“I was like, ‘I want to make a bet with you on this,’” Lopes Lara said in an interview with Bloomberg earlier this year. The only problem was that she had nowhere to place the bet.
In that moment, Lopes Lara identified an opportunity that was bigger than gossip. She found that there were millions of people with firm views about the future, but no outlet for those beliefs.
Now Kalshi, which addresses that need, is worth a reported $22 billion and growing.
Key Takeaways
Luana Lopes Lara is a former ballerina, an MIT graduate and the world’s youngest self-made female billionaire.
She made her fortune by co-founding Kalshi, a prediction market exchange that allows users to bet on everything ranging from weather to sports.
She said many smart founders fall into a common trap when it comes to starting their own business.
As a teenager, Luana Lopes Lara studied ballet at the Bolshoi Theater School in Brazil. Competition was cutthroat; students sometimes tried to sabotage each other by hiding glass fragments in each other’s shoes. She attended technical school in the morning, then went to ballet training from the afternoon to the night.
“Since I was very little, I wanted to do big things,” Lopes Lara said in a recent episode of the podcast Confession with Ali Partovi.
That discipline laid the foundation for Lopes Lara’s later success. Now, at 30 years old, the entrepreneur is the world’s youngest self-made female billionaire, unseating pop star Taylor Swift and tech billionaire Lucy Guo in December 2025 to claim the title. Lopes Lara has a net worth of $2.6 billion, according to Forbes.
For a decade, Washington urged the world’s manufacturers to move their factories out of China and into friendly Southeast Asian states—only to attack the very countries and companies that answered the call.
Usually, U.S. economic statecraft is designed to help American companies succeed abroad. President Donald Trump’s punitive trade program is having the reverse effect. Broad-based import taxes have jolted manufacturers across ASEAN (the Association of Southeast Asian Nations), including American ones.
Rather than checking China, trade policy is alienating regional partners, harming supply-chain diversification, and eroding America’s influence over the bloc’s trade decisions. The U.S. is engaged in what Evan Feigenbaum, a veteran diplomat and former Republican, terms a “reverse pivot.” Bogged down in foreign crises elsewhere, Washington now projects hesitation and retreat in Asia rather than dynamic leadership.
In the months after President Trump’s April 2025 announcement of “Liberation Day” tariffs, some of ASEAN’s non-tariff barriers fell. A few countries used the exogenous threat to bring about needed reforms. Deals were done, including Boeing sales and–at least prospective–LNG contracts. It appeared that coercion worked, at least in the short term. In February the Supreme Court struck down much of the initial tariff regime and the administration pivoted to workarounds: 150-day emergency measures under Section 122 of the Trade Act of 1974, and expansive Section 301 investigations into forced labor, intellectual property violations, and “excess capacity.”
America’s labor, intellectual property, and excess-capacity concerns are really about China, not Southeast Asia. The administration substituted an improvised China policy for a coherent Southeast Asia policy—a strategic blunder. By treating regional partners as collateral damage to show that China isn’t singled out, Washington is undercutting its most reliable partners and allies.
Nowhere is the absurdity of this approach more evident than in the supply chains themselves. For nearly a decade, multinational corporations have redirected capital and manufacturing from China into Vietnam, Malaysia, India, and the Philippines. The goal of these “China plus one” strategies was to insulate critical industries from geopolitical risk and move them into friendly states.
Washington’s tariff regime now undercuts this strategy. Southeast Asian export hubs suffer far more than the United States when Chinese firms attempt illicit transshipment, while subsidized Chinese overcapacity squeezes local producers. The broader reality, though, is not widespread evasion but deep and legitimate supply-chain integration. By imposing blanket punitive duties, Washington is tightening the vise on the very partners helping achieve that diversification.
As Deborah Elms, head of trade policy at the Hinrich Foundation, has observed, Washington created the incentive structure for alternate supply routes and is now penalizing regional partners for using them.
