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The Radical Idea to Forgive all Student Loans

02.19.18 // Finance

This interesting article in New York Magazine about the proposed economic benefits of forgiving all of the outstanding $1.4 trillion in student loans has been making the rounds recently:

According to the Levy Institute paper, authored by economists Scott Fullwiler, Stephanie Kelton, Catherine Ruetschlin, and Marshall Steinbaum, canceling all student debt would increase GDP by between $86 billion and $108 billion per year, over the next decade. This would add between 1.2 and 1.5 million jobs to the economy, and reduce the unemployment rate by between 0.22 and 0.36 percent.

So, the macroeconomic upside of canceling all student debt would be substantial. The primary (supposed) downsides of such a policy would be a higher deficit, the potentially regressive distributional consequences of debt forgiveness, and (relatedly) the unfairness of rewarding certain well-off borrowers who don’t “deserve” it. Of course, all of these critiques would apply more powerfully to the recently passed tax cut bill. Few people would argue that increasing Harvey Weinstein’s after-tax income was a laudable public policy goal. But no one thinks that we should judge the merits of a tax cut on the basis of whether it rewards any unsavory individuals.

Forgiving $1.4 trillion in debt sounds nuts, but as a convenient near-perfect foil, we instead have a $1.5 trillion tax cut that probably won’t do a whole lot to help anyone who needs it.

The government theoretically profits from the Direct loan program, but the currently rising and soon to be endemic rates of default now predict that the government will start losing a lot of money in the near future.

What most people don’t realize when it comes to the alarmingly rapid rise of student loan default is that the most common culprits are not big borrowers attending expensive private schools (though that happens too, and certainly the need to repay large amounts of debt can be crippling and limits consumption). It’s actually people who borrow less than $10,000. It’s the people, many of whom who never completed a degree program or who received technical training at an unsavory for-profit “institution” like Trump University, who are unable to find the good steady work needed to pay off even a relatively small loan.

As with tax breaks, the biggest winners of the definitely-not-going-to-happen universal loan cancellation would, at least on paper, be high-debt high-income professionals like business school graduates and physicians. But unlike a tax break, not needing to use IDR would result in the same return of 10%+ from every borrower’s income, year after year—a much bigger and likely much more meaningful change, and it would also mean that those who default would finally be able to take steps to rebuild their credit.

Brevity: A Flash Fiction Handbook

02.16.18 // Reading, Reviews

I finally had a chance to sit down and enjoy Brevity: A Flashfiction Handbook by David Galef.

This was particularly fun because:

I’ve published six stories by Mr. Galef in Nanoism, my unusual journal that exclusively features Twitter fiction, the longest running of its kind. Keeping it in the family, I’ve actually published even more (10!) by his son, Daniel Galef.

Nanoism is featured in the chapter discussing microfiction. Galef defines nanofiction in the book basically exactly as I did when I started publishing in 2009: Twitter fiction, stories of 140 characters or less (i.e. teeny teeny teeny tiny stories). As the book includes examples of flash fiction’s many forms and styles, two pieces from Nanoism’s library of almost 800 stories also made it into the book (on page 123).

Aspiring writers of very short stories would do well to check out Brevity in addition to The Rose Metal Press Field Guide to Writing Flash Fiction which came out back in 2009. Good stuff.

Trump hasn’t killed PSLF yet

02.13.18 // Finance

There are a lot of headlines talking about what Trump is doing to PSLF.

But, to be clear, Trump isn’t doing anything to PSLF.

What Trump has done is release a budget proposal, as the sitting president does every year. This proposal is meant to signal policy goals for the administration, but nothing in it is binding. Presidents don’t make budgets; Congress does. President Trump made similar student loan requests for 2018 as he has for 2019, and they were roundly ignored last year. President Obama recommended capping PSLF during his last years in office, and that was ignored as well.

Don’t get me wrong, I don’t think PSLF is going to last forever. It’s going to be much more expensive than the government realized, and pulling out the rug from “rich” doctors may one day prove to be relatively good optics for budget savings.

