YFP 266: How One Pharmacy Entrepreneur Started a Keto-Based Medical Practice


How One Pharmacy Entrepreneur Started a Keto-Based Medical Practice

Dr. Jodi Nishida shares what significant health event led her to a keto-based diet, why she saw an opportunity to launch her business and keto-based practice, and lessons she’s learned through helping over 1500 patients with medically-guided keto as a pharmacy entrepreneur.

About Today’s Guest

Dr. Jodi is a Doctor of Pharmacy and accredited Metabolic Healthcare Practitioner who’s been in healthcare for over 25 years. After experiencing the ketogenic lifestyle’s effect on her own autoimmune condition, she decided to build a keto-based medical practice so others could benefit from it, too.

Over the last few years, she’s helped over 1500 patients realize the benefits of clean, medically-guided keto.

With certifications in ketogenic nutrition, cardiovascular disease management, pharmacogenomics, and medication management, she works closely with each and every patient to tailor keto to their medications, medical conditions, lifestyle, and socioeconomic situation. She is also in training for processed food addiction recovery as this is America’s true pandemic.

Episode Summary

This week, YFP Co-Founder & CEO, Tim Ulbrich, PharmD, is joined by Dr. Jodi Nishida, a Doctor of Pharmacy and accredited Metabolic Healthcare Practitioner who’s been in healthcare for over 25 years. They discuss a significant health event that led Dr. Jodi to a keto-based diet, why she saw this event as an opportunity to start a keto-based practice, and the lessons she has learned through helping over 1,500 patients with medically-guided clean keto.

Dr. Jodi talks about her diverse experience as a pharmacist and the impact that stress had on her health in a retail role. Upon leaving the retail space due to stress and its effect on an autoimmune condition she developed, she found keto by chance when looking for solutions for a family member who had experienced a health event. In support of her family member, Dr. Jodi started a keto diet.  After seeing her condition go into remission, she knew she had found something, if done correctly, could benefit others. Through meticulous planning, including building up her emergency fund, Dr. Jodi started her business – now the first cardiometabolic clinic in the state of Hawaii – with the annual goal of helping her patients collectively lose 10,000 lbs. and come off of 300 medications. Listeners will hear about her business challenges to date, and what success looks like for Dr. Jodi in the next five years.

Links Mentioned in Today’s Episode

Episode Transcript

[INTRO]

[00:00:00] TU: Hey, everybody. Tim Ulbrich here, and thank you for listening to the YFP Podcast, where each week we strive to inspire and encourage you on your path towards achieving financial freedom. 

This week, I had the pleasure of sitting down with Dr. Jodi, owner of The Keto Prescription. During the show, we discussed what significant health event in her own life led to pursuing a keto-based diet, why she saw an opportunity to launch her own business and keto-based practice, and the lessons she has learned in launching and growing her business, where she has helped over 2,000 patients realize the benefits of clean, medically-guided keto. 

Before we jump into the show, I recognize that many listeners may not be aware of what the team at YFP Planning does in working one on one with more than 250 households in 40-plus states. YFP Planning offers fee-only high-touch financial planning that is customized to the pharmacy professional. If you’re interested in learning more about how working one on one with a certified financial planner may help you achieve your financial goals, you can book a free discovery call by visiting yfpplanning.com. Whether or not YFP Planning’s financial planning services are a good fit for you, know that we appreciate your support of this podcast and our mission to help pharmacists achieve financial freedom. Okay, let’s jump into my interview with Dr. Jodi. 

[INTERVIEW]

[00:01:17] TU: Jodi, welcome to the show.

[00:01:19] JN: Thank you. Thanks for having me.

[00:01:21] TU: Well, I’m really excited for this interview. Cory Jenks, a friend of YFP, a guest on the podcast episodes 134, 196, we’ll link to those in the show notes, connected the two of us, and I’m excited to have our listeners hear about your career and your entrepreneurial story. So before we get into all of that, tell us about your background, where you went into pharmacy school, when you graduate, and what ultimately drew you to the profession.

[00:01:46] JN: Yeah. Well, I graduated from USC, University of Southern California. This was way, way back in 1996. I’m actually pretty old compared to you guys, and I did all of my schooling there. I did my residency out there in LA as well. I was just drawn to the profession because anything in medicine that didn’t require me to have to look at anything too gross or cut anyone open is what I was pretty much interested in.

[00:02:15] TU: It reminds me of my journey into pharmacy. I had a guidance counselor. I said, “Hey, I love science, love math. I don’t want to see blood, so point me in the right direction,” right? That was in part how I got down the path of pharmacy. Let’s jump in to 2011. You’re working at big box retail pharmacy in Hawaii, where you currently live. Tell us about your experience working there, and what happened at that moment in your life and in your career that really led you to be reliant on medications, and we’ll tie that to the work that you’re doing now.

[00:02:46] JN: Yeah. It takes a special person to work retail pharmacy, in my opinion. I give them so much props because it’s a grind, as so many of you out there know. I had a horrible boss. She was a little crazy. I’m going to be honest. I was just – It was very soul-crushing for me. Working in retail pharmacy, it’s so busy and it’s just – I didn’t enjoy it at all. 

I was going through some stuff with my family, my parents, single parent, and just at work I was miserable. My health was deteriorating pretty quickly, and I got diagnosed with psoriatic arthritis. It literally was interesting because I woke up one day with it pretty much from head to toe. They say that because it’s autoimmune, it’s triggered by stress. So just all of these storm of events combined that happened at one time really is what led me away from retail pharmacy, really just to fix my health and reduce stress. 

I did spend a little bit of time in Big Pharma. I actually did spend four years in pharmacogenomics and then by chance discovered keto, the keto diet. 

[00:04:13] TU: Tell us about that discovery of what happened. We’ll talk a little bit later about what exactly is the keto practice, the model, and what you’re employing with patients. I think there’s a lot of preconceived notions out there about keto, and we can dig into some of that. But how did you get introduced to keto in that moment, which had become so critical, 

not only to your personal journey in your health, but also to the work that you’re doing now? What was the introduction to keto? Where did that come from?

[00:04:40] JN: Yeah. One of my first degree relatives actually had a massive heart attack and almost died. His LAD, his artery was 99% occluded. Just in casually mentioning it to a colleague who’s a pediatric neurologist, he was like, “Dude, you should put your dad on keto.” I was like, “What’s a keto? I hadn’t even heard of it.” He goes, “I know how you are.” He goes, “You should research it.” 

That just sat me down the whole rabbit hole. I mean, YouTube, books, everything. As I was doing my own learning, it was interesting because all of these things that I had learned in school way back when it started to resurface, and it made me realize like, “Oh, my gosh. We are completely practicing medicine backwards.” Just the whole western model of do labs, look at a number, write a prescription, right? 

There’s not a lot of thought into that outside of, “Okay, am I going to use atorvastatin or simvastatin?” You know what I mean? Like that’s the degree of thought that goes into medicine right now. So I decided in that moment that I was going to try the keto diet. I was going to put my relative on it as well and do it together to support him. In doing that, my autoimmune condition completely went into remission. Where I had been injecting myself weekly with Enbrel for 13 years, I was now completely off of it, and it was just mind-blowing for me. 

[00:06:11] TU: It’s interesting when you say, Jodi, do labs, look at a number, write a prescription. I was reflecting on this recently because I think for all the modern revelations that have come from medicine, which is incredible, and you worked in the industry. You know a lot of the research and development was done, and the advances that have been made over the last 75 years and much shorter is really, really incredible. 

But I think we have forgotten about all of the time before any of that even happened. I think one of the things that I’m learning more and more in my journey, and I think keto here’s a good example, are the principles of keto or looking at other cultures in medicine and how there’s thousands of years of experience. When I think about the PharmD training and folks that are in school for six or eight years, we get very little, if any, on the foundation prior to some of the first medications in the 1900s. 

We get a whole lot and, obviously, the advancements that have come in the last century, which have played a very, very critical role. But I think we often may be blind to some of those other opportunities and open to some of those other opportunities for how we may look at treating conditions. You mentioned kind of a backwards approach of do the labs, look at the number, write a prescription. 

When you say keto, help me. I’m a person that I would say is probably lay understanding of keto. I’ve dabbled a little bit in keto diets and books, and I have found some of the science fascinating. But I have found there’s a lot of opinions out there. There’s a lot of definitions about carb intakes and monitoring the values. Like when you say a keto-based diet, tell us more. What do you mean by that?

[00:07:49] JN: Yeah. So let’s quickly differentiate. Most of what you see on social media I would call dirty keto or lazy keto. It’s like tons of bacon, huge burgers. Everything is covered in cheese. That, in my professional opinion, is actually not keto. So the definition of keto is a low-carb, moderate protein, high healthy fat diet. Healthy fat does not include eating a lot of cheese. The problem is that everyone is getting these ratios wrong of the carb, the protein, and the fat on their plate. So it’s giving keto, which – 

I mean, I see it every day in my own private practice, is it has the power to literally reverse so many medical conditions from head to toe. It’s important that the right messaging about the diet get out there, and that’s why organizations like the one Cory Jenks and I belong to is on the leading edge of helping to define and validate this as a legitimate medical approach because it works. It really works.

[00:09:00] TU: So I find it really interesting that it’s one thing to try something in your own health or for the health of a family member, as you mentioned, to help keep them accountable and support them as well, and to see the positive impact and effects. It’s another thing to kind of share that story and that word with other people, get them excited. It’s a whole another level to say, “Hey, I’m going to make a business out of this. I’m going to start a practice, and I’m going to begin to really implement the transformation I’m having in my own life, but also be able to help serve other folks.” 

It’s another, I think, great examples. We’ve shared other stories on this podcast of pharmacists that are using their degree in somewhat of a nontraditional way. But one of the things I’m really passionate about is that the PharmD is an entry point to many, many, many, many different pathways and opportunities. I think you’ve built out a really unique niche in practice. My question for you is what led you to make that transition from, “Hey, this is really having a positive impact in my own life,” to, “I’m going to take a huge step forward and actually start my own practice.”?

[00:09:59] JN: Yeah, which at my age, I’m 49 this year, that’s a risky thing. It’s a huge career pivot. Long story short, I started making these videos on Facebook about keto, how to do keto. What I did was I did 30 live videos in 30 days. It was like a contest that I was a part of, and I decided to do keto as my topic. I amassed like a pretty big following in that 30-day span. As people started messaging me and asking questions, that’s what made me realize like, “Wow, I think there needs to be an actual like keto clinic.” 

Luckily for me, I’m out in Hawaii. If people don’t know that, it’s a smaller place. I’ve been in different facets of the healthcare industry for many years out here. So I know a lot of the right people, and I met with the head of Blue Cross Blue Shield Hawaii, and I said, “Hey, this is what I want to do. But I’m a pharmacist, and we are not recognized as providers out here. How do I do this legally?” 

They literally sat down with me one day and helped me figure it out. Really, all I needed to do is partner with an MD, right? So I could bill incident to this physician, write up a collaborative practice agreement, and I got picked up. So just through word of mouth, people mentioned it to this one GI doctor who I’m no longer with, but that was how the whole thing started. Now, I’m with a cardiologist, and she is amazing. Like she has really embraced it. We just sent out a flyer to all the docs in the state of Hawaii that we are Hawaii’s first cardio metabolic clinic, and we’re using the keto diet to basically reverse metabolic syndrome in patients. It’s a win-win win-win all the way around.

[00:12:01] TU: So the business model there is partnering with a physician. You mentioned first an intestinal doc, now with a cardiologist, incident to collaborative practice agreements. You don’t need to share details, but I’m sure there’s some type of revenue share with incident too. You look at overhead expenses, other things at the clinic. But you’re operating in tandem with a physician incident to collaborative practice agreement. Is that right?

[00:12:26] JN: Yup. That’s the model. I mean, just I think pharmacists should know this because our pharmacists’ association out here, I am co-chair of our government affairs committee this year, and we are introducing a bill into our legislative season at the beginning of next year to be recognized and reimbursed as providers in the state of Hawaii. We’re using my clinic as one of the main examples of really the depth and the breadth of what pharmacists are trained to do clinically and how in something like diabetes, we make such a huge impact because only my clinic in the entire state is reversing diabetes. I tell people I don’t manage diabetes, When you come to see me, we’re going to reverse that sucker. Do you know what I mean? I don’t play around with that, so yeah. 

[00:13:17] TU: Well, the audacious goal and the vision behind that. So that relationship with Blue Cross Blue Shield is you become all that more important, as you guys are able to move that provider status stuff forward.

[00:13:28] JN: Yeah. So that, hopefully, and you know what happens is the insurance companies will deposit my reimbursements into the cardiologist’s account, and all she needs to do is cut me a check for that. It’s pretty straightforward.

[00:13:41] TU: So I don’t want to gloss over. I talk with a lot of pharmacists that have really cool ideas. It could be for a side hustle. It could be for an aspiration of a business. Or it could be a product or service-based thing. But very few actually start, and I always talk with individuals about we get paralyzed in the big vision. We get overwhelmed. There’s fears. There’s insecurities, whole lots of reasons of why. But very few are willing to take that first step to say, “Hey, I’m passionate about this, and I’m going to see where it goes, and it’s okay that there’s some unknown territory ahead of me.” 

When you say, “I put myself out there. I did 30 videos in 30 days. I met with Blue Cross Blue Shield,” like those are a big deal, right? So my question for you is what led you to the mindset? What led you to the willingness to take those steps? You mentioned, yeah, in your opinion, it was somewhat of a risky move. Knowing that, hey, maybe this succeeds, maybe it doesn’t succeed, like what allowed you to have that motivation and to take that step forward or those first few steps forward?

[00:14:48] JN: Well, of course, it was my own experience with the keto diet and what it did for me and having the ability to tell that story. Because of all the videos I had done on Facebook, this was five, six years ago, and people taking my advice or just I was saying don’t eat this, try to eat these things. Then I was getting all these testimonials through DMs of girls who had been deemed infertile are all of a sudden pregnant because they took the advice that I had shared and all this stuff. I started to see how much this would impact people. 

Then it’s, of course, thinking it through, having mentors, right? What are the pros and cons? What is this going to cost me? Then having a basic business plan is really important too because you’ve got to understand the risks. I’m going to be honest with you. I was doing pharmacogenomics at the time, which I loved, by the way, that. I can’t wait to start doing that in my office too eventually. But I was doing really well, and I put away enough money in the bank to cover my mortgage and all of my expenses for 12 months. I made sure I had that in the bank before I did this, just in case it didn’t pan out. 