These tariffs aren’t even achieving Trump’s stated goals. Higher costs and a shortage of skilled domestic labor mean production lines won’t magically shift to U.S. shores. Bilateral trade deficits with Southeast Asian economies remain largely unchanged; regional exporters, U.S. importers, and consumers are simply absorbing higher costs.
ASEAN nations have long been masters of dynamic hedging—exemplified by Vietnam’s “bamboo diplomacy”—balancing China against the United States. None of them want to be dominated by Beijing, making Washington their natural partner. Yet as U.S. policy grows increasingly erratic and punitive, it inadvertently pushes them to hedge elsewhere.
As Canadian Prime Minister Mark Carney warned at the World Economic Forum in Davos in January, the weaponization of economic tools forces middle powers to organize: “If we are not at the table, we are on the menu.”
Coercive tactics failed with Canada, and they will fail in Asia. Recently, politically appointed U.S. ambassador to Singapore Anjani Sinha told local and international business leaders that he received orders from the President to “bring home the money,” so they needed to double their U.S. investments. The demand went over like a lead balloon. Capital flows are not surging into the United States; they are pivoting further into Asia.
This friction runs counter to decades of bipartisan precedent. Since the 1985 Plaza Accord, which catalyzed an era of industrial integration in Southeast Asia, American leaders have recognized that regional partners thrive under predictable, rules-based frameworks rather than blunt coercion. Today’s transactional posture risks creating a durable trust deficit that will penalize American enterprise for a generation.
Since America pulled out of the Trans-Pacific Partnership in favor of country-by-country negotiations, its absence at the table has been filled by others. ASEAN is now building institutional networks that bypass Washington altogether. Member states are working with accords like the Regional Comprehensive Economic Partnership (RCEP) and the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP).
American companies have not forgotten the benefits of clear rules of the road in a multilateral context. They have worked closely with ASEAN negotiators toward the ASEAN Digital Economy Framework Agreement (DEFA). Spanning 11 nations, nearly 700 million consumers, and an estimated $2 trillion digital marketplace, DEFA would establish comprehensive standards for cross-border data governance, cybersecurity, digital identity, and artificial intelligence.
As Washington retreats behind tariffs and procedural disputes, Southeast Asia—with input from U.S. companies—is writing the regulatory architecture of the 21st-century digital economy.
Washington builds walls while ASEAN builds architecture.
Southeast Asia does not wish to decouple from the United States. Four ASEAN nations—Vietnam, Thailand, Malaysia, and Singapore—rank among America’s top 20 bilateral trading partners. Private enterprise, investment flows, and educational links remain extraordinarily resilient.
But in statecraft, trust is the ultimate currency. U.S. influence in the Indo-Pacific was never sustained through sheer market size or coercive leverage alone; it thrived because Washington offered an institutional vision grounded in mutual benefit and reliable rules. If Washington continues to treat its Asian partners as transactional pawns in a zero-sum struggle with Beijing, it will discover they have other trading partners. America risks economic isolation and strategic diminishment in the century of the Pacific Rim.
The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.
Update 11/2/26: Offer is back on Wells Fargo, AmEx, and U.S. Bank through 11/29 or 11/30. The best version is on Wells Fargo at 15% back, up to $7.50 cashback. (hat Celia)
Update 9/14/26: Offer is back on AmEx, Wells Fargo, and U.S. Bank offers for 10% back at CVS, up to $5 cashback. Valid through September 29th or 30th.
Update 3/13/26: Amex Offer for 10% back, up to $5 this time, valid through 3/29/26.
Update 12/10/25: Capital One offer expired, amex offer still good
Update 12/2/25: There’s a similar offer from Capital One Offers with card-link for 10% back at CVS in-store, up to $10 back. That one ends on 12/8/25. (ht reader RM)
The Offer
Check your AmEx Offers for the following deal:
Get 10% back on in-store purchases at CVS, up to $10 back. Valid for one purchase. Valid through 12/30/25.