But, there’s a big difference between PSLF being shuttered in the future (or even next year), and PSLF going away for those are already counting on it.

PSLF is still available, and there’s no reason to ignore it.

Make no mistake, Trump absolutely does want to kill PSLF. However, this is the actual language of the Trump FY2019 budget proposal, and it’s pretty clear that it does not affect old borrowers (emphasis mine):

Reforms Student Loan Programs. In recent years, income-driven repayment (IDR) plans, which offer student borrowers the option of making affordable monthly payments based on factors such as income and family size, have grown in popularity. However, the numerous IDR plans currently offered to borrowers overly complicate choosing and enrolling in the right plan. The Budget proposes to streamline student loan repayment by consolidating multiple IDR plans into a single plan. The single IDR plan would cap a borrower’s monthly payment at 12.5 percent of discretionary income. For undergraduate borrowers, any balance remaining after 15 years of repayment would be forgiven. For borrowers with any graduate debt, any balance remaining after 30 years of repayment would be forgiven.

To support this streamlined pathway to debt relief for undergraduate borrowers, and to generate savings that help put the Nation on a more sustainable fiscal path, the Budget eliminates the Public Service Loan Forgiveness program, establishes reforms to guarantee that all borrowers in IDR pay an equitable share of their income, and eliminates subsidized loans. To further improve the implementation and effectiveness of IDR, the Budget proposes auto-enrolling severely delinquent borrowers and instituting a process for borrowers to consent to share income data for multiple years. To facilitate these program improvements and to reduce improper payments, the Budget proposes to streamline the Department of Education’s ability to verify applicants’ income data held by the Internal Revenue Service. These student loan reforms would reduce inefficiencies and waste in the student loan program, and focus assistance on needy undergraduate student borrowers instead of high-income, high-balance graduate borrowers. All student loan proposals would apply to loans originating on or after July 1, 2019, except those provided to borrowers to finish their current course of study.

“…except those provided to borrowers to finish their current course of study” further supports that students in the middle of the course of study will get grandfathered into PSLF.

So, new borrowers starting in 2019 at the earliest would be part of the new program.

And by new, I mean the US government’s definition of “new,” which really means having no federal loans prior to this date.

So:

  • Current students need not panic.
  • Former students currently in repayment need not panic.
  • Future borrowers who plan to only attend college need not panic (because the new proposal is actually pretty favorable to undergraduate loans).
  • Future borrowers who plan to attend expensive graduate schools like medical school should cross their fingers.

And, none of this matters if Congress does this year what they did last year and ignores the problem. Student debt is a hot-button bipartisan issue. Whatever reform, if any, does get passed is unlikely to look like a carbon copy of the Trump plan.

 

Concussion Protocol

02.02.18 // Miscellany

Shaun King reacting to Josh Begley’s short reverse-highlight reel “Concussion Protocol” in The Intercept:

It’s not a headache. It’s not “getting your bell rung.” You don’t have a bell. It’s a traumatic brain injury.

Amazon Enters

02.01.18 // Medicine

Amazon is now so dominant as a corporate force that even the announcement of a plan to someday enter a new industry is enough to crush stocks.

This happened to Blue Apron last summer after Amazon bought Whole Foods and filed a trademark for a possible meal-kit service a week after Blue Apron’s IPO, whose new stock proceeded to immediately tank.

Now it’s happening to healthcare, as Amazon, Berkshire, JPMorgan partner to cut U.S. healthcare costs:

Shares of UnitedHealth Group Inc (UNH.N), Cigna Corp and health insurer Anthem Inc (ANTM.N) were 4 percent to 7.2 percent lower at the close. Drugstore operators CVS and Walgreen Boots Alliance (WBA.O), as well as Express Scripts, closed between 3 percent and 5.2 percent lower. Drug distributors Cardinal Health (CAH.N), AmerisourceBergen Corp (ABC.N) and McKesson Corp (MCK.N) were off 1 percent to 3 percent. Amazon closed up 1.4 percent.