[00:16:14] TU: I’m so glad you bring that up because, obviously, this is a financial podcast, and one of the things I like to ask aspiring entrepreneurs or folks that are looking to make this transition is I think for many pharmacists, good reason could be debt loads. It could be other expenses and things. Or there’s somewhat of a golden handcuff of being able to take a “risk” and make a transition. So that was your strategy, 12 months of savings. Give yourself some cushion so that you could really approach the business with confidence. Is that right?

[00:16:42] JN: Yeah. Because when you’re now billing insurances, and you’re working through all the medical billing, and Medicare doesn’t reimburse right away. Sometimes, it takes three months. Like these are all the things that you have to think that pharmacists don’t realize because if you’re not functioning and billing as a provider, and you work in a salaried position with benefits, you would never realize that. So there’s just a lot of pieces too to think about. 

It’s interesting because Low Carb USA, they also go by the Society of Metabolic Health Practitioners, they have their annual conference every August in San Diego. The talk that I’m giving on stage this year is the four pillars of a successful low-carb clinical practice. Honestly, Tim, my hope is that a lot of pharmacists think about attending this conference or attending it at some point in their career because this model of PharmD is working with MDs in the low-carb space, and MDs are looking for PharmDs to partner with. It’s like one of the greatest segways that we can get into to get out of the pharmacy and get into clinical practice. 

Like I was saying earlier, I graduated a long time ago, and I’m dealing with every disease state medical condition from head to toe now. It was amazing how much of what I had learned came flooding back. You know what I mean? Just in diabetes management and all of that. I tell people that I’m the luckiest pharmacist in the world because I have the opportunity to use every single skill that I learned in all of my schooling and all of my residency in my own business now and the ability to help so many people. So it’s a lot of fun. 

[00:18:38] TU: Transformative impact on others, right? I mean, that’s awesome. Pharmacists love frameworks. So your four pillars really resonate with me. I think that partly why I asked you the question of what led you to take those first steps is that even when there’s a strong motivation, often we want something a little bit more. So a few things you said that really stood out to me, number one is that strong why and motivation. You mentioned your personal experiences, that sense of obligation to serve and help other people. 

The second thing I heard you say was really some mentors that could be a sounding board, that could provide guidance and I think probably some accountability. That was there as well. Then the third thing was really having a strong business plan to be able to understand. Moving this from idea to projections is a really important step, right? Because I think we can all become somewhat naive and optimistic about our idea, but rubber meets the road in the Excel document. 

Pairing that with mentors to say like, “Where did you come up with this number? That sounds great but like how are you actually going to generate that kind of revenue? Oh, okay. I got to get a level deeper, a level deeper, a level deeper. Well, what’s that going to look like cash flow for the next – Oh, I need to have some cash flow saved up because of delays of billing insurance.” I mean, these are the things that for folks that have an idea, so much wisdom there in what you shared. 

I want to come back to the importance of a strong why. I wrote a blog article recently, talking about how your why has to be greater than your motivation. You why has to be greater than your motivation because there are days, weeks, seasons in business when things are going to be up and things are going to be down. I really believe the why is the anchor, and I’m looking behind you, as we’re recording this, and you have a sign up that said, “Our patients will lose 10,000 pounds and stop 300 medications in 365 days.” That’s incredible. I mean, that is a guiding anchor of what you’re doing. How important is that vision to you to motivate you to keep going during those seasons that might be challenging?

[00:20:40] JN: Yeah. That’s my annual mission statement. It’s always my goal every January 1 for the last three years. I’ve come very close every single time, and it’s okay if I don’t hit it exactly, right? I mean, shoot. Last year, I think we did 8,800 pounds collectively and 265 medications. But when you look at those metrics compared to what you see in every other medical practice out there, this is the type of data that the payers are going to need someday to see the value that our profession brings.

So kind of back to why statement, it’s not only about what this can do for patients. I’m also personally working very hard to transform our profession because I think if we don’t, it’s going to die out pretty quickly. It’s a very pivotal time right now for pharmacists. So I allow pharmacy students to rotate through my clinic. They do rotations. Something – You’re talking about framework and pillars. If there’s a word of advice I could give to a lot of the younger pharmacists out there is pharmacy can be very siloed. You’ve got MDs. You’ve got lab. You’ve got your pharmacists. You’ve got nursing. A lot of times, these silos don’t talk to each other. 

You have to be that pharmacist that knows how to go out and network. Very honestly, it was time I spent in Big Pharma in different positions that taught me how to do that. That came in so handy when I was thinking of starting this clinical practice. Having the ability to bounce things off of all of these different areas of specialty in health care and having connection is such a critical part of being able to move forward because you’ve got to get buy in. You’ve got to get buy in from key people. 

[00:22:43] TU: That’s right. Yeah. Building alliances, having physician advocates, having relationships with payers, having folks that can help speak on your behalf. So when you’re introducing a bill in Hawaii, you’ve got physician advocates that are speaking to that. So I’m really hearing two big buckets of what you’re working on. One is the practice, the business, helping individual patients. Then the other is really the impact on the profession and really elevating what pharmacists can do as providers. Sure, that helps the business. But ultimately, that expanded scope is going to allow for expanded services and a greater impact on patients.

My question for you is how important has your involvement been? You mentioned a role in the state association. How important has your involvement been in the state association and that work in terms of the connection to what you’re trying to build and do in a practice? Because I think we’ve lost some of the juice behind the value of associations, and I am able to sit firsthand on the leadership team of the Ohio Pharmacists Group and really see the value at the state level. So I’m curious to hear your perspective there as well.

[00:23:51] JN: Oh, man. I envy you. You’re with Ohio because you got a lot of great things accomplished out there. Hawaii is so far behind, and we are a dying association out here. I’m going to be very honest with you. What we’re working on this year for the next legislative session, and really at the end of the day, it always boils down to just three of us that are doing the brunt of the work and me calling on every representative and senator in the state that I’ve known or grown up with. Again, it’s that networking thing, partnering with professional organizations like the American Diabetes Association, to get their testimony of support at the right time, beginning of next year. 

All of this is so intertwined. It’s fascinating to me. If we don’t fix it, I fear what’s going to happen, and it’s so interesting because I see a lot of this where we’re on our monthly call, and it’s that problem where the hospital pharmacists only know hospital pharmacy things. The community pharmacists only know community pharmacy things. But they don’t necessarily know people outside of that. So we keep hitting this wall, and I think it’s because I took such an unconventional path in my career that I have all of these connections, and I know who to talk to, at least, if we’re trying to figure out how to do something. 

I would strongly encourage people to just get out of the pharmacy. Get out of the pharmacy. I love what you’re doing, by the way, your podcast. You’re really good at it. 

[00:25:31] TU: Oh, thank you. Thank you. 

[00:25:33] JN: To get people to think beyond counting pills and doing IVs is so important because we’re poised. I don’t know if our pharmacists realize how perfectly poised we are right now to make a giant pivot. But we have to collectively do this. It can’t just be three of us. Do you know what I mean?

[00:25:56] TU: Absolutely. Yeah, we have more than 300,000 pharmacists across the country that are positioned in every community across the country that is trusted by the – We are perfectly positioned to have a grand impact on the health and outcomes of the country. I think your comment about being able to kind of get out of our silos is so important because at the end of the day, like we need to talk with the payers and the legislators with one voice, right? We can’t be having a conversation with a payer or legislator about this from a community pharmacy, this from a hospital pharmacy. We’re not big enough to start to splice and segment those things. We have to have one voice of what we’re trying to advance and do for the population. 

Obviously, when it comes to the payer perspective, can we advance the outcomes and the work that, obviously, you’ve been able to do in your own practice? So 8,000-plus pounds, I heard you say in this past year, 250-plus meds that you’re able to prescribe. What does that look like in terms of number of patients that you’ve touched? I’m trying to get a scope of what the week to week, year to year looks like. How many patients have you reached through the clinic that you’ve established?

[00:27:04] JN: Yeah. So in just under three years, I’ve now seen over 2,000 people. I see roughly 40 to 50 patients a week. I try not to work more than four days a week in clinic. The reason why is because I’m dealing with food and eating behaviors and a lot of food addictions because sugar is in everything now. I do quite a bit of psychology in each appointment, whether I want to or not. After 14 patients in a day, which doesn’t sound like a lot, but it’s a lot. 

[00:27:36] TU: That’s a lot. 

[00:27:36] JN: It can be very draining. So my average day is 12 to 14 patients, and it usually takes about six appointments for me to teach them everything. Really, the people that come to see me, they are like ready to make a change. A lot of them have already had gastric bypass surgery. A lot of them have gone through different weight management programs, and they’re ready. They get it. That’s why through my social media outlets, I’m very thoughtful, and I’m very intentional of the words that I use and the vibe that I put out because it’s only those types of patients that I’m trying to attract. My saying is I don’t want lazy and I don’t want crazy. Those people can go somewhere else. I want the people that really want to change their health. 

[00:28:25] TU: Yeah. It reminds me of the readiness to change spectrum that we all learned about in pharmacy school, right? Whether it’s weight loss, tobacco cessation, there has to be a readiness and a mindset. Obviously, you’re helping to facilitate that change there as well. What has been one of the more challenging or a couple of the challenging things of running and growing your own business? 

If you think about the scope of things from you’re setting up cloud practice agreements, you’re working with payers, you’re trying to figure out the financials of growing the business, the referrals, provider relationships, your own mindset as a business owner, what has been one or two of the most challenging things as you’ve grown your business?

[00:29:05] JN: Oh, man. I already know the answer to this. Okay, the first thing is, you guys are going to love this, two doctors who run weight loss clinics filed a formal complaint against me with the state of Hawaii that what I’m doing is fraudulent because I am not allowed to call myself doctor. I am not a doctor, and so I guess they were so threatened by what I was doing. 

[00:29:32] TU: I was going to say fear anyone fearful.  Yeah. 

[00:29:35] JN: Yeah. So that sucked because I had to – Luckily, I have a great attorney and just having to put all the dots. I mean, come on. Like we’re PharmDs. They were so upset that I was on social media. My patients, they call me Dr. Jodi, and I like Dr. Jodi, instead of Dr. Nishida. To me, it’s less formal. If feels more personal. So that was the first thing that really kind of threw me, and my attorney laughed. He goes, “Well, Jodi. This is how you know you’re doing something right because if –”

[00:30:09] TU: That’s right. 

[00:30:10] JN: Yeah. If no one’s paying attention, that means you’re not making an impact. The second thing that happened that I want, hopefully, people can learn from this, is that first doctor I mentioned, the GI doctor that I partnered with, he ended up stealing over $50,000 of my reimbursement. So the incident to billing model is they deposit it in his account. All he has to do is write a check. Well, he stopped writing checks and was really such a jerk about it because – This guy makes like 2.5 million a year. 

I remember, he looked me in the eye day and he goes, “What are you going to do? Sue me? You can’t afford it. I have all your money.” But if that didn’t happen, if that hardship didn’t happen – Remember now, luckily, I put enough money away in the bank for one year, and that floated me during this very difficult time. That led me to the cardiologist. So everything happened for a reason. But that’s a valuable lesson, and that’s why I’m working so hard on getting us that provider status here is so that it doesn’t happen to anyone else.

[00:31:24] TU: Yeah. What’s really interesting, and I want to call out for a moment, is your mindset through that difficult situation, right? Because I think that someone could look at that and say victim and tap, right? I say for 12 months, and I was going to start this business, and here I am this first big challenge. You know what? Like I’m just not cut out for this. This isn’t going to work out. I’m just going to fold it in, get my paycheck back, and keep moving. 

So I think the financial foundation helped you be able to weather that storm. But despite those funds in the bank, you also had to have the resilience through that scenario to say, “My mission and my why is greater than my motivation and the situation that I’m going through in this moment,” right? Because you knew that you had a bigger mission to serve and, ultimately, patients to take care of.

[00:32:13] JN: It’s not just me, right? As pharmacists, we tend to focus a lot on medications. But our value and actual disease state management and what we do for people’s lives, I think we lose sight of that so many years after we graduate. But we can’t do that because we’re really good at what we do, whether we realize it or not. You’re not going to realize it in retail pharmacy very often. But if you can find these little niches, we are so valuable. I mean, really, we are.

[00:32:46] TU: So, Jodi, if we fast forward to 2027, five years from now, right now, you’ve got this bold vision. You’re obviously making great progress towards 10,000 pounds, 300 medications that you’re going to stop. What does success look like for you five years from now, as you continue on this journey?

[00:33:03] JN: Honestly, I also do a lot of restaurant collaborations here in Hawaii. So I help them keto-fy menu items. 

[00:33:10] TU: Oh, that’s cool. 

[00:33:11] JN: Yeah. Or have a keto section. For me, that’s the real fun part of what I do outside of the office. I really would love to have my own little keto cafe. It’s more so like I can just hang out there too. But I think it would go really well, and I think I’ve built enough of a brand and reputation out here. But that would just be something fun. So the clinic aspect, growing that, bringing more PharmDs on board, number one, so that I don’t have to be in the office all the time. Then I can build this additional thing as well, which is a dream for me.

[00:33:49] TU: I love that and, obviously, the advocacy efforts you mentioned, being able to train up the next generation of pharmacists on this podcast. I know you’re going to motivate others that are out there to consider options in their own journey as well. So I love that. If you get the keto cafe up and running, I’m making a trip out to Hawaii. 

[00:34:05] JN: Please, yeah. Come out. 

[00:34:06] TU: Count it. I’ve never been, so this will be my first trip out there. 

[00:34:10] JN: You got to come out. 

[00:34:12] TU: Well, this has been fun. You’ve been an inspiration to me, and I’m so glad Cory connected the two of us. Where can folks go to learn more about you and to follow your journey?

[00:34:22] JN: Yeah. My website is theketoprescription.com. I’m on Instagram @theketoprescription. You can also type that into YouTube, and I have a bunch of videos up there that talk about different things. I talk a lot about food and the origin of the food that we’re eating nowadays, so it’s pretty interesting. You guys should educate yourself on that because the food industry is pretty crazy. 

[00:34:47] TU: Well, this has been great. I really appreciate you taking time, especially with the time zone difference and early morning for you. So thank you so much. 