Our Verdict
Nice pharmacy savings. Enroll in Rakuten for 2.5% extra in-store cashback. Stack with CVS gift card deals as well. Or you can buy a $100 Amazon gift card or the like from CVS.
For investments help: 9035254332
For business and collaboration: collab@angelinvestments.co.in
For any questions: ask@angelinvestments.co.in
Visit our website:
Subscribe to Team angel investments channel =
—————————————-
Disclaimer:
This video is created purely for education and awareness.
It does not give any buy/sell/hold recommendations, price targets, intraday levels, or trading signals.
The companies, sectors, economic trends, or financial concepts discussed here are only for learning, not advice.
Angel Investments does not provide any unregistered investment advisory, stock tips, or guaranteed return services.
All investments involve risk. Please consult a SEBI-registered investment adviser or your financial professional before making any investment decisions.
This content is independent, research-based, and shared only to help viewers understand finance, business models, and the stock market in a responsible and compliant manner.
Our Free Course 📚
Basics Of Stock Market of Begginers : • (Free) share market complete course in kan…
Fundametal Analysis Course in Kannada : • (Free) Fundamental Analysis course in Kannada
Mutual Fund Course in Kannada : • mutual funds
Business Analysis in Kannada : • Business Analysis
Learnings From the Greate Investors : • Personalities To Learn
Your doubts and My Answers : • QnA
Insurance Series in Kannada : • Insurance
Who actually owns Tata Group? Is it the Tata family, Tata Trusts, Tata Sons, or the chairman? In this video, we uncover the hidden structure behind one of India’s most powerful business groups. From Jamsetji Tata and the creation of Tata Trusts to Ratan Tata, Cyrus Mistry, N. Chandrasekaran and the latest Tata Sons listing debate, we explain where ownership, control and decision-making power actually sit — and how the Tata empire continues even when its most famous leaders are gone.
⚠️ Disclaimer:
This video is for educational purposes only. The views expressed are personal opinions based on publicly available information. Investments are subject to market risks. Past performance does not guarantee future returns.
——————————————-
Gadgets :
Camera 📷 :
Lens :
Mic 🎙 :
Soft box 🔈 :
Light 💡:
RGB :
This Q&A is gleaned from articles published in Enterprising Investor on this subject within the past 100 days. These articles are linked below. This is designed for CFA charterholders, portfolio managers, wealth advisers, and institutional investors, with an emphasis on what is changing, why it matters, and what practitioners should do next.
Stablecoins, CBDCs, and the changing infrastructure of global finance.
The city is working with its boroughs to adapt federal catalogue designs to local rules, although projects would still require site-specific review and approval.
Over the past year, many dividend stocks lost their luster for two reasons. First, higher-growth AI stocks continuously pulled investors away from conservative income stocks. Second, the Fed’s rate hike in September — its first in three years — drove up the yields of safer fixed-income investments and made them more attractive than blue chip dividend stocks.
That pressure might persist through the end of the year, but it’s creating attractive buying opportunities for income investors who plan to hold their dividend stocks for the long term. Let’s look at three dividend stocks that are worth buying with $5,000 (or more) in November: AbbVie(ABBV -2.10%), Johnson & Johnson (JNJ -1.51%), and Medtronic (MDT +1.93%).
Image source: Getty Images.
AbbVie
AbbVie, one of the world’s largest pharmaceutical companies, has raised its dividend annually for 53 consecutive years. That makes it a Dividend King, or a company that has continuously raised its payout for at least 50 consecutive years.
AbbVie’s forward yield of 2.4% might seem low compared to the 10-Year Treasury’s 4.9% yield. However, it still has ample room for future hikes, since it spent only two-thirds of its free cash flow (FCF) on dividends over the past 12 months. It’s also generated a total return of 199% over the past five years, easily beating the S&P 500‘s (^GSPC +0.54%) total return of 77%.