To be sure, the $69 billion loss in healthcare stock value should rapidly self-correct (unlike for Blue Apron, which does not enjoy a stranglehold on an entire segment of the economy).

But in the announcement, the new venture has zero stated plans outside of using “technology” to reduce costs for their own employees, but they do plan to “share the strategies and technology they ultimately develop to reduce costs for the economy and the government.” It doesn’t matter what Amazon does, just that they plan on doing something.

The fact that Bezos is joined by the biggest bank (JPMorgan) and the biggest non-healthcare insurer (Berkshire) just nicely rounds out the trifecta.

Who knows, maybe they could deign to start by developing a good EMR that also uses standards to make healthcare data completely portable in order to empower patients and reduce confusion, overuse, and duplication. If it’s just Amazon Prime Rx with cheaper mail order prescriptions, I’ll be a bit underwhelmed.

“The ballooning costs of healthcare act as a hungry tapeworm on the American economy,” said Berkshire Hathaway Chairman and CEO Buffett. “Our group does not come to this problem with answers. But we also do not accept it as inevitable.”

Buffet’s still got it.

Mammogeddon: Yes, the conclusion

01.26.18 // Radiology

This is my fourth (and final) post about the little snafu surrounding the mammography portion of the ABR Core Exam last summer.

  • I wrote about what happened here.
  • I wrote about what the response was here.
  • I wrote about the proposed solution here.

Now, we’ll finish with how that do-it-yourself online module went.

Logistically, it went great. By all accounts I’ve heard, people were able to log in from the comfort of whatever chair they were sitting at and take the module. The content was reportedly pretty much as expected for a Core exam mammo section, with the possible surprise for some of the inclusion of physics and non-interpretive skills (which are, after all, folded into every core exam section).

No surprise there, because as you might recall, ABR Executive Director Valerie P. Jackson had told examinees not to worry (emphasis mine):

The ABR has also heard from several residents who are concerned that they now need to completely re-study for the breast imaging module. As the ABR’s executive director, I (Dr. Jackson) personally reviewed the breast questions on the new module to modify any material that might not be visible on a monitor that is not high resolution. Although I am a breast radiologist, I have not practiced any clinical work or studied for an exam in more than three years. I found the content to be straightforward and inclusive of the important breast imaging concepts that candidates will most likely have retained from adequate initial exam preparation. Extensive re-study should not be necessary.

The invitation email went out July 27 and registration closed August 11. The module was offered on September 7 and 18, and the results were available on September 28.

As the make-up module was taken on the honor code, we’ll never know if anybody cheated, but it appears at least that no one was caught. On the plus side, we can applaud the ABR for not trying to install any spyware on examinees. Big brother was not invited to the party.

While the module took place several months after the usual pretest studying frenzy, reviewing the content for just one section, particularly mammography, was a stressful but probably not particularly tall order. I imagine nearly everyone took the section honestly.

Now, if you remember, the amusing part of the entire endeavor is that the ABR has admitted in the past that performance on the mammo module (or any individual section for that matter) essentially does not matter in terms of passing the test. No one has ever failed a single section other than physics in the years since the Core exam was first administered.

So, given several years of history to temper expectations, are the results of the module as expected? Did everyone pass?

Yes and yes.

I actually asked the ABR via email what the results were, and I got the impression that they did not want to tell me the specific truth because after a delay of about six weeks they gave me the default phrasing they love to use when discussing exam results:

In regards to specific details such as passes and fails for the breast category, the results for this breast imaging module were inline [sic] with the results from previous ABR exams.

…which means that everyone passed, which they later confirmed in a follow-up email.