[00:34:55] JN: Yeah. Thank you. 

[00:34:56] TU: Looking forward to following your journey. Thank you. 

[00:34:58] JN: Thanks, Tim. Same to you.

[END OF INTERVIEW]

[00:35:00] TU: As we conclude this week’s podcast, an important reminder that the content on this show is provided to you for informational purposes only and is not intended to provide and should not be relied on for investment or any other advice. Information in the podcast and corresponding materials should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archived newsletters, blog posts, and podcasts is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of Your Financial Pharmacist, unless otherwise noted, and constitute judgments as of the dates published. Such information may contain forward-looking statements that are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. For more information, please visit yourfinancialpharmacist.com/disclaimer. 

Thank you, again, for your support of the Your Financial Pharmacist Podcast. Have a great rest of your week. 

[END]

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YFP 265: 10 Lessons Learned: Employee to Entrepreneur


10 Lessons Learned: Employee to Entrepreneur

On this episode, sponsored by Insuring Income, YFP Co-Founder & CEO, Tim Ulbrich, PharmD, shares ten lessons he has learned on his journey from employee to entrepreneur.

Episode Summary

This week, Your Financial Pharmacist Co-Founder & CEO, Tim Ulbrich, PharmD, shares the top ten lessons he has learned over the past five years while taking Your Financial Pharmacist from a hobby to side hustle to a full-time business. Tim shares his most impactful takeaways on his journey from employee to entrepreneur and advice for those looking to take the same path. Tim shares how he found the motivation and inspiration to get started, the importance of the foundational why of the business that transcends motivation, the mindset required to move from employee to entrepreneur, and the incredible value of partnership. Tim shares ways to build on and nurture business partnerships and shares a helpful resource for maintaining successful business partnerships that help your business thrive. He shares why it is crucial to establish your core values early and how and why you must embrace the role of CEO. Considering growth and expansion, Tim outlines the need for implementing systems and processes. More specifically, he mentions having a system for evaluating the business. Tim shares a common theme he has discovered in the last five years interviewing pharmacist entrepreneurs, a passion for learning that drives entrepreneurial success. Lastly, Tim shares how identity and role differ and how embracing failure is necessary for business leadership.

Links Mentioned in Today’s Episode

Episode Transcript

[INTRO]

[00:00:00] TU: Hey, everybody. Tim Ulbrich here, and thank you for listening to the YFP Podcast, where each week we strive to inspire and encourage you on your path towards achieving financial freedom. This week, I fly solo to talk through 10 lessons learned through the first five years of starting your financial pharmacist and making the transition from hobby to side hustle to business. 

Before we jump into the episode, I’m excited to announce that we’re doing our first ever virtual summit, employee to entrepreneur building blocks for starting and growing a business. The Employee to Entrepreneur Summit is designed for pharmacists who are planning or actively working on a side hustle or business idea. The summit will be hosted live via Zoom the evenings of Tuesday, August 30th, and Wednesday, August 31st. Topics and activities will include how to hone your mindset and uncap your potential as a business owner, how to grow a business from a position of financial strength, retirement savings and tax optimization strategies as a small business owner, how to develop a system for achieving business financial goals. 

We’ll also be featuring several examples of pharmacists that have made the transition to entrepreneur and are monetizing their clinical expertise. Some awesome bonuses for those that sign up by August 23rd, including a one-on-one implementation meeting with myself or certified financial planner, Tim Baker, access to a live goal setting workshop that I’ll be leading to help focus on setting and achieving big personal and business goals. Finally, on-demand access to several bonus expert interviews, including how to sell with confidence marketing strategies and how to evaluate healthcare insurance options as you make that transition from employee to entrepreneur. You can learn more and register at yourfinancialpharmacist.com/businesssummit. Again, yourfinancialpharmacist.com/businesssummit. 

Okay, let’s hear from today’s sponsor, Insuring Income, and then we’ll jump into the show. This week’s podcast episode is brought to you by Insuring Income. Insuring Income is your source for all things term life insurance and own occupation disability insurance. Insuring Income has a relationship with America’s top rated term life insurance and disability insurance companies, so pharmacists like you can easily find the best solutions for your personal situation. To better serve you, Insuring Income reviews all applicable carriers in the marketplace for your desired coverage, supports clients in all 50 states, and makes sure all of your questions get answered. To get quotes and apply for term life or disability insurance, see sample contracts from disability carriers or learn more about these topics. Visit insuringincome.com/yourfinancialpharmacist. Again, that’s insuringincome.com/yourfinancialpharmacist. 

On November 6th, 2015, I wrote the first blog post under the name Your Financial Pharmacist. That post was a chronicle of the journey that my wife, Jess, and I took into and out of $200,000 of debt. Furthermore, it was an acknowledgment that there was a need to develop a community of pharmacists that could encourage and inspire one another on their path towards achieving financial freedom. Fast forward to 2022, the YFP community is now 13,000-plus strong, but it started with a list of less than 100 individuals that I twisted their arms to say yes to receiving my first blog post. Those blog posts led to some speaking engagements and more pharmacists coming forward to share their own stories. 

After that, I was invited to do some speaking engagements, which would eventually lead to relationship with a National Pharmacy Association that helped increase the awareness of the mission of the work that we’re doing at YFP. Shortly thereafter, I would co-author the book Seven Figure Pharmacist with Tim church. Not too long after that, I would connect with my business partner of now five-plus years, Tim Baker. Funny enough, we recently discovered that Tim began his work to start a fee-only financial planning firm for pharmacists within the same week that I wrote that first blog post in November of 2015. Tim Baker, after we met, we would decide to launch the YFP Podcast in July of 2017, which was the beginning of a friendship and a partnership that was essential to grow the business to where we are today.

When I reflect on the past five years and the ups and downs of going from hobby to side hustle of business to making that transition from employee to entrepreneur, here are the top 10 lessons that I’ve learned along this journey. Number one, start. In July of 2015, I was traveling to the AACP Annual Meeting in National Harbor, Maryland. The book I selected for the trip to read on the plane was Start by Jon Acuff. It’s a special moment when a book collides with your life path, and this was one of those moments. You see, at the time, I had been thinking about the idea of YFP but was struggling with what to do with the idea. I was reflecting on my first business venture, a company called Farm Forward, and the lessons that I learned from taking those initial baby steps into entrepreneurship. It was the words Jon Acuff penned in Start that would push me over the edge to formalize the initial idea of YFP to get the name established, to set up the legal entity to build the first prototype of the website. It was rough, and to ask 100 friends and colleagues to join the start of my email list and ultimately published that first blog post. 

I needed the words of encouragement from Jon Acuff to just start. I knew I had to heed this advice because the idea of YFP would not leave me alone. I couldn’t stop thinking about building a platform for pharmacists to learn more about personal finance, to bring a community together. I knew it was needed, and I knew it could have an impact. But fear still crept in, with questions like, “What if it doesn’t work out? What if nobody likes the blog post? What if this is a good idea only in my head, and who am I to write on this topic, not being a financial planner myself?” 

Speaking with many entrepreneurs over the last five years on the YFP Podcast, this theme of just start keeps coming up again and again. Those who have built something that is solving a problem and serving others all had to work through their own fears, anxiety, and unknown to take the first step. You see, many great ideas never see the light of day. Too often, individuals get paralyzed in the analytical phase where passion gets muted by excuses, questions, and doubts. Sometimes, you just have to jump in the deep end and figure it out. The idea of just start has stayed with me through the entire journey so far of YFP. It doesn’t just apply to getting a business off the ground. 

As I reflect back over the past five years, we’ve evolved from three companies to one company. We’ve changed our logos and branding, we’ve redesigned our website multiple times, we’ve reformatted the podcast, we’ve identified better tools and solutions inside of the business, and we’ve taken the lead to grow our team. None of these were smooth-sailing, and the only way we were able to identify and grow is because we ended up in the first place of just starting. There had to be a beginning. So that’s number one is start. 

Number two is a strong why, a strong why. In his book, Start with Why, Simon Sinek talks and says that every one of us has a why, a deep-seated purpose, cause or belief that is the source of our passion and inspiration. Making the shift from employee to entrepreneur will inevitably include bumps along the way. Challenging days and seasons are to be expected, but getting stuck and being a prisoner to your motivation is not an option. Motivation alone may not provide enough fuel during the challenging seasons. Therefore, it’s critical that the why of our business and its offerings transcend the level of motivation that we have on any given day. We need a strong enough why that drives us to commit the time and effort that the business needs. 

One of my favorite podcasts over the past several years is How I Built This with Guy Raz. On this show, Guy takes the listener behind the scenes with a founder to hear about the movements that they have built. Many of these stories have trials and tribulations, and it was in those moments, in those trials and tribulations that the passion behind the idea and the problem the product or service was solving would help propel the founder through that difficult time. 

At YFP, our mission has helped pharmacists achieve financial freedom. Why? Because having a financially well pharmacist workforce is in the best interest of the profession and, ultimately, the patients that we serve. Furthermore, the profession of pharmacy needs big ideas. We need disruptive ideas, ideas that are going to improve the health and wellbeing of our nation. But the problem is big ideas, disruptive ideas, these rarely come from someone that is living in a state of financial stress. 

If someone’s overwhelmed with student loan debt, if someone’s confused about how to best save and invest for the future, if someone’s frustrated by the fact that they’re making a good income but not progressing financially, or if they’re anxious that they feel like they’re financially behind, any one of these is a killer of a dream, a killer of a big idea. So we’re on a mission to change this narrative and to empower pharmacists, to ensure that future generations of pharmacists are financially well, and to embed financial literacy into the core and fabric of our profession. I remind myself of this mission every day, and this propels me through the highs and through the lows. Our mission is greater than any one challenging season of the business. 

Number three is mindset, mindset. Since leaving my work in academia most recently in a position at Ohio State to work full time on the business, I did not anticipate the growth that would happen and that was needed related to my mindset. Thanks in large part to an incredible coach and mentor, Chris Caldwell, I would begin a journey that dug into some serious self-reflection that was stimulated by some really deep questions, questions like why is achievement so important to me and my identity? Why have I struggled to just be present, without work or accomplishment? How could my life look if I embrace the purpose of just being the best version of myself? What do I actually want? What are the stories that are telling myself? In what ways am I showing up as an inauthentic version of myself? What artificial ceilings have I created in my personal and professional life, and why have I created these ceilings? 

Over the past year, I’ve come to appreciate that I’m just beginning a lifelong journey of digging deeper. This journey of leaning into some hard questions with the goal of living to my fullest potential and being the best authentic version of myself that I can be has been one of the greatest gifts of entrepreneurship that I did not see coming. 

Number four is the value of partnership, the value of partnership. In the summer of 2015 after meeting on Twitter, yes, that is a real thing, I had the chance to connect with Tim Baker in person. We met at a Bob Evans of all places off I-71, about halfway between Cleveland and Columbus. As Tim Baker likes to tell the story, he found me on Twitter and is wondering, who was this other Tim that was talking about personal finance in pharmacy? At the time, Tim Baker was living in Baltimore and was visiting his sister in Columbus, which provided the opportunity for us to connect in person. 

The timing was perfect because at that time, I was struggling to connect the education piece of what I was doing around personal finance, with a sound financial planning offering. I knew that was going to be an important piece of the puzzle of transition to work into a viable business, and I knew that service was needed in our profession. I was in the process of talking with several planners in Northeast Ohio, trying to understand the lay of the land and how the industry works. You see, at this time, I was not aware of terms just fee-only and fiduciary, and I quickly realized the complexities of the industry after having several conversations with different planning firms. I was frustrated by the lack of transparency in pricing and how the industry historically has not served folks in the early stages of their career, since how much one has an assets was usually a prerequisite for a planning relationship. 

When I met Tim Baker that day in Bob Evans, he shared his journey starting in the United States Military Academy at West Point that would lead him to a career in logistics for a major retailer and then a construction company in Ohio and California. After realizing that he wanted something different, he made a pivot to a career in the financial services industry. After working at a small independent financial planning firm, he decided to take the leap to start his own business, offering fee-only financial planning services focused on the pharmacy profession. At the time, the business was Script Financial. Through a friend at West Point, who was married to a pharmacist, he identified that there was a gap in the industry in serving pharmacy professionals. 

Now, I was hooked when I learned about the meaning of fee-only and the fiduciary standard, and that combined with the alignment on values and growing a small business led Tim and I to start collaborating on the Your Financial Pharmacist Podcast. This collaboration furthered our friendship and respect for one another, which led us a step further towards eventually becoming business partners. 

Now, growing up in a family business, I observed firsthand the challenges that can come from partnerships, especially when it’s family members that were involved as partners. From that experience growing up and hearing many other individuals’ words of caution about partnerships, it shouldn’t have given me a pause, but it never did. I knew if there was alignment on vision and respect for one another, we could thrive and work through challenges. That has been exactly the case, and I’m so grateful for the friendship and partnership that Tim and I have. 

One resource that’s been key to our partnership is the Book Partnership Charter by David Gage. This book takes two or more individuals going into business together through a series of activities and challenging discussions that lays the foundation then for the operating agreement. Tim and I have made it a priority to annually review and update our charter and check in on the health of the partnership. 

Number five is establish your core values of the business early. Establish your core values early. When starting a business, it’s easy to be off and running in the day-to-day such that activities like strategic planning or vision setting or setting core values might not be the priority that they deserve to be. I’m so grateful that early on, we decided to set a set of core values that several years later serve as the guiding path for the culture of our company, for the benefits that we offer our team, for how we hire, and for how we evaluate our team members. One resource here that was really helpful was the book Delivering Happiness by the late Tony Hsieh, the Founder of Zappos. 

Number six is embracing the CEO role, embracing the CEO role. I can easily fall victim to squirrel syndrome. As the founder and leader of a business, it’s a fine line between identifying new opportunities and getting sidetracked and losing full focus on the core mission. A couple of years ago, I had the pleasure of interviewing Samm Anderegg, CEO of DocStation, and he would provide some advice to me that has stayed with me and helped me to refocus when I’m feeling overwhelmed or sidetracked. The advice he would share that is at the end of the day, the CEO has three main responsibilities, and that is vision, people, and resources. 