ABBV – AbbVie
$288.70-$6.19 (-2.10%)
NYSE · As of 12:17 PM ET 11/02/26
Past performance never guarantees future gains, but AbbVie’s future still looks bright. Over the past few years, it has offset the loss of U.S. exclusivity for Humira, its blockbuster autoimmune drug, by acquiring companies (including Allergan, ImmunoGen, and Cerevel) and ramping up sales of two new immunology drugs, Skyrizi and Rinvoq.
From 2025 to 2028, analysts expect AbbVie’s adjusted EPS to grow at a 22% CAGR. Those are impressive growth rates for a stock that trades at 18 times next year’s earnings.
Johnson & Johnson
Johnson & Johnson is another Dividend King that has raised its payout for 64 consecutive years. It pays only a 2% forward yield, but it spent just 64% of its FCF on dividends over the past 12 months. It also delivered a total return of 89% over the past five years.
Over the past several years, J&J streamlined its massive business by divesting its slower-growth divisions. Today, it operates two main businesses: Innovative Medicine, which sells pharmaceutical products; and MedTech, which sells medical devices.
JNJ – Johnson & Johnson
$269.09-$4.12 (-1.51%)
NYSE · As of 12:19 PM ET 11/02/26
The Innovative Medicine segment drives most of its growth, and it’s been ramping up its production of new drugs — including Tremfya for autoimmune disorders and Icotye for psoriasis — to offset its loss of U.S. patent exclusivity for Stelara, its blockbuster psoriasis drug. It also owns a diverse portfolio of patent-protected cancer, autoimmune, and cardiopulmonary drugs.
From 2025 to 2028, analysts expect J&J’s adjusted EPS to grow at a 9% CAGR. It’s still reasonably valued at 25 times next year’s earnings, and should remain a popular defensive stock to hold if the broader market pulls back.
Medtronic
Medtronic, one of the world’s top medical device makers, has raised its dividend for 49 consecutive years and is on track to become a Dividend King next year. It pays a forward yield of 3%, and its dividends only consumed 60% of its FCF over the past 12 months.
MDT – Medtronic
$98.40+$1.86 (+1.93%)
NYSE · As of 12:16 PM ET 11/02/26
But over the past five years, Medtronic delivered a negative total return of 5%. Without reinvested dividends, its stock price fell 19%. It struggled with supply chain constraints, inflation, forex headwinds, an uneven recovery in elective procedures post-pandemic, and regulatory challenges in its diabetes unit. It also grappled with quality-control issues and the growing use of GLP-1 drugs, which could throttle demand for certain medical procedures.
However, Medtronic’s future looks a lot brighter. Over the past two fiscal years (which ended in April), its earnings grew again as its component costs normalized, it expanded its higher-growth cardiovascular businesses, and it spun off its diabetes unit as MiniMed(MMED +2.82%).
From fiscal 2026 to fiscal 2029, analysts expect its adjusted EPS to grow at an 8% CAGR. Its stock still looks like a bargain at 15 times next year’s earnings, and it should attract more attention once more investors realize it’s overcoming its previous challenges.
Years ago, I had what I thought was my dream job. I loved the people I worked with. I loved what I was doing.
But if I’m honest with you, that by itself wasn’t enough.
I’ve been thinking about that a lot lately, because I keep hearing a version of it from other physicians. Department chairs. Section chiefs. People who, from the outside, have everything they worked for.
Some of them have the next job on the table. A bigger title at another institution, which means uprooting themselves and their family and moving to a new city. The question they ask me isn’t whether they can get it. They know they can. The question is whether it would be worth it. Whether they’d actually be any happier.
If you’re successful but unfulfilled, you’re not ungrateful, and you’re not the only one. Below is why it happens, what the research says actually makes people happy, and the questions I’d ask before taking the next step up.
Disclaimer: This article is for informational and educational purposes only and does not constitute financial, legal, or investment advice. Any investment involves risk, and you should consult your financial advisor, attorney, or CPA before making any investment decisions. Past performance is not indicative of future results. The author and associated entities disclaim any liability for loss incurred as a result of the use of this material or its content.