I, for one, do not understand the ABR’s resistance to discussing exam results. For example, while the results for the Core exam are more or less released annually, the results of the Certifying exam have never (to my knowledge) been disclosed publicly (e.g. see the official scoring and results page). One presumes that the most likely explanation is that the certifying exam pass rate is 100% and that the ABR is concerned people might question the necessity and utility of an exam with universal passage (but that they also don’t want to make it hard and anger a bunch of already-practicing radiologists who are doing just fine thank you).

But we’re not fooling anyone here. The issues with both initial certification and MOC are neither unique to radiology nor subtle. Transparency and accountability should be the sine qua non for a medical specialty board. And yet.

Ursula K. Le Guin

01.25.18 // Reading

Ursula K. Le Guin, one of my very favorite writers, passed away this week at the age of 88.

Le Guin was sometimes referred to as a really good speculative fiction author—which is wrong. She was a fantastic writer who happened to mostly write genre fiction. Her meticulously crafted imaginative work set the stage for younger writers like Michael Chabon and David Mitchell to write literary novels that include the fantastic, something readers now take for granted.

A Wizard of Earthsea was one of my first great loves in fiction of any style (though the new cover art makes me sad). The Left Hand of Darkness is really the shining example of what a good writer can accomplish only within the structure of “science fiction.” Ditto The Dispossessed. And The Lathe of Heaven.

Even her manual Steering the Craft was my favorite book on the mechanics of storytelling for many years (and was apparently extensively revised/rewritten and republished in 2015, which means I need to read it again).

The big industry of big pharma ads

01.09.18 // Medicine

From Harper’s January 2018 index:

Amount the US pharmaceutical industry spent in 2016 on ads for prescription drugs: $6,400,000,000

Number of countries in which direct-to-consumer pharmaceutical ads are legal: 2

$6.4 billion? Holy moly, what a depressing figure. Think about how much healthcare that would buy.

In case you’re curious, our partner in crime is New Zealand.

In case you’re still curious, permitting DTC advertising is a terrible idea that can only be satisfactorily explained by the power of lobbying.

Splash Financial is now a true forbearance alternative

01.05.18 // Finance

[Since this was written, Splash shuttered their resident-specific program and LinkCapital shut down entirely]

In 2015, DRB (now Laurel Road) began offering private student loan refinancing to medical residents with a set monthly payment of $100. This was substantially lower than what the calculated payment for any resident would be under an income-driven repayment plan like PAYE or REPAYE but apparently too hard on the budget for a lot of residents who continued to forbear.

Not long after, LinkCapital joined the resident refinance ranks ($75 a month, eligible after intern year), followed by the very recent addition of SoFi ($100/month for up to four years of training). But for anyone who felt like every buck counted, private refinancing was still more costly to the monthly budget than forbearing.

Of course, forbearing is actually by far more costly in the long term because accruing interest grows unabated and then capitalizes while the borrower enjoys exactly none of the many wonderful benefits of participating in an income-driven repayment plan like IBR/PAYE/REPAYE.

To be absolutely clear, most residents should not be refinancing their federal loans. The vast majority of residents should be in REPAYE or—if spousal income makes REPAYE untenable—PAYE. But for those who feel forced to forbear in anticipation of a career in private practice, then refinancing is something really worth taking seriously.

Splash Financial has now made it possible for this subselected group of trainees to shave thousands off their loans painlessly: the required monthly payments during training are a token $1. They offer relatively narrow rate ranges for different term lengths from 5-20 years, so you may not even need to complete the really quick application to know if it’s even worth considering. Note that there’s no autopay discount during the training period.

When Splash first started offering their product last summer, they tacked on a hefty origination fee, which is unusual in the refinancing industry, where no cost-refinancing is essentially standard.  A few months later and they saw the light, nixing the fee. Now the product is a no-fee no-cost alternative that’s competitive with everyone else and the only one that allows for refinancing without the $75-100 monthly payment during training that even the other resident-friendly companies require. You can, of course, pay more per month like any other company (and the more you pay per month, the less you’ll owe later, so that’s highly recommended).

Student loans are a $1.5 trillion dollar industry, and every student loan company has referral programs. Splash’s program offers $500 for loans greater than $100k.