For vision, it’s the CEO’s responsibility to ensure there is a compelling vision and that the vision is core to the business and well-understood and accepted by the team. The products, the services should be aligned to the vision, and new opportunities should be evaluated for alignment to that vision or perhaps lack thereof of alignment. When it comes to people, as a business grows beyond its founders, the success of achieving its mission is dependent upon the people that are hired. I’ve come to appreciate how important it is to build the right team and to ensure those team members have alignment with core values. Beyond the minimal technical expertise for one to be able to do their job, it’s the other things that matter most. For us, that includes alignment with our core values, including be kind, value team, optimize, you serve the community, and embrace ownership. 

When it comes to the third component, that third main responsibility of the CEO, in terms of money and resources, the CEO has to have oversight to ensure the resources are sufficient to keep the ship moving forward. Cash money in the bank to keep the lights on, pay the payroll, and keep that vision going in the right direction. Now, depending on the nature of the business, one may have cash flow, decide to cash flow the business, or they decide that they’re comfortable taking out some type of debt or additional capital from investors to be able to fund the business. 

Number seven is implementing systems and processes, implementing systems and processes. When starting a business, it’s all hands on deck and all roles. It’s natural to wear every hat there is, and the energy behind the idea typically sustains us through this phase. Whether it’s content creation, marketing, sales, finances, HR, IT, we do our best to wear every single hat. But at a certain point, if the goal is to expand the mission and reach of the business beyond yourself, naturally, two things need to happen. One, you have to be comfortable delegating that work to someone other than yourself. Two, you have to download that information in your head in such a way that a process or service can be replicated and built upon by someone else. 

Let me give you great examples. I think my business partner, Tim Baker, has a really good mind in this area of the importance of systems and operations and being able to document those systems and operations. In 2020, we realized that in order for us to achieve our mission of helping as many pharmacists achieve financial freedom as possible and being able to transform the financial wellness of the profession of pharmacy, we were quickly going to run into a barrier if Tim Baker remained a full-time financial planner. That was eventually going to be a ceiling for us. 

One problem here is that was going to quickly lead to burnout, as he was trying to be an owner and a full-time planner. Two, him stepping out of that seat was going to force us to develop the systems and processes to replicate the financial planning model and approach in a way that could be scaled. This was really our first aha moment of needing to fire ourselves from various roles, and that has been our mantra ever since. What should we be doing next to make the business less dependent on us so that we can further expand the mission of the offering? 

Not only does this mindset allow the business to grow, but it also makes the business more valuable because it’s not just dependent upon you. It also increased the likelihood the business could go on when you decide to retire or take an extended break, and it reduces the risk that you will become a prisoner to your own business. Two books that have really helped shape my mindset on the value of systems and processes inside of a business are The E-Myth Revisited by Michael Gerber and Traction by Gino Wickman. 

Number eight is developing a system for evaluating the business. Now, building upon the previous concept, which was implementing systems and processes, once you begin to systematize and process the processes and operations and bring others into the business, we need to make sure that we have a system to regularly evaluate the success of the business. Now, this will naturally evolve over time, but this would include things like key performance indicators, KPIs, and a method to track and review those. 

In the book Traction by Gino Wickman, he recommends developing a scorecard that has 5 to 15 of the most important metrics that can help you quickly identify the health and direction of the business. Now, naturally, the question is, well, what are those metrics, right? He proposes a great question in the book to get you thinking about what those 5 to 15 metrics might be, and that question and scenario who presents is imagine you’re on a desert island somewhere. All you have is a piece of paper with a handful of numbers on it. These numbers must allow you to have an absolute pulse on your business. What are all of the numbers that must be on that piece of paper, right? That activity is designed to help you come up with what those 5 to 15 metrics might be for that scorecard. 

In addition to Traction by Gino Wickman, I would also recommend here the book Profit First by Mike Michalowicz. We’ll link to all these books in the show notes. The Profit First methodology has really been instrumental for how we handle our business finances and really helps expose whether or not you are accounting for all of your expenses. It ensures that as a business owner, you’re taking some amount of profit home each quarter, even if that’s just 1%, that you’re putting aside money for your taxes, and that you’re paying yourself a sufficient wage for your time and efforts. For many, this model helps expose the true financial health of a business and often can shine a light on a business that is not as profitable as it thinks it is or that is not charging enough for its services. 

Number nine, become a voracious learner. Become a voracious learner. In conducting over 200 interviews for the YFP Podcast, I’ve noticed a common thread among the entrepreneurs that I’ve talked with. Those interviewed often demonstrate humility in knowing that no matter what credentials they carry or success that they’ve had, there is always room to learn and grow. They are hungry to learn. This is evident in the books they’re reading, the professional development courses they’re taking, and the time and money they’re investing in services to grow personally and professionally. 

In the book, The End of Jobs, author Taylor Pearson argues that we are rapidly moving into a time period when one’s credentials and degrees have limited value, thus requiring continuous learning and growth. The good news is that we live in a time in history when learning is more accessible than ever, and I’ve come to appreciate that one of the greatest things I can do for my company, our team, and the community we serve, is to continuously learn and grow. 

This has led to a constant growing list of podcasts and audiobooks, and here are some of my favorites from the past year. The Four Agreements by Don Miguel Ruiz, The Big Leap by Gay Hendricks, Procrastinate on Purpose by Rory Vaden, The Entrepreneur Roller Coaster by Darren Hardy, The War of Art by Steven Pressfield, The Surrender Experiment by Michael Singer, A New Earth by Eckhart Tolle, The Secret by Rhonda Byrne, and Changes That Heal by Henry Cloud. Again, we’ll link to all these books mentioned in the show notes. 

Number 10 and perhaps most important is identity versus role, identity versus role. I alluded to this a little bit in number three when talking about mindset, but it’s worth coming back to this one a little bit further and another shout out to Chris Caldwell for bringing this concept to my attention. Based on the IR theory, identity and role theory, it’s common for us to believe that our identity, our self-worth can be derived from how well we perform in various roles. That could be as a spouse, as a parent, as a pharmacist, as a business owner. If we can’t separate our identity and our roles, our self-worth can ebb and flow with how well we have or have not performed or a perception of that in various roles. 

This is natural, considering that we are taught from a young age, many of us, to tie success to the affirmation we receive from others. But here’s the problem. We are naturally going to experience failure in our personal and professional lives. Experiencing failure and being a failure are two very different things. Experiencing failure and being a failure are two very different things. But if we’re not careful, through experiencing failure, we can convince ourselves that we are a failure, and this can lead to a shake in confidence. This can lead to playing it safe and avoiding future risk. 

But in my mind, that’s not the biggest threat. The biggest threat and tragedy is when we let failure escalate to a feeling of less than and a feeling of having a diminished self-worth. Without the right perspective and accountability, these feelings can quickly creep into every corner of our lives, and we must not let this happen because experiencing failure, again, is not being a failure. That does not equal being a failure. As many leaders and entrepreneurs know, experiencing failure is to be expected and can be welcomed with the right mindset. Albeit painful at the moment, through failure, there can be great growth. If we can begin to accept that there is growth in failure, we can entertain the idea that failure is essential.

I’ve struggled with this mindset shift, which is also true, I suspect, for many of my peers in the profession because it’s drilled into us from our education and training that mistakes should be avoided to prevent medication errors as close to 100% accuracy as possible is the goal. This makes sense for patient care, but this mindset of getting it right all the time shouldn’t carry into all aspects of our work and our lives for that matter. That mindset of 100% accuracy all the time is exhausting, and it prevents real growth because it doesn’t embrace failure. But if we can anticipate and welcome failure, our mindset shifts from disappointment to learning and minimizes the likelihood that we’d let the experience of failure creep into our identity and our self-worth.

So those are the 10 takeaways, the 10 lessons that I’ve had in this journey of starting YFP back in 2015 and making the transition full time and reflecting back on the past five years, from hobby to side hustle, to business, from employee to entrepreneur. That’s why I’m so excited. We’ll be digging into these points and so much more during our upcoming virtual summit, employee to entrepreneur building blocks of starting and growing a business. 

The Employee to Entrepreneur Summit is designed for pharmacists who are planning or actively working on a side hustle or business idea. The summit will be live via Zoom the evenings up Tuesday, August 30th, and Wednesday, August 31st. Topics and activities will include how to hone your mindset and uncap your potential as a business owner, how to grow a business from a position of financial strength, retirement savings and tax optimization considerations as a small business owner, how to develop a system for achieving business financial goals. Also, we’ll be featuring several examples of pharmacists that are monetizing their clinical expertise and have made that transition from employee to entrepreneur. 

Bonus content for those that sign up by August 23rd, including a one-on-one implementation meeting with myself or certified financial planner, Tim Baker, access to a goal setting workshop, I’ll be leading to help focus on setting and achieving big personal and business goals, as well as access to several bonus expert interviews, including how to sell with confidence marketing strategies, evaluating health care insurance options, and more. You can learn more about the summit and register at yourfinancialpharmacist.com/businesssummit. Again, that’s yourfinancialpharmacist.com/businesssummit. As always, thanks for listening and have a great rest of your day. 

This week’s podcast episode is brought to you by Insuring Income. Insuring Income is your source for all things term life insurance and own occupation disability insurance. Insuring Income has a relationship with America’s top rated term life insurance and disability insurance companies, so pharmacists like you can easily find the best solutions for your personal situation. To better serve you, Insuring Income reviews all applicable carriers in the marketplace for your desired coverage, supports clients in all 50 states, and makes sure all of your questions get answered. To get quotes and apply for term life or disability insurance, see sample contracts from disability carriers or learn more about these topics, visit insuringincome.com/yourfinancialpharmacist. Again, that’s insuringincome.com/yourfinancialpharmacist. 

As we conclude this week’s podcast, an important reminder that the content on this show is provided to you for informational purposes only and is not intended to provide and should not be relied on for investment or any other advice. Information in the podcast and corresponding materials should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archived newsletters, blog posts, and podcasts is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of Your Financial Pharmacist, unless otherwise noted, and constitute judgments as of the dates published. Such information may contain forward-looking statements that are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. For more information, please visit yourfinancialpharmacist.com/disclaimer. 

Thank you, again, for your support of the Your Financial Pharmacist Podcast. Have a great rest of your week. 

[END]

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YFP 264: How a 2022 PharmD Grad Left School Debt Free


How a 2022 PharmD Grad Left School Debt Free

Dr. Alexis Miller talks about graduating from pharmacy school debt-free because of her service to our country, by joining the Army in 2017. She shares why she decided to join the Army while in pharmacy school, the ins and outs of the GI Bill and tuition assistance, and how she plans to apply her pharmacy knowledge to her role in the Army.

About Today’s Guest

Alexis Miller, PharmD recently received her Doctor of Pharmacy degree from Ohio Northern University and is a postgraduate resident at Steward Carney Hospital in Dorchester, MA. Alexis is originally from Wayne, OH, and currently resides in Boston, MA with her fiance, Curtis, and their golden retriever, Hudson.

Alexis enlisted in the Ohio Army National Guard in 2017 for the tuition benefits. Because of the Army, she obtained her Doctor of Pharmacy completely debt-free. In the Army, Alexis is a motor transport operator and retention NCO (non-commissioned officer). Alexis holds the rank of Staff Sergeant.

Alexis is looking forward to connecting with the YFP community and helping young pharmacists and pharmacy students utilize another option to minimize student debt and maximize financial freedom.

Episode Summary

This week, YFP Co-Founder & CEO, Tim Ulbrich, PharmD, is joined by Dr. Alexis Miller, a 2022 graduate of Ohio Northern University, who discusses her recent graduation from pharmacy school debt-free because of her service to our country by joining the Army in 2017. In this episode, Alexis explains her incredible story and motivation for joining the Army when selling cows didn’t cover her education cost. Alexis shares her feelings about graduating debt-free, her plans to complete her six-year commitment to the Army, and her unique pathway in transitioning from a student to a new practitioner as a doctor/truck driver. Alexis dives into the ins and outs of the GI Bill and tuition assistance and how she was able to piece together various forms of funding and scholarships to get her annual education payments to roughly $1,000 annually. She provides insight into working with recruiters and why choosing a recruiter who cares about you and your goals is incredibly important. As a ‘type A’ personality, Alexis speaks on her desire to seek perfection while juggling her Army commitment as a pharmacy student and how her mindset shift from being the best to doing her best made all of the difference in her educational experience. 

Links Mentioned in Today’s Episode

Episode Transcript

[INTRODUCTION]

[00:00:00] TU: Hey, everybody. Tim Ulbrich here. And thank you for listening to the YFP podcast, where each week we strive to inspire and encourage you on your path towards achieving financial freedom. 

This week, I had a chance to welcome a 2022 graduate of Ohio Northern University, Dr. Alexis Miller, to talk about her journey graduating from pharmacy school debt-free not just from scholarships or from selling her cows. Yes, you heard me right. From selling her cows. But also, because of her service to our country by joining the Army in 2017. 

Some of my favorite moments from the show include hearing Alexis talk about why she decided to make the decision to join the army while in pharmacy school. The ins and outs of the GI Bill and Tuition Assistance, and what she learned about herself during the journey of completing pharmacy school and joining the army, and why she realized that bare minimum is not in her DNA. 

Now, before we jump into the show, I recognize that many listeners may not be aware of what the team at YFP planning does in working one-on-one with more than 240 households in 40 plus states. YFP planning offers fee-only high-touch financial planning that is customized to the pharmacy professional. If you’re interested in learning more about working one-on-one with a certified financial planner may help you achieve your financial goals, you can book a free discovery call at yftplanning.com. Whether or not YFP planning’s financial planning services are a good fit for, you know that we appreciate your support of this podcast and our mission to help pharmacists achieve financial freedom. 

Okay, let’s jump into my interview with Dr. Alexis Miller. 

[INTERVIEW]

[00:01:35] TU: Alexis, welcome to the show. 

[00:01:36] AM: Hello. It’s so exciting to be here today. 

[00:01:39] TU: Well, in the intro I put together for the show, I referenced you were a 2022 grad of Ohio Northern University. Go! Polar bears. And now, officially Dr. Alexis Miller. How does it feel to finally be done with pharmacy school? 

[00:01:53] AM: I think the moment that you graduate and you realize you’re done, it’s absolutely surreal, because you’ve spent the last, really, 20 some years of your life being a student. And that’s all you’ve been used to. At that point you’re like, “Wow! Like, I am done.” And quite frankly, I don’t necessarily know how to pursue the next step like. I don’t know what awaits me. But I guess I’m ready for the world. 