It’s not just the talks. Or the speakers. Or the strategies.
PIMDCON, the #1 Real Estate & Entrepreneurship Conference for Physicians, works because of what happens between the sessions.
The conversations. The clarity. The shift.
LEARN MORE ABOUT PIMDCON
Why do successful physicians feel unfulfilled?
Most successful physicians who feel unfulfilled aren’t burned out. They finished the climb they were trained for, and nothing took its place.
Think about how we got here. Somebody handed us a path. Get the grades. Get into med school, then residency, then fellowship. Become an attending. Make partner or get promoted. Run the section. Run the department.
Every rung had a next rung, clearly labeled. Nobody along the way stopped and asked, and then what?
So we climbed, and we got very good at it. That’s what the system selects for: people who can keep their head down and keep moving toward the next thing for twenty years. Somewhere in there, climbing stops being something you do and becomes who you are.
Then one day the ladder ends. You’re the chair. You’re the chief. There’s no obvious next rung, or the next one looks a lot like the one you’re standing on. And it gets quiet.
That flatness is not a character flaw, and it’s not ingratitude. You can be deeply grateful for your life and still feel it. It’s what happens when the goal was the climb itself.
I’ve written before about the arrival fallacy, the belief that I’ll be happy when I get there. This is the next chapter of that. It isn’t “I’ll be happy when.” It’s “I’m here. Now what?”
Is this a midlife crisis?
Partly, yes. And that isn’t an insult.
We turned the midlife crisis into a punchline. The guy who buys the sports car. The one who blows up his marriage. So nobody wants to admit they might be in one. But the pattern underneath it is real, and it isn’t just men. Women go through it too.
The research is surprisingly consistent. Economist David Blanchflower looked at well-being data from 132 countries and found the same U-shaped curve almost everywhere. Life satisfaction drifts down through early adulthood, bottoms out in midlife, and comes back up. In advanced economies, the low point averaged about age 47 (Blanchflower, NBER 2020).
So if you’re in it, you’re not broken. You’re roughly on schedule.
A few things tend to land at once in your forties and fifties. The career goals you set in your twenties are either done or clearly not going to happen. Your kids need you differently, or they’re about to leave. Your parents need you more. And your own body starts reminding you that you won’t be here forever.
For physicians, it can hit harder. We spent our twenties and a good part of our thirties in training. We told ourselves we’d live later. Then we look up, later is now, and we’re not sure we know how.
The sports car isn’t the crisis. It’s a bad answer to a real question: is this the life I want to spend the rest of my time on?
Will a bigger job make you happier?
Probably not for long, and the research on that is pretty clear.
Psychologists call it hedonic adaptation. We get used to almost every positive change. The raise. The new title. There’s a bump, and within months it becomes your new normal, with a bigger baseline to protect.
The classic example is lottery winners. In one well-known study, people who had won between $50,000 and $1 million were no happier than a comparison group just one to 18 months after winning. Job changes follow the same pattern. Managers who switched jobs got a rise in job satisfaction right after the move, and it faded within about a year. Researchers call those the honeymoon and the hangover (Fritz, Walsh, and Lyubomirsky, 2017).
The chairs and chiefs I talk with have already been through that cycle several times. Each promotion was a bump that faded. There’s no reason to expect the next one to work differently.
And look honestly at what the bigger job usually is. It’s the same job description with more of it. More meetings, more politics, more nights answering email. Less time with patients, which for a lot of these physicians was the part they actually loved. Then there’s the cost to the family: a new school for the kids, a new city for your spouse, and leaving the people who’d show up if something went wrong.
None of this is an argument against ambition. Some people should take the job. They should take it because it serves the life they want, not because it’s the next rung and climbing is the only move anyone ever taught them.
What actually makes people happy?
The best long-term evidence points to one thing above the rest: the quality of your relationships.