Splash FinancialUnless you are in financial straits now and require loan forbearance but also plan on working at a 501(c)(3) non-profit after training, then forbearance is unlikely to be the right choice for you financially. IDR is the solid option for most people and REPAYE often offers the best rates around for many residents, but that doesn’t apply if you can’t or won’t make the payments. Those just forbearing to free up cash during training probably shouldn’t be forbearing in the first place.

Be aware that with any of the resident refinancing companies the interest accrued during training does capitalize at the end of training, so trying to pay down some of that interest prior to this step is always a good idea.

 

What I read in 2017

12.31.17 // Reading

Putting out my fourth annual reading list means that it’s officially a site tradition. That same year I also started really using Audible, which has been life-changing (no exaggeration) for the commute and chores like laundry. Their current signup promotion is two free audiobooks, which is awesome.

  1. No Country for Old Men by Cormac McCarthy
  2. From Medicine to Mogul by Dr. Draion M. Burch (truly as bad as it sounds)
  3. The Good Creative by Paul Jarvis
  4. Ninety-Nine Stories of God by Joy Williams
  5. Radical Acceptance by Tara Brach (would be a better blog post)
  6. Get Smart by Brian Tracy
  7. The Power of Habit by Charles Duhigg
  8. The Life-Changing Magic of Not Giving a F*ck by Sarah Knight (fun premise wears out gradually)
  9. Chaos Monkeys by Antonio Garcia Martinez (funny, scathing view of silicon valley; great audiobook)
  10. Gateway by Frederik Pohl (awesome classic; swept every SF award back in 1978)
  11. The One Thing by Gary Keller (big bestseller but really a great one-liner that completely falls apart. Summary? Focus on one thing to get better results)
  12. The Best Small Fictions 2015 (one of the Nanoism stories I published and subsequently nominated made it into this anthology, which was awesome)
  13. Fantastic Beasts and Where to Find Them by J. K. Rowling
  14. Perfect State by Brandon Sanderson
  15. Algorithms to Live By by Brian Christian and Tom Griffiths
  16. Deep Work by Cal Newport (literally one of the only self-help books I think is actually really worth reading. Newport is a CS professor and just gets it.)
  17. How to Create a Mind by Ray Kurzweil
  18. Physicians: Money for Life by Dennis Postema (so bad)
  19. Spark Joy by Marie Kondo (you might be better off re-reading the original)
  20. Norse Mythology by Neil Gaiman (The only decent treatment of the Norse canon outside of Marvel comics?)
  21. Neverwhere by Neil Gaiman
  22. Spaceman by Mike Massimino (the audiobook is narrated by the author; being in space sounds fascinating)
  23. When the Air Hits Your Brain by Frank T. Vertosick Jr.
  24. On Writing by Stephen King
  25. Anansi Boys by Neil Gaiman
  26. Elon Musk by Ashlee Vance
  27. The Great Courses: Money Managing Skills by Michael Finke
  28. Smoke Gets in Your Eyes by Caitlin Doughty (about the mortuary business, odd stuff)
  29. Rising Sun by Michael Crichton
  30. Alcatraz versus the Evil Librarians by Brandon Sanderson
  31. The Coaching Habit by Michael Bungay Stanier
  32. Getting Started in Consulting by Alan Weiss
  33. Till We Have Faces by C. S. Lewis
  34. Steal Like an Artist by Austin Kleon
  35. Starman Jones by Robert A. Heinlein (this was what YA looked like in 1953)
  36. Texts from Jane Eyre by Mallory Ortberg
  37. Option B by Sheryl Sandberg and Adam Grant (I thought this was an important read)
  38. Armada by Ernest Cline (fun—not as good as Ready Player One, but you could tell that going in. Wil Wheaton does a great narration on both)
  39. A Gathering of Shadows by V.E. Schwab (Shades of Magic #2)
  40. A Conjuring of Light by V.E. Schwab (Shades of Magic #3—great trilogy)