[00:02:18] TU: I love that. And I’m excited to dig into your story and share how you were able to graduate debt-free from Ohio Northern University this year. And we often talk on this show about debt repayment strategies. Or we’ve shared debt-free journeys where folks have really worked hard or through forgiveness programs to get to the point of having no more student loan debt. This is different because you avoided it all together. And we’re going to talk about how are you able to do that through the journey that you’ve taken. 

You posted this on LinkedIn a couple months ago. That post went viral. I think maybe surprised you a little bit as well. Had almost 30,000 reactions. And excited to share your story with the YFP community. But before we get into that story, tell me a little bit more about your interest in pharmacy and what ultimately drew you into the profession. 

[00:03:05] AM: I always like to say it wasn’t necessarily why I joined pharmacy. Just because with Ohio Northern, it is a direct admit program. You’re joining as you are still a high school senior. I was 17-years-old and really didn’t have any idea of what I was going to do with my life or really what I necessarily wanted. But I always say it’s really what made you stay in pharmacy, especially in a direct admit program like that. You have so many opportunities as you’re going through to change your major. Get out. Take a whole completely new path. 

And I always like to say, it was a lot of the people that I encountered between doing experiential hours or my internships and even the people that I just went to school with. I realized like those were the kind of people that I wanted to work with for the rest of my life. And those were the kind of people that I wanted to impact. And that was the thing that I couldn’t give up. Even when pharmacy school got to be at the point where I didn’t know if it was for me anymore, it was always the people that were really telling me I could do this every day. 

[00:04:05] TU: I love that. One of the things I like to talk about is that your why and your purpose has to be stronger than your motivation. Because your motivation can wax or wane, right? You live that firsthand in pharmacy school. There are some tough seasons. But if you’ve got a strong purpose and why of what you’re doing and why you’re doing that, I think that can really carry through. That’s really cool to hear that.

Alexis, I’m going to share your post. What you wrote on LinkedIn that really garnered so much attention. And then I’m going to ask you kind of how you got to the decision that you did. You said, “In September 2017, I decided the only way for me to complete my pharmacy degree without being in debt was to join the army. I joked that I was “young and dumb” signing my name on the dotted line, committing myself as a pharmacy student to basic training and six years as a truck driver. I was enticed by the idea of the GI Bill and Tuition Assistance. And my original plan was doing the bare minimum to get my degree paid for. Getting in, getting paid, and getting out. Today, I pinned staff sergeant at only four and a half years in the Army.” 

First of all, congratulations. Really appreciate your commitment and your service. My question is I think this thought maybe has crossed other folks’ mind especially in the health professions in a pharmacy. But few I think actually make the decision to move forward. How did you come about this opportunity? And why did you ultimately make the decision to go forward? 

[00:05:27] AM: When I started my freshman year throughout high school and summers and everything else, I came from a farm. I was selling livestock. I was selling animals. And I was selling crops. And I had this dream that, with my cows, I was going to pay for my school. But it came down to freshman year, after one year of tuition, I had about a thousand dollars left and five more years of school. And I realized that my goal of graduating debt-free, if I were just trying to do it on cows, really wasn’t going to work anymore. 

And I was already paying for school with cows. It was already a very abnormal decision. I just kind of looked around, chopped around of like how can I get this paid for now? And maybe in the generation of instant gratification, the first thing that I found was the Army. And I ended up in a recruiter’s office and was talking about the opportunities, the options, and essentially how much I could make out of it. And, of course, the idea is very scary. I kind of got myself in a position where it’s like I have to commit now or I’m going to change my mind. I just immediately, “Let’s commit to the bit. Let’s go.” 

[00:06:32] TU: Alexis, would this have been – I’m trying to think 2017. Would this have been your P2 year? You’re still like in pre-pharmacy? 

[00:06:39] AM: Yes. 

[00:06:39] TU: Okay. I think back to my time in academia. And if a student would have come to me – I did a lot of career counseling with students. If a student would have come to me and said, “Hey, Tim, I want to join the Army.” I’d have been like, “Uh, I don’t know how to help you. But let me find out.” And I don’t think this is an area that we talk enough about from a career development opportunity standpoint. How did you navigate finding that information? 

Because I think for others that are listening that are thinking, “Hey, I didn’t think about this pathway. Maybe it’s something I consider.” Where could one go? Tell us more about how you’re able to navigate this opportunity. 

[00:07:12] AM: A lot of it myself where I started was with Google of like what recruiters are in my area. Who can I talk to? In terms of my family, I don’t have any military background in my family. And especially at school – And Ohio [inaudible 00:07:25] private school as well. I knew I wasn’t going to get as much assistance there. 

And especially when recruiters came in to talk to students in high school, I ignored them. I didn’t think that was an opportunity, a path that I was ever going to take. I had to go back to the route that I ignored, and I went back to finding recruiters. And I found one nearby. And I ended up switching a couple times trying to figure out who I really wanted to be with. That’s a big thing, too, for people who, pharmacy student, are looking at that path. Sometimes recruiters are going to sell you on anything. They’re looking to increase their numbers. They’re looking for that next bullet point. And you are part of that bullet point, whereas others really do care. And that is very important that you just don’t jump on the first hook. The first bait that comes to you. It’s important to look for somebody who actually is there because they want to be there. 

And so, that was me just kind of looking around. And I finally found one person who he was adamant, like, “You’re here for school money and you want this deal. And that’s it.” That was really awesome when I found – My recruiter at the time, his name was Sergeant [inaudible 00:08:31]. He’s now retired and rides his Harley every day. He’s living a great life. 

But when I talked to him, he would frequently take his time, come down to Ohio Northern, which was an hour drive from where he was. And that’s my biggest tip, is find a recruiter. But make sure it’s one who really cares about you. Or as well as somebody who’s already done it. They can tell you the ins and outs, the good, the bad, the ugly. And those two are your best avenues to kind of get that information. For me, I had Google and Sergeant [inaudible 00:09:02]. That was the only way I was able to get my information. 

[00:09:07] TU: That’s great, Alexis. That was one of my hopes of bringing you on the show, was to share and celebrate your story. But also, I suspect for many that are listening, perhaps some that are even currently in school, maybe not thinking of this as an opportunity. And I didn’t know for example that it really matters what recruiter you talked to. I kind of had this impression, all information is equal and consistent. Just being able to have someone like yourself to reach out to, to ask questions, to point in the right direction I think can be really helpful. 

You’ve already achieved, Alexis, two firsts on the YFP podcast. One, being that we’ve never had anybody that has sold cows to go to pharmacy school. That’s a first. And only folks that maybe grew up in our area will understand that. And second, being you’re the first person we’ve had on the show that has combined – That at least we featured combine this pathway in the army with being able to graduate from debt-free. So, really, really excited for you. 

Were there other branches of the military that you were considering? I know, often, when I talk about being able to consider military pharmacist positions and how that relates to student loan debt, I kind of talk broadly about positions. Here, we’re talking specifically about a role in the army. Talk to us about was this an obvious choice? Or were there other branches in the military you were considering? 

[00:10:22] AM: The two options that offered the National Guard near me to be able to pay for school in the manor were the Air Force and the Army. And I’m going to be honest, I never once looked at the Air Force. Hindsight, when we are in the field and we haven’t showered, and it’s hot, and we’re miserable. Sometimes I think maybe I should have looked at the Air Force. But I definitely will say, when I was 17 and looking for that path, maybe my ego got the best of me and I wanted to be in the Army instead of the Air Force. Whereas, in our world, we called the Air Force the chair force. And I look at that now and I’m like, “That’s so stupid.” Like, why did we think that way? And why did I think – But I wouldn’t take anything back. But that was – I looked at the Army simply because of its reputation and the ego behind it. I hate saying that. But it really is the reason why. 

[00:11:15] TU: Tell us more about the specifics of joining the army and how that allowed you to graduate debt-free. I’m thinking here about like the requirements of service, the time commitment. How the stipends work or the tuition reimbursement? Tell us more about the ins and outs of how that service in the Army ultimately allowed you to graduate from Ohio Northern. Great school. I’m a little bit biased. But a great school. And to do that debt-free. 

[00:11:40] AM: The way it begins when you first join, in order to get the four years for school credit, it’s good at any – At least in Ohio, it’s good at any public school in the state. And then it will do the max public school amount going to any private school. It does fluctuate year by year of what you can get. But in order to get that four years theoretically for your undergrad, you have to commit six years. And that six years is the moment you sign the dotted line until six years later. 

Even when you’re not completely doing a whole lot and you’re still waiting to go to basic training, that still counts towards your time in. I had about, I want to say, seven months like that, that still counted towards my six years. But I really wasn’t doing what I’m doing now. 

With that, with the six years, you’re able to get 13,000 about per year through your scholarship. Mine fluctuated sometimes a little over, a little under. But on average, I was getting 13,000 for four years sent automatically to my school. If you were at a public school, per se, it would be entirely covered. They cover the max there. 

And then, because I was a full-time student, I automatically was able to get the GI Bill. My GI bill was about 400 per month. And then following the GI Bill, you had your drill pay. Drill pay is like when you go in every single month and you do your work. It could be anywhere from two days, to four days, to – I want to say my longest was a week. While you’re doing it, it’s a little tough. But the paychecks are really nice when you get it. 

But anyway, drill pay where I was at, average ranking, it depends where you’re at. Your rank and how long you’ve been there. But you can expect to make anywhere between 300 to 600, potentially more, on your drill pay per month. And then once a year you do two weeks typically out of the summer. And that’s your annual training. And on annual training, you can expect to get about 1500. In total, in the one year that you’re there between your scholarship, your GI Bill – Your GI Bill you just get for being a full-time student. You do not have to do anything for the GI Bill except call the VA and say, “I’m a full-time student. And this is my school.” 

And then drill pay and annual training pay combined, you can make about 23,000 per year just from being on that. And then as well, wherever you’re at, any school regardless, you get to tack any other scholarships you receive on top of that. 

[00:14:07] TU: Oh, wow! 

[00:14:08] AM: That’s why, at Ohio Northern, I was able to do really well, because I was able to tack on – Especially during undergrad, my 19,000 a year that I got from ONU to that 23 to where suddenly I was paying minimal. Less than a thousand dollars per year in my first four years of undergrad to go to school. 

[00:14:26] TU: Wow! And so, therefore, the cows could handle the rest of that, right? We could get down to the zero balance. 

[00:14:32] AM: Yes. The cows, the internships, the on-campus job, that was easy to manage. 

[00:14:38] TU: How were you – When I hear you say on-campus jobs, you obviously had requirements here through the Army. When I was in pharmacy school, granted you’re obviously more mature than I was at the time, but I felt like it was all in on time and effort just to be able to get through pharmacy school and to do that well. Here, you’ve got the commitment piece in the Army. You mentioned other on-campus work requirements. I’m guessing you were involved in other things as well. Talk to us about how the balance of this works. And were you ultimately able to feel like you were going through pharmacy school and completing that well while also filling your other service obligations?

[00:15:12] AM: There were different times, especially I want to say my third year was when I really started to experience a few of the challenges of the service obligation combined with pharmacy school. Everything else seemed, especially on campus, with sports, and organizations, and work, it all just seemed to bend to the whim of pharmacy school. 

Pharmacy school always trumped that. It never seemed to get in the way. But with the military, it’s kind of like taxes. You don’t get to say no, even if it’s a bit of a challenge. There were days starting in my third year when school started getting more intense. And I started picking up more rank in the military that I could be going out of school for a week at a time. 

There was a point when I was gone for almost 10 days and then you come back and you’re like, “Hi! What happened? I’ve been gone.” And your inbox is full. People are emailing you, “Where are you?” And you’re like, “I didn’t even have a phone for the last 10 days.” Like, I don’t know what’s going on. Those were the really challenging times. 

And just kind of missing things of like rearranging things with professors of like, “Hey, the exam is Friday. I’m leaving Tuesday. And I won’t be back until next Tuesday.” It was a lot of taking – My third year, I took everything early. I think every quiz, every exam, it was like, “Oh, I’m here.” Five o’clock at night to take my quiz three days before everybody else. 

It was kind of at that point when I realized I didn’t necessarily have to be at the same point as everybody else. And I know, like, especially with type A personalities, as pharmacists and pharmacy students, you really get caught in that pressure of that person A did this. And person A was able to do all these other things. And person B got an A in this class and an A. And I wasn’t going to be a 4.0 student. And that was the hardest pill for me to swallow, was that I couldn’t be all these other things because I had this one nagging thing that a lot of other people didn’t necessarily have. That was the hardest part, is to kind of realize you can’t compare. And I really think we get caught in that comparison game. 

And so, that was when I realized, like, “I’m not going to be a 4.0 student anymore. I have to make it through, do my best. And as long as I put in all the effort that I could put in, use all the energy that I had.” I couldn’t be ashamed of myself at the end of the day. As long as the effort I know I couldn’t have put in any more, I couldn’t be upset with that. 

[00:17:37] TU: Yeah. And, Alexis, arguably more important than your grades is what you learned about yourself through this journey. And I think I’ve come to appreciate that more and more since being out of pharmacy school where in that moment, as you mentioned, especially I think in a very competitive program, it’s very easy to draw that pure comparison. It’s very easy to get caught up in that. But big picture, I’m hearing you talk and talk about your journey. And I can tell there’s a lot of self-discovery through that journey. And one thing I wanted to hit on specifically is in the post you put on LinkedIn, you had mentioned that you were enticed by the idea of the GI Bill and Tuition Assistance. With your original plan is that you’re going to do the bare minimum. Get your degree paid for. Get in. Get paid. Get out. But then you would later say good things come to those who put in the work. Bare minimum is not the kind of person I am or will be. That’s a significant jump from where you started mindset-wise to where you kind of ended. Tell me more about that and what you learned about yourself during the journey. 

[00:18:33] AM: I guess when I started, I first looked at strictly money. And that’s all it was about. It was only about money. I felt like some people go through the military and they’re like, “Oh, I love my country.” I felt like I didn’t have a patriotic bone in my body. I just wanted that money to get my pharm beat. 

There was no like family history. There was no massive drive. Like, no bald eagles cried when I woke up. It was money. Honestly, whether you put in the max effort or the minimum effort, you’re still going to get the same amount of money in the end. And that’s where I was looking at it and was like, “Okay, I don’t have to do anything spectacular.” I just have to get in, do the bare minimum, get out. Show up one week in a month, I don’t have to do anything extra, and also get paid. 