The Harvard Study of Adult Development began in 1938 and has followed its participants, and now their children, for more than eight decades. Robert Waldinger, the psychiatrist who directs it, says the strongest predictors of who stayed happy and healthy over a lifetime were the warmth and quality of their relationships (KUNC/NPR interview, 2023). Not how many people they knew. Whether they had people they could call in the middle of the night.
That’s uncomfortable for physicians. Relationships are usually the first thing we cut when work gets busy. We miss the dinner. We miss the game. We tell ourselves we’ll make it up later.
When I put that next to my conversations with these chairs, it clicked. What was missing for them wasn’t competence. These are some of the most capable people I know. What was missing was control over their own time and closeness to the people who matter most. Both had slipped, mostly without them noticing.
A bigger job, at a new institution, in a new city, takes more of both.
Questions to ask before your next career move
In those conversations, we talked about titles, institutions, and comp. We never got to the question that mattered most: what do you actually want your life to look like? Not your career. Your life.
These are the questions I’d ask now. Take your time with them, and write the answers down.
What three or four things matter most to you? Not what should matter. Not what your parents or your program director thought should matter. What actually does.
How much of a normal week goes to those things? Not vacation. A Tuesday. Pick a real Tuesday from last month and look at where the hours went.
How much time do you realistically have left with the people you care about? If your parents are in their seventies and you see them twice a year, that’s not a big number. If your kids are twelve and fifteen, the same math applies.
What would you do with the next five years if the title didn’t matter to anyone? If nobody was keeping score.
If your honest answers point toward the new job, take it, and take it with clear eyes. If they don’t, you have your answer too.
Subscribe to receive the 7 Steps you can follow to achieve Financial Freedom
If financial freedom is your goal, there’s no better time to get started than right now.
Unlock actionable steps that you can take every day to fine-tune your goals, discover your interests, and avoid costly mistakes on your financial freedom journey.
Money is a tool, not the scoreboard
Most of us treat money like the scoreboard without realizing it. It’s a tool for the life you want.
What changed my thinking on this is that the window to actually use it is narrower than we assume. There’s a stretch when you have the health, the energy, the money, and the people, all at the same time. For most physicians, that window is open right now, in their forties and fifties. It closes on a schedule nobody controls.
Bill Perkins makes this case in Die With Zero. The idea that stuck with me is that experiences have a shelf life. The trip you take with your kids at 45 is not the same trip at 75. Your parents may not be around for the second one. Your knees may not be either.
So every year spent climbing toward a rung you’re not sure you want is a year out of that window. That’s the real cost. Not the money. The year.
This isn’t about quitting and going to travel. It’s about deciding on purpose. Take the job if it serves the life. Turn it down if it doesn’t. Just know which one you’re doing.
The best season of my father’s life
My dad was a surgeon. He came to this country after medical school, barely spoke English when he started residency, and built a private practice from nothing. After he retired, he did mission work. By any measure, a full career.
I asked him once when the best time of his life was.
He didn’t have to think about it. He said, “When you kids were still at home.”
He didn’t name the year he built the practice. He didn’t mention a title. It was the stretch when the people he loved were under the same roof, and he was mostly too busy to notice.
I think about that answer a lot, especially when I’m tempted to take on one more thing.
So here’s a question to sit with. If you had to name the best season of your life so far, what was actually in it? Who was there? And is what you’re building right now going to give you more of that, or less?
I talk through this in more depth on episode #340 of the Passive Income MD Podcast. If you’d like more of these conversations, you can join the PIMD newsletter.
Were these helpful in any way? Make sure to sign up for the newsletter and join the Passive Income Docs Facebook Group for more physician-tailored content.
Peter Kim, MD is the founder of Passive Income MD, the creator of Passive Real Estate Academy, and offers weekly education through his Monday podcast, the Passive Income MD Podcast. Join our community at the Passive Income Doc Facebook Group.
Disclaimer: I am not a CPA, attorney, or financial advisor. The information in this post is for educational purposes only and should not be construed as tax, legal, or financial advice. Please consult a qualified professional about your specific situation before making any decisions.