  41. The Left Hand of Darkness by Ursula K. Le Guin (best speculative fiction writer of all time?)
  42. The Five Love Languages by Gary Chapman (obvious insights that yet no one implements effectively in their lives)
  43. Why Not Me? By Mindy Kaling
  44. The Subtle Art of Not Giving a F*ck by Mark Manson
  45. The Doctors Guide to Eliminating Debt by Cory S. Fawcett
  46. The 7 Habits of Highly Effective People by Stephen R. Covey
  47. 10% Happier by Dan Harris (makes you want to do a 10-day vipassana meditation retreat)
  48. White Sand by Brandon Sanderson
  49. The Doctors Guide to Starting Your Practice Right by Cory S. Fawcett
  50. Stephen Colbert’s Tek Jansen by people other than Stephen Colbert
  51. Thinking, Fast and Slow by Daniel Kahneman
  52. Practice Perfect by Erica Woolway, Doug Lemov, and Katie Yezzi
  53. The Achievement Habit by Bernard Roth
  54. Nimona by Noelle Stevenson (graphic novel and national book award finalist)
  55. Off to Be the Wizard by Scott Meyer
  56. The Geography of Genius by Eric Weiner
  57. Things Might Go Terribly, Horribly Wrong by Troy DuFrene and Kelly G. Wilson
  58. I Will Teach You to Be Rich by Ramit Sethi
  59. Rest by Alex Soojung-Kim Pang
  60. The Lightning Thief by Rick Riordan
  61. The Collapsing Empire by John Scalzi
  62. Goodbye, Things by Eriko Sugita
  63. Barbarian Lord by Matt Smith
  64. Pilot X by Tom Merritt
  65. Astrophysics for People in a Hurry by Neil deGrasse Tyson
  66. Artemis by Andy Weir (fun—not as good as The Martian, but you could tell that going in. On the plus side, the audiobook is narrated by Rosario Dawson)
  67. Scythe by Neal Shusterman
  68. Rendezvous with Rama by Arthur C Clark (won the Hugo and Nebula back in 1973; I read this as a kid but it almost felt new again)
  69. On Power by Robert Caro
  70. The Fountains of Paradise by Arthur C Clark (the space elevator! won the Hugo and Nebula back in 1979)
  71. The Doctors Guide to Smart Career Alternatives and Retirement by Cory S. Fawcett
  72. Ubik by Philip K Dick (Do Android’s Dream of Electic Sheep [i.e. Bladerunner] may be Dick’s least weird book. Ubik is definitely not—it’s very very odd.)
  73. Holidays on Ice by David Sedaris
  74. The Mongrel Mage by L. E. Modesitt Jr. (I have a soft spot for the Recluce series and its magic of order and chaos since I started reading them as a kid. That said, his editor needs a much heavier hand. If you could Find+Replace every instance of the word “sardonic” out of the book it would instantly be pages shorter.)
  75. The Daily Stoic by Ryan Holiday (one translated passage of ancient stoic philosophy per day for a year)

The only classics I read this year where classic SF novels from the 70s. Oops.

As a doctor who writes, I try to read most of the books written by docs for other docs. I think I’m going to stop soon.

As research for the site and my second book, I’ve also now read pretty much every book on “physician finance.” These are mostly terrible, and I hope I’m mostly done with that subgenre forever.

The self-improvement/lifestyle stuff is also mostly background for some future site writing and as a genre is really fluffy. Of the lot, Deep Work by Cal Newport was definitely my recent favorite. Even then, one of the issues with literally everything ever published in this vein is that the vast majority of it can not/does not apply to doctors (at least outside of those with substantial academic time) or anyone who is forced to bill time for money instead of creating an outcome, product, or other deliverable. Every book is really talking to creative professionals, “entrepreneurs,” and cubicle drones.

My copy of Brandon Sanderson’s Oathbringer just arrived, so that’s going to need to happen early in 2018 for sure.

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