But then the more that I was there – I hate saying it. But it’s always the toxic leaders that you seem to learn a lot from. The best leaders and the toxic leaders. And I saw in that environment there were some that were absolutely phenomenal people. And they busted their tail every single weekend we were there. And even in the times outside, like, they just really cared about people. They really cared about their small part-time job. But then there were other people who I could tell had only received their leadership roles and promotions because they’d been there long enough and they were running out of people to promote. And that, to me, I was like, “Wow! Like, there are people like you here taking care of soldiers, young individuals, and you’re trying to mold their minds. And this is how you’re acting.” And I just felt like that wasn’t – It wasn’t a strong environment to be in. But I saw that there were enough people that really did care. I was like, “I want to be like those people.” 

And I always like to tell myself that I’m going to just show up. And sure, I’ll do the minimum. That’ll be fine. I never end up doing that. I should have known I was not going to do the minimum. But basically, I always wanted to help out the people who were doing so much. 

And then it came down to a lucky break. There was an extra spot to hit a promotion. And I had all of my stuff turned in. I was just waiting for a slot to come up. And out of 150 some people, I was the only one in the position waiting for it. I was able to nav my first promotion, my E5 sergeant, at two and a half years. And that, again, is not very common either. 

And then I just kind of took the same steps into the next role. And as I always like to kind of just tell my own soldiers, you have to stay hungry. Because there’s people around you that aren’t. You’re getting out of this what you put in. And there are people who want to improve themselves. But then there are people here who they don’t care. And you can easily go around those people. You should want to be better than those people, because that’s the legacy you’re going to leave. When you leave here, people are not going to remember who you were, or they’re going to remember who you were. Probably not have very good things to say about you. And that’s where you kind of have to worry about the impact and the impression you’re leaving. I’m sorry. That was a very long-winded answer. 

[00:21:33] TU: No. That was fantastic. And the thought that came to mind as you were speaking there, Alexis, is that we stand on the shoulders of the folks that have provided us opportunities and led before us. And so, you talked about great leadership and not so great leadership, which obviously we can learn from. And now, you’ve got an opportunity to pay it forward with your soldiers. But also, to the folks that are listening, others in our profession, that I think are certainly going to look up to you and the work that you’ve been doing. I appreciate you sharing that. 

If I’m doing my math right, you mentioned six years of a commitment from signing the dotted line. A little over four and a half years in, you were pinned staff sergeant. You mentioned to me before the show started that you’re getting ready to make a move from Ohio to Boston. Tell me, we got a little over a year left in your six-year commitment, and I’m trying to kind of understand, like, what is the career path? What’s the trajectory as you think about this transition from student to new practitioner? And where the intersection of pharmacy and the work that you’re doing in the army? Tell us more about what lies ahead. 

[00:22:33] TU: The way I arrange my contract and the choices that I made, granted I am a doctor. And, theoretically, people once they get a bachelor’s degree, master’s degree, doctorate, will advance into the officer realm. But because of the choices that I had made earlier on and chose to stay enlisted, I will be a doctor and a truck driver all at the same time. And some people think that’s a little bit odd of a choice. But for me, I wanted that flexibility. I only have that year and a half left. But had I chosen to go an officer route, I would have had a bit more of a commitment. 

And I wasn’t sure where I wanted to be tied with it. And I do have the option. If I really wanted the commission, I most definitely could. I could drop my packet, the packet to go commission and go off of the route. And I could be in in the next year. But I’m not committing that time yet just because I don’t know where – Especially with residency, and potentially a PGY2, and really where life is going, I don’t necessarily know where that’s always going to fit in. I have stayed enlisted to give myself that flexibility to get in and get out. 

But since I started in Ohio, and that’s where my first unit was, and I am moving to Massachusetts, I have met phenomenal people who will live in a different state and then fly back to their drill weekends. I knew a man from Arkansas and he would come up once a month to Toledo where we would drill and work. I’m not that tough as an individual. I don’t want to catch a flight. I don’t want to deal with it. I ended up transferring to a unit in Massachusetts. And I’m in the process of doing that now. You pretty much fill out a bunch of paperwork and transfer. 

I’m in that process of waiting to get picked up in Massachusetts. And I’ll stay there until I leave. And right now, I don’t have any intentions of following that commitment past six years, just because I don’t know where my career will take me. But, really, I don’t think the door has closed yet. I think I will probably come back as an officer once I have a more stable location and more stable job other than a residency. But for now, we’re going to put it on pause. 

[00:24:41] TU: And so, if I’m following you correctly, Alexis, you’ll be doing residency while you’re continuing out the six years of the commitment. Is that correct? 

[00:24:50] AM: Yes. I will be doing my residency as well as finishing my commitment out in Massachusetts. 

[00:24:54] TU: Awesome. I love that. I think – Not I think. I know your journey is going to be an inspiration to so many. And as I shared with you before we hit record, this is a topic we don’t talk often enough about of the intersection, I think, between the health services and opportunities in the military and to serve our country. And obviously, how that can intersect with one’s financial plan here as we talk about being able to graduate debt-free. And I’m confident that several people are going to listen to this and say, “Hmm, I hadn’t really thought about that. But I don’t know where to get started.” 

And so, my question for you is – I don’t want your email to get inundated necessarily. But for folks that want to follow you and your journey, where is the best place that they can go to do that? 

[00:25:35] AM: They can obviously go ahead and connect with me on LinkedIn. My LinkedIn – My name is Alexis Miller. Kind of hard to find. But if you go to the linkedin.com/amillerx. It’s a play on amillerrx, no one gets it. I thought it was funny. No one else did. But that’s where you can find that. 

And then of course, I will give out my email. I don’t get too many emails. It is [email protected]. I’m not always the fastest on my email. But I will try to get back as soon as possible. 

[00:26:07] TU: Awesome. We will link to both of those in the show notes. And I’m so grateful for your time. Again, thank you for your service. Thank you for taking the time to share your story with our community. And Dr. Alexis Miller, a staff sergeant, really appreciate your time and the contributions you’ve made here. Thank you so much.

[00:26:28] AM: Thank you so much for having me. 

[OUTRO]

[00:26:29] TU: As we conclude this week’s podcast, an important reminder, that the content on this show is provided you for informational purposes only and is not intended to provide and should not be relied on for investment or any other advice. Information in the podcast and corresponding material should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archive, newsletters, blog posts and podcasts is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of your financial pharmacist unless otherwise noted and constitute judgments as of the dates published. Such information may contain forward-looking statements, which are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. 

For more information, please visit yourfinancialpharmacist.com/disclaimer. Thank you again for your support of the Your Financial Pharmacist podcast. Have a great rest of your week.

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The following is a guest post from Samantha Boartfield, PharmD.  Samantha Boartfield is a pharmacist in Phoenix, Arizona, who also writes for women and mother entrepreneurs (Mamapreneurs) on her site at SamanthaBrandon.com.

Disclaimer: This post is intended for general, educational purposes only. This post and the information herein are in no way meant to serve or act as a replacement for professional investment advice. Investing in cryptocurrency or NFTs may be high-risk with high losses and should be done at the investor’s sole risk.

If you’re scanning your newsfeed in the morning, I’m willing to bet you’ve seen NFTs making their headlines more often than ever these days. Watching people pay millions of dollars for an NFT and high-profilers like Marc Cuban endorsing them had me scratching my head until I finally took the time to understand the basics.

Because really. What exactly is an NFT?

This is a question that is being asked more and more in the pharmacy community. With unprecedented student loan balances and financial futures to secure, many of us may be wondering if we should be jumping into the digital world of cryptocurrencies or NFTs. It seems like all healthcare professionals have been trialing at least one online side hustle or another to generate some extra income.

If you’re looking to gain foundational knowledge of the NFT space, this article is meant to provide a high-level overview. Now, let’s start with the basics.

What is an NFT?

To define an NFT, you have to have some basic understanding of blockchain and cryptocurrency, as NFTs are built on the blockchain and often paid for by cryptocurrencies.

Blockchain

Blockchain is, simply put, a public digital ledger. Everyone in the world has access to it. When a transaction is made, such as Person A sending cryptocurrency to Person B, the details of the transaction are packaged up into code, put in a digital “block,” and then added to the end of a blockchain. Because this is a public ledger, everyone in the world sees this purchase (so you can’t dispute it), and once a block is made, it cannot be altered (doing so would be caught by the other millions of users who would recognize the alteration).

I like to think of blockchain as a giant poster in a public square, where everyone writes their trades for everyone to see. When a transaction is done in front of the entire town, you can’t dispute it and say you didn’t receive or send the money. Now just digitize this experience and amplify it on a global scale.

Cryptocurrency

Cryptocurrencies are digital money that utilizes the blockchain to trade directly. You likely know the popular versions such as Bitcoin, Dogecoin, or Ether. Each currency has its own blockchain standard and is a decentralized method of exchange.

Another important note is that crypto is “fungible,” which means each coin is just as valuable as another coin. Think of this as the U.S. dollar; a $20 bill is just as valuable as another $20 bill.

If you would like a better foundation of this, I recommend reading Cryptocurrency 101 for the Pharmacy Professional first for a more in-depth review.

That leads us to an NFT, which stands for “Non-Fungible Token”.

These tokens are not interchangeable like bitcoin, but rather each token is unique or “non-fungible.” And that’s because each NFT is attached to the URL of a digital or physical asset.

So instead of just having the simple details of a crypto transaction (like the sender, receiver, and the amount), an NFT will include other details such as the URL of the product you are attaching. Therefore, each NFT acts as a unique identifier of a digital asset that is secured on the blockchain.

The Smart Contract

Now, I would be remiss if I didn’t fully explain how the NFT can be transferred and packaged into the blockchain, and that answer is simple: through the use of a smart contract. Essentially, a smart contract is a bit of code that is written to automatically execute a contract when certain conditions or terms are met.

In the case of NFTs, the contract will include the URL of the digital file, as well as any other details that should be included, such as the seller, buyer price, and any royalties that could be owed.

To summarize: A smart contract operates under certain conditions that when met, will automatically execute its contents (in our case selling/giving away coins).

I think I’m following you. Can you give me an example?

As a recap, an NFT is a way to transfer a digital or physical product from one person to another, with this transaction being done on the blockchain and often purchased or sold through cryptocurrencies.

Now, as I mentioned, you can attach virtually anything to NFTs. Digital art and collectibles have by far been the most popular. CryptoPunks is one of the most popular collectible NFTs. Bleeple, a very well-known digital artist, created a collage of 5,000 original artworks and is the most expensive NFT sold to one owner, just shy of $70 million. Major brands have also jumped into the scene, including Disney, Louis-Vuitton, and Coca-Cola.

And NFTs are not limited to artwork. Since you can attach anything (including physical products), they have been used for entertainment purposes such as Coachella tickets to selling the first home as an NFT in Florida.

So, if I purchase an NFT, that means I own whatever product is attached, correct?

Okay, this is where it can be a bit complicated. Just because you purchased an NFT does not mean you have full rights to the product. 

Ownership does not equal copyright, and many people confuse this.

What you own depends on the contract terms of the NFT that you purchased, and each may have its own degree of what extent you can use it.

Here’s a relatable example: Let’s say you purchased a physical, collectible copy of Leonardo da Vinci’s Vitruvian Man. Does that mean you own the copyrights to Vitruvian Man? Can you make more copies of it and distribute it? Surely, if you have a physical copy that you purchased and a printer. So you have the capability to distribute it as you please?

We all know that the answer is, of course not. Just because you own a copy of Vitruvian Man, doesn’t mean you own the copyrights of the product.

So I don’t get a physical product. I don’t own the copyrights. What’s the point?

At this point, you may be wondering, what’s the point? I don’t have a physical copy to hang up. I don’t own the copyrights. What do I do with an NFT? 

There are many ways to enjoy an NFT. First, you can display your NFT digitally in many ways including social media accounts or digital frames. Like any other collectible, you can hang on to it as an ‘investment’ and resell it later.

The better question yet is, what is the appeal of an NFT?

The biggest appeal to artists going the NFT route comes down to one word: Royalties.

If you’re an artist wanting to sell a photograph or artwork you have two options. You can go the traditional route and sell that printed photograph to the highest bidder. Or, you can turn your photograph into an NFT and attach royalties. This means that every time the artwork is resold in the secondary market, the artist can receive a royalty that they have predetermined (typically anywhere from 5-10%). 

As you can imagine, this is very appealing to artists, as typically subsequent sales tend to be much higher than initial sales.

How Do You Buy, Sell, and Trade NFTs?

One of the biggest obstacles to making NFTs mainstream is that there is quite the learning curve, particularly when it comes to buying and selling them.

To purchase or buy NFTs, you will need a few things:

1. Cryptocurrency

NFTs are almost always bought and sold using cryptocurrency. The majority of NFTs are made on the Ethereum blockchain, so you will need to purchase some Ether via a crypto exchange such as Coinbase or Gemini. Solana is another blockchain that has been rising in popularity for NFTs.

2. NFT Wallet

Next, you’ll need an NFT wallet that’s capable of trading NFTs. From one of these, you’ll be able to sell and receive your NFT, as well as view your assets. You don’t actually store your NFTs in this wallet, because remember, your NFT is stored on the blockchain with access to a URL for your product. 

There are two types of wallets: “hot” or software wallets, and “cold” or hardware wallets. Software wallets, such as MetaMask or Trust Wallet, are popular ways to trade NFTs. However, because they’re connected to the internet it leaves them susceptible to hacks. Therefore, it’s recommended that you always backup your NFTs with a hardware wallet, which is not connected online and will protect them from hacks. 

3. NFT Marketplace

This is where you will buy and trade NFTs (think of this as eBay or Etsy). Some are more exclusive, where they individually curate the NFTs that they present on their marketplace. Others are open-access marketplaces where anyone can buy and sell on the platform. Some popular NFT marketplaces are Opensea or Nifty Gateway.

Other companies have also created their own marketplaces such as NBA Topshots, which sells NBA NFTs exclusively. Veve Marketplace has also partnered with Disney to release its Golden Moments collection.

What Are Some of the Potentials of NFTs?

NFTs are such a new field that only time will tell if this is going to be the future of the way transactions are done or if it’s a short-lived concept. Here are some reasons that NFT technology may be here to stay:

1. Cuts Out the Middle Man

NFTs are stored on a blockchain, which means that there is no need for a third party such as Paypal to facilitate the transaction. This also eliminates fees that come with using a third party (but replaced with blockchain fees).

2. Transactions Without Borders

Since NFTs are stored on a blockchain, they can be traded with anyone in the world as long as they have cryptocurrency. This makes international transactions much easier than traditional methods, which involve wire transfers and banks.

3. Royalties for Artists

As we mentioned before, NFTs have the potential to revolutionize the way artists are paid for their work. By attaching royalties to their NFTs, artists can receive a percentage of every sale made in the secondary market.

This could create a whole new stream of income for artists and help support them financially.

4. The Metaverse & Gaming

The Metaverse is a term used to describe the virtual world that has been up and coming. NFTs are being used in the Metaverse as a way to represent ownership of virtual property and assets. As we see the Metaverse expanding, NFTs will likely have a role.

Play-to-earn gaming is another gaming industry that’s on the rise.  It’s a model where gamers can earn rewards by playing video games. NFTs are being introduced into P2E gaming as a way to reward gamers for their achievements.

5. Brand Expansion

Luxury brands are taking notice, and have jumped into NFTs to increase their brand marketing strategies. Also, it’s an easy way for them to generate sales as the costs to create are very low, with a high marginal profit percentage.

What Are Some of the Downfalls of NFTs?

1. Hacks and Security Concerns

Even with an immutable blockchain, scams and hacks are still rampant. Hackers may not be able to change the code on your NFT, but they certainly can attempt to empty your NFT wallet and run with your assets. And because there’s no central authority, if this occurs, then there’s not much you can do. It’s important you store anything valuable on a hardware wallet to prevent this from happening.

Also, how do you know the NFT you are purchasing is legitimate? It’s similar to buying a fake designer bag, you need to know what to look for when you’re purchasing to protect yourself from getting scammed.

2. High Transaction Fees

Another potential downside of NFTs is that transaction fees can be high. Whenever you make a transaction that has to be added to the blockchain, there is a fee for doing so. This fee is also not standardized and fluctuates hourly depending on how many users are on the network.

3. Regulations, Regulations, Regulations

The world of NFTs is still largely unregulated. Governments have only just begun to take notice and it’s unclear what their stance will be on NFTs. How will NFTs hold under the Copyright Act? Only time will tell.

4. Volatility

As I’m writing this, NFT sales have plunged and are flatlining. NFT investments are very volatile, so it’s important to only risk what you’re okay with losing.

In Summary

At the end of the day, it’s important to see what NFTs are for what they are: a novel piece of technology that can transfer digital or physical assets across the blockchain. They have the potential to change many industries by simplifying transactions between parties, but they are still in their infancy. Do your research and invest carefully.

 

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YFP 263: The Intersection of Financial Literacy and The Energy Burden


The Intersection of Financial Literacy and The Energy Burden

On this episode, sponsored by Insuring Income, Diamond Spratling, an impact-driven environmental health professional and non-profit leader, discusses her TEDx talk, The Secret to Clean Energy: Addressing The Root Causes of Energy Burden.

About Today’s Guest

Diamond Spratling is an impact-driven environmental health professional and non-profit leader motivated to mitigate health, racial, and environmental inequities in Black and Brown communities. She is the founder of Girl Plus Environment, a national non-profit organization designed to educate, engage, and empower Black and Brown girls, women, and non-binary individuals to stand up for environmental justice in their own neighborhoods.

The Detroit native and 2021 & 2022 TEDx speaker has spent more than six years at the forefront of environmental justice. Ms. Spratling has led many environmental and health initiatives for cities and organizations such as the Centers for Disease Control and Prevention, Bloomberg Associates, WaterAid International, and Greenlink Analytics.

Episode Summary

America is in an energy burden crisis. In today’s show, we will unpack what energy burden means, the root causes of energy and utility burden, and how financial literacy and education play a role in combating energy burden. Joining YFP Co-Founder & CEO, Tim Ulbrich, PharmD, is environmental health professional and nonprofit leader, Diamond Spratling. We discuss Diamond’s TED X Talk, “The Secret to Clean Energy: Addressing Root Causes of Energy Burden,” where she addresses this crisis. In that talk, Diamond shares the disparities of energy burden for low-income communities in the United States typically made up of people of color. After Diamond shares her professional background and how she ended up in environmental health, the conversation moves to the three aspects of environmental justice and her definition of energy burden. Listeners will learn about the correlation between income and energy burden, how and why America is failing in financial literacy education, some ideas on how to implement financial literacy education in America, and why all people should learn about financial literacy from an early age. Diamond provides background and insight into the why and how of her non-profit organization, Girl Plus Environment. Through Girl Plus Environment, Diamond engages black and brown girls, women, and nonbinary individuals in all forms of environmental justice. 

Key Points From This Episode

  • A warm introduction to today’s guest, Diamond Spratling
  • Diamond’s educational and professional background. 
  • How she got into doing the work that she’s involved in today. 
  • Her definition of environmental justice. 
  • Breaking down the three aspects of environmental justice: Earth, built, and social. 
  • What energy burden is and why our guest decided to speak about it. 
  • Why income is a big factor of energy burden. 
  • What an acceptable energy burden percentage looks like. 
  • Energy burden versus utility burden.
  • Taking a look at some of the root causes of energy burden. 
  • Why America is failing in financial literacy education. 
  • How to implement financial literacy education in America.
  • The importance of educating the youth as early as possible. 
  • Diamond provides a link between improved financial literacy and the energy burden crisis. 
  • What Girl + Environment is and why she brought it to fruition.

Highlights

“I can work at the intersection of both environments with justice and health equity. Understanding that both are very important and both highly impact each other.” – Diamond Spratling, MPH [0:05:21]

“In the clean energy sector, we often focus so much on the environmental side of things but neglect this whole other side of energy burden, which is income.” — Diamond Spratling, MPH [0:09:48]

“There’s a lot of disparities in income and race as well that we have to be able to first, understand and identify, but also try to mitigate and eliminate.” — Diamond Spratling, MPH [0:14:19]

“We need to think hard about why are we not putting financial literacy in the classrooms, especially in communities that have generational poverty.” — Diamond Spratling, MPH [0:17:15]

“I saw a gap in who understood what environmental justice was in comparison to who was at the forefront of the justice movement.” — Diamond Spratling, MPH [0:24:24]

“How do we know how to protect ourselves if we don’t even know that environmental racism exists?” — Diamond Spratling, MPH [0:25:20]

Links Mentioned in Today’s Episode

Episode Transcript

[INTRODUCTION]

[0:00:00.4] TU: Hey everybody, Tim Ulbrich here and thank you for listening to The YFP Podcast, where each week, we strive to inspire and encourage you on your path towards achieving financial freedom.

This week, I had the pleasure of sitting down with Diamond Spratling, an impact-driven, environmental health professional and nonprofit leader, to talk about her TED X talk: “The Secret to Clean Energy: Addressing the Root Causes of Energy Burden.” During the show, we discuss what environmental justice is, the root causes of energy burden, how financial literacy and education can play a role in combatting energy burden, and why Diamond started a 501(c)(3) nonprofit organization that shares educational resources tools and information to get black and brown girls, women and nonbinary individuals excited and engaged in all forms of environmental justice.

Before we hear from today’s sponsor and then jump into the show, I recognize that many listeners may not be aware of what the team at YFP Planning does in working one-on-one with more than 240 households in 40-plus states. YFP Planning offers free only, high-touch financial planning that is customized for the pharmacy professional. If you’re interested in learning more about how working one-on-one with a certified financial planner may help you achieve your financial goals, you can book a free discovery call at yfpplanning.com.

Whether or not YFP Planning’s financial planning services are a good fit for you, know that we appreciate your support of this podcast and our mission to help pharmacists achieve financial freedom.

Okay, let’s jump into my interview with Diamond Spratling.

[SPONSOR MESSAGE]

This week’s podcast episode is brought to you by Insuring Income. Insuring Income is your source for all things term life insurance and own occupation disability insurance. Insuring Income has a relationship with America’s top-rated term life insurance and disability insurance companies, so pharmacists like you can easily find the best solutions for your personal situation. To better serve you, Insuring Income reviews all applicable carriers in the marketplace for your desired coverage, supports clients in all 50 states, and makes sure all of your questions get answered.

To get quotes and apply for term life or disability insurance, see sample contract from disability carriers or learn more about these topics, visit insuringincome.com/yourfinancialpharmacist. Again, that’s insuringincome.com/yourfinancialpharmacist. 

[INTERVIEW]

[0:02:23.9] TU: Well, I’m excited to welcome Diamond Spratling to the YFP Podcast. Diamond is an impact-driven environmental health professional and nonprofit leader, motivated to mitigate health, racial and environmental inequities in black and brown communities. She’s the founder of Girl + Environment, a national nonprofit organization, designed to educate, engage and empower black and brown girls, women, and nonbinary individuals to stand up for environmental justice in their own neighborhoods.

Diamond is a Detroit native and 2021 and 2022 TED X speaker that has spent more than six years at the forefront of environmental justice. Diamond has had many environmental and health initiatives for cities and organizations such as the CDC, Bloomberg Associates, Water Aid International and Green Link Analytics. Diamond, welcome to the show.

[0:03:09.9] DS: Hi, thank you so much for having me.

[0:03:12.4] TU: Well, this is a rare opportunity and we crossed paths somewhat unexpectedly at the TED X Bowling Green State University event. I had the opportunity to get to know you a little bit as a co-speaker but also to watch your talk on energy burden, with the focus on financial literacy as an opportunity, financial educational literacy as an opportunity to really get out some of the root causes around energy burden.

Which I thought would make for a great interview on the show, so I really appreciate you taking time to come on. We’re going to talk about, and I’ll link in the show notes to your TED X talk, “The Secret to Clean Energy: Addressing the Root Causes of Energy Burden,” for folks that want to go and watch that. Before we get into the topic, love to hear more about your background, where you went to school, what you studied and what drew you into the work that you’re doing today.

[0:03:57.9] DS: Yes, absolutely. So, I started my undergraduate career at Bowling Green. I started in 2014 and I studied environmental policy and analysis, with a specialization in international perspectives. So for me, I guess, growing up, I was always more that typical environmentalist and save the polar bears, save the trees type of work.

It wasn’t until I had an internship, my second year at Bowling Green, where I was working at the intersection of energy policy in health equity. I learned about all of the different disparities between different communities that we saw in our environment, how it impacted our health, and, for me, that was very triggering, especially being a black woman. I felt like, “Wow, all of these disparities and health implications that we’re seeing are in communities where I essentially grew up.”

So I was like, okay, all the more earth side of things and the trees and things like that, those are important but I need to center, recenter my work and what I want to do in the next couple of years. So basically, I decided that I would shift gears a little bit and get into the public health side of things when it came to the environment.

After I graduated from Bowling Green in 2018, I went directly to Emory University to get a master at public health at the Rowland School of Public Health, so that I can work at the intersection of both environments with justice and health equity. Understanding that both are very important and both highly impact each other. So that’s basically how I got into the sector and I’ve been in the sector for about six years since then.

[0:05:37.0] TU: So, you already mentioned one term that I think we’re going to visit often throughout the show, which is environmental justice. Another is energy burden. I want to take a moment to define these terms. Let’s start with environmental justice. How do you define environmental justice?

[0:05:49.8] DS: Yeah, absolutely. So often, we go back to this definition that I’ve seen on the department of energy and I think that they do a really good job in making sure that when we talk about environmental justice, we’re talking more so about the human impact and human implications from our environment.

So when we talk about safe drinking water, air pollution, how does that impact our environment, specifically people who are disproportionately impacted by our environment? So, a lot of times, those are low-income communities and those are also communities of color.

So, environmental justice, since there’s this aspect of making sure that those who are disproportionately impacted by our environment are at the forefront of those decisions, and being able to have access to environmental resources that helps improve their overall mental health, physical health, and just like wellbeing as a human rights.

[0:06:38.8] TU: You talk on your website, which we’ll link in the show notes, Girls + Environment, you talk about three different aspects of environmental justice around the earth environment, the built environment, and the social environment. Can you break those down a little bit further?

[0:06:51.1] DS: Yes, absolutely. And I’ll just flag, we’re very intentional in making sure that we are interdisciplinary with how we consider environmental justice. So, traditionally, in the past, people in this sector have usually looked at this earth environment side of things, and so do we have access to safe drinking water, clean air, landfills, waste, pollution, different things like that. So that’s more so our earth environment, but I think that those have huge implications on other parts of our environments too. 

We also look at our built environment. Our built environment can be, for example, do I have access to a safe park near me? What is the walkability in my neighborhood, are there sidewalks for me to even run or ride my bike, are there bike lanes? So many things, all the way down to having access to a grocery store, can be considered a part of our built environment. 

The last concept that we look at is our social environment. That gives it more the feeling of feeling welcomed in your environment, feeling like you have a place. So, is there a YMCA place in my neighborhood or boys and girls club or some type of community group of people who either have shared experiences as me, look like me, or somewhere that I have a support system that can help me through everyday life situations and things like that?

We look very interdisciplinary in our environments but also, understanding that all three of these pillars have everything to do with racial justice and health equity and even just thinking about our life expectancy and quality of life.

[0:08:20.3] TU: In your TED X talk at BG, the title again, “Secret to Clean Energy: Addressing the Root Causes of Energy Burden.” Define for us, what is energy burden? And, why did you decide that this was the topic that you wanted to share about?

[0:08:34.7] DS: Yeah, absolutely. So energy burden is basically this concept of, how much are you paying for your energy or utility bills every month and in comparison to how much money you are actually bringing in each month. So, it looks at two different things, the amount of your bills that you’re having to pay but also, your income. Your annual household income.

So basically, if you just do, I like a sample of formula, you basically just divide both of those numbers. You’re able to get what your percent of energy burden is and, for a lot of households, if you have an energy burden of over 10 percent, then you are considered severely energy burdened.

As back to the TED talk, what I would say is, my primary reason for censoring it around this concept of energy burden is that a lot of times, especially in the clean energy space, we focus so much on, “Let’s get this renewable energy out there. We need to invest in solar power. Why don’t you have solar panels on your roof or wind energy?”, and things like that.

It’s like wow, all of those things are great but look at the affordability. If I can barely pay my energy bills, how do you expect me to invest in all this really cool technology, as far as renewable energy? I felt like, in the clean energy sector, we often focus so much on the environmental side of things but neglect this whole other side of energy burden, which is income.

A lot of families are not making enough income to even pay their bills. So, having to pay an energy bill or utility bill, that’s a significant burden for people, even more than we think about, from the environmental side of things.

[0:10:10.8] TU: That was really what caught my attention actually, in the practice session we did the day before. When you talked about this heightened focus on some of the clean energy things, whether it’s windmills or solar panels or other things, which obviously have value and purpose, and the technology is being advanced but if we’re not addressing some of the core infrastructure and the core issues, are we out of order, right? 

I often think about investing, when we talk about it on this show, there are steps to investing, like hey, if your employer offers a match with your retirement accounts that’s low hanging fruit, you take it, and then we progress that investing plan to more brokerage accounts and other things and often, we may do those things out of order, and that really struck me of, you know, great conversations.

I think often, those gather headlines and perhaps have some political motivations that are behind them, but are we really getting to the root cause of what is necessary around energy burden? Just put numbers to your definitions. So, if energy burden as percent of annual household income spent on energy bill. 

So round numbers, if someone makes $100,000 a year and they’re spending $3,000 on energy bills, they would be looking at 3 percent and you mentioned greater than 10 percent is considered a substantial burden. Is there a normal or an average or an acceptable that we would look at as a percentage?

[0:11:21.8] DS: Yeah, so around 3 percent is around like the average energy burden across the US, three, 3.5 percent. If you are above five or 6 percent, then that means that you are highly energy burdened and then if you are above 10 percent, that means you are severely energy burdened.

[0:11:39.9] TU: Okay, that makes sense and it’s just like electricity in terms of gas and electric, is this also inclusive of water? How do you typically define this when we look at the utilities?

[0:11:50.5] DS: Yeah, so when we say energy burden, we are mostly looking at gas and electric but you can also say utility burden and that will then include your water bills as well.

[0:12:02.2] TU: So, as we just alluded to, some of these other solutions around clean energy may not be addressing the root cause. So, the natural question that is, what are the root causes as it relates to the energy burden? I really found this part of your TED X talk fascinating. So talk to us about some of the root causes related to the energy burden and then we’ll talk about the financial literacy piece as a potential solution.

[0:12:20.9] DS: Yeah, absolutely. One of the things that I talk about in my TED talk is this concept of housing and also, even just redlining, which I know we think like redlining happened tons of years ago but unfortunately, lots of communities in neighborhoods are still bearing that burden.

So, when we talk about housing, like for example, I can run my air-conditioning unit all day or even just an hour, but if I don’t have proper housing conditions, if the structure of my home is horribly put together or very old, if I don’t have tons of insulation in my home, then it’s really doing nothing. 

I’m just running the air conditioning or the heat all day for it to not even cool down or heat up my home. That’s a huge issue right there thinking about housing, especially when we think about section eight housing. I mean, those homes are poorly structured, rarely ever updated or invested in and therefore, a lot of those homes have to constantly run electricity. 

I mean, if you think about what happened in the Bronx about a couple of months ago, there was that huge section eight housing fire, which resulted in the fact that people were freezing cold in their homes because they couldn’t afford to pay for the electric, or they’re running the gas from their stove which we know is very unsafe, or just using space heaters which also can be unsafe as well. 

So, housing is definitely an issue here, but the other thing that I often like to bring up is just this concept of income disparities and thinking about communities of color, especially black communities, how much we are getting paid in relation to our white counterparts. So, again, when you go back to this concept of energy burden, it’s not just how much you have to pay for utility bills, it’s how much annual income you’re bringing in, in the first place. 

We’re already set back by whatever the difference is between white counterparts and black communities and how much we’re bringing in financially every year, that’s a huge impact in itself as well. I think there’s a lot of disparities in income and race as well that we have to be able to first, understand and identify, but also try to mitigate and eliminate these issues as well.

[0:14:30.7] TU: Yeah, and I think it’s so important to go back to the definition, two parts of the equation, right? The utilization and then the utilization relative to the income, and I think you just articulated so well some income gap and challenges, and I think on the utilization, we’re not talking here about, “Oh, I’d like to keep my home at 75 degrees when it could be 72. We’re talking about infrastructure problems that lead to unnecessary high burdens on energy use, and I think that concept, to me, was really something you articulated so well. 

Let’s talk about some financial literacy piece as a potential solution. Obviously, this is a multipronged issue as well as an approach that’s needed to address it, and I just wanted for a moment talk about some statistics that were reported by the University of Chicago around financial education and literacy, and we’ll link to these in the show notes, and then I’ll get your thoughts, Diamond, a little bit on why is the financial literacy so inadequate in this country and what are some of the potential solution. 

So, I’ll read a couple of these, nearly 50 percent of high school seniors say they wish they learned personal finance in school. That is according to discovery education in 2018. A recent study finds that differences in financial knowledge account for 30 to 40 percent of retirement wealth inequality and that’s from a 2017 study by Lucardi et al. A 2016 survey indicated at 31 percent of young Americans agreed that their high school education did a good job teaching them healthy financial habits. Bank of America, 2016, meaning that the majority did not think that.

A study from FINRA in 2015, students exposed to various financial educations at high school saw their credit scores increased by an average of 20 points and their probability of delinquency reduced. I mean, these go on and on but it impacts retirement savings, it impacts the ability to deal with energy bills in the moment, it deals with access to housing through credit and other issues.  

As you hear those statistics, why has this been an area that we just have not done a good job, around financial education and literacy? 

[0:16:26.2] DS: Yeah, that’s a big question. I mean, it’s hard to even find the why. A lot of those statistics were from students or from professionals who thought back to their education in high school and I mean, even thinking about my personal experiences, I’ve never taken a financial literacy class and I think that that’s true for a lot of us. As to why they don’t teach it to us, I have absolutely no idea. 

I mean, a part of me is thinking, on the back of my head like of course, they don’t want all of us to know how to protect ourselves financially, you know? They want the rich to get richer and you know, whatever the case may be, but I think that it has had a continuous toll on us because I mean, it is not just the financial issue, it is a public health issue, a mental health and everything else. 

I think that we need to think hard about why are we not putting financial literacy in the classrooms, especially in communities that have generational poverty, especially because how else do we get rid of that cycle if there isn’t really a generation that is being taught what to do as far as our finances. 

[0:17:35.4] TU: Yeah and I couldn’t agree more. I mean, I think we’re finally starting to see a little bit of traction on recognition to your comment about it’s not just about the dollars. It is a public health, it’s a mental health issue. We’re finally starting to see financial wellness as a key component of wellness and that is certainly a new development I think in the last several years, but it’s long overdue. 

We’re starting to see more states, Ohio, finally coming onboard with requiring some personal finance education literacy through the K12 program. That really is baseline and we certainly know from our experiences in undergraduate and professional programs in pharmacy education, despite the awareness that we continue to bring to the topic, it’s slowly developing, but it’s slow, right? 

I think there may be some baggage of, “Well, this is a pharmacy degree. We’re not here to talk about personal finance.” But to be an effective clinician, be an overall wellbeing, this is an important part of it, just like we address mental health with our students, right? Just like we talk about other public health issues. So, let me ask you in terms of where we go, sure, we could dwell on why this hasn’t been the case or where we go. 

Are there programs or initiatives that you’ve seen to be successful in this area around financial literacy and education? If so, what do they look like? Who is offering? When are they starting them or if not, what do you perceive to be the ideal place of how we implement financial literacy and education? 

[0:18:57.4] DS: Yeah, that’s a great question and I’ll probably have to get back to you on this, specific resources. What I would say as far as what I think is most ideal and most critical here, is definitely centering financial literacy in education as young as possible. It is never too young to learn about financial literacy, and I think also, when we use students to learn about financial literacy, then a lot of that gets reflected onto the parents because many other times it’s a generational cycle to instill. 

The kids may even know how to protect themselves financially but parents may not. So I think that parenting programs are just as critical as well because you don’t know what you don’t know and so you lean on, “Oh, well my parents did this” or “My parents told me not to get a credit card” or anything like that. So we go based off of what people who we know have done or have not done. 

I would say definitely centering conversations in literacy that are directly within the community, that are targeting both students and parents and even grandparents, and being able to provide those resources on a generational side of things, as opposed to just like, “Here is some resources. Good luck” those are, you know, it’s a small piece but I think also just drilling things into people like many, many times. 

I think that that’s very, very critical. My boyfriend actually teaches a generational wealth class on Sundays to my family and he’s like, “Well, I thought I already covered this?” I was like, “Cover it again.” Cover it a million times because people need, you know, we want things to be drilled into us as many times as possible. I think doing that and making sure that it is very community centered and family centered is all the better, especially when building that trust with people. 

Because traditionally, we’ve been told not to do this and not to do that but really, it’s not always the case, especially when it comes to different financial advice as well. 

[0:20:49.3] TU: I love that. I love the focus on community-specific, community-centered. I love the aspect of the family-centered, you know, bringing in the education that includes the families at large. I think the other thing, I am linking those two, research has been done on drug abuse education and really the importance of starting that as early as the pre-k level and it’s longitudinal throughout. 

I think something similar in the personal finance space, that it’s got to be early. As life goes on, we carry more baggage with us about finances. We start to hear more stories and scripts and it impacts us, and the longer we go, the harder it is to change. So I think the earlier we can start the conversation, the more longitudinal it can be in the repetition and, to your point, that can happen overtime is so important. 

So what do you see, I mean perhaps obvious, perhaps not so obvious, but what do you see is the direct link between improved financial literacy and education and the energy burden crisis? 

[0:21:43.5] DS: Definitely. So I think that there are a lot of components here, especially when it comes to education. I mean, a lot of the advocacy or the work that I talk about often goes back to education, because we know that education is linked to how much you know about a specific topic, down to how much you’re potentially going to get paid or your percentage of going to college and things like that. 

I think that being able to one, educated ourselves or to be able to have access to education is a concept within itself because a lot of us don’t have access and don’t have good quality educational systems that can help us to earn higher amounts of income every year. A lot of that goes into what’s your education, what did you learn, are you going to go to college for example, which I know college has implications on the financial side of things. 

But being able to understand whether or not we have access to an educational system that advocates for us to be able to earn more income, but I think also when we think about this education system, the side of education within the housing and knowing what to look for when buying homes or being able to be in a position where you can own a home, because the impacts that renters, people who rent a home versus people who own a home, there are tons of energy burden disparities with between that too. 

So, if you are renting a home, you have less autonomy on even being able to make updates or changes to your home that helps to lower your energy bill, as opposed to someone who, “Oh, I own this home so I may be able to make updates to my house” because a lot of times landlords are like, “Oh, well I don’t care. You need to pay the bill on the first regardless.” So that’s a huge concept too when it comes down to being in a position where you can own a home or purchase a home as well. 

[0:23:31.0] TU: Yeah and I think, you know, as I think about the financial literacy, I could see the connection, as you mentioned, to some of the education and the awareness around owning versus renting and updates that you can make to your home or what to look more in buying a home, but it still feels like there is a core issue. You know, I’m thinking about folks that had been in homes for 10, 20, 30 years. 

Income gaps have already been established, not to say there can’t be movement or change, but there has to be some changes in advocacy for housing changes and infrastructure and things that may be dependent of the individual and their own financial education literacy and their own financial position as well. Talk to us Diamond about Girls + Environment, what is it? Why did you start it and what are you hoping to accomplish? 

[0:24:12.0] DS: Yeah, of course. So Girls + Environment, we are a national organization, we’re a 501 (c) (3). I actually started it my first year at Emory, so back in 2019, and I created it because I essentially saw a gap in who understood what environmental justice was in comparison to who was at the forefront of the justice movement. 

So for me, back in 2016 when I was doing my internship first learning about environmental justice, I remember being so fueled up because I learned there were asthma rates in Black and Latino communities that were skyrocketed, and I was just so mad about the air pollution and the asthma rates comparison, and so this was back when Facebook was really popping. 

I would go on Facebook and type these long statuses about how mad I was and try to educate my family and friends and no one was really interacting with the posts. They’re like, “What are you talking about?” I realized that, okay, we are experiencing the greatest amount of environmental burdens but none of us even know what’s going on in our own backyards, that’s a huge issue. 

How do we know how to protect ourselves if we don’t even know that environmental racism exists? So for me, that was a huge problem and I wanted to get more people who look like me at the forefront of the sector, so Girl + Environment was created specifically so that we can educate black and brown communities on what environmental justice is, engage them in the sector and empower them to be leaders in the sector. 

So that they can stand up for themselves and their neighborhoods, but in a very fun and creative way too because I also acknowledge that there is tons of papers out there, literature, but no one wants to read that. Give it to me straight, give it to me in a fine creative way, that is why you’ll see on our page it’s very fun. It’s supposed to be very engaging so that people don’t even realize, “Oh, I’m learning about environmental justice right now.”

Yeah, you sure are, and you’re learning about how it impacts you, your health, your mental health and everything else. So, that is basically why Girl + Environment was created and in the pipeline, we have tons of just different programs that we are putting together. We actually just got funded by Al Gore’s organization for protecting our energy project, which helps to educate black and brown women in Atlanta about energy burden and to put them at the forefront at Georgia’s energy policy process that’s going on this summer. 

[0:26:33.9] TU: Wow, congratulations. That’s awesome. 

[0:26:35.8] DS: Thank you. 

[0:26:37.3] TU: Yeah, no offense to the Department of Energy or research papers but they’re boring, right? I think the platform you’ve created, I love the vision, I love the platform. It’s girl+environment.org. From there you could join the community, you can look at projects that are ongoing, you can read the blog, you can donate, and get involved. So I love the vision of what you’ve created and we’ll link to that in the show notes as well. 

So for folks that Diamond want to follow the work that you’re doing and the journey that you’re on, where is the best place that they can go to do that? 

[0:27:04.0] DS: Yeah, absolutely. So you can go on our website, girl+environment.org. We’re also on Twitter @girlenvironment and on Instagram @girl+environment and then you can also follow us on Facebook, Girl + Environment and my personal LinkedIn is just my name, Diamond Spratling and I am also on Twitter as @diamondsprat but I’ll be sure to send you all of those links and things like that in case it’s helpful. 

[0:27:28.2] TU: Awesome. We’ll include those in the show notes to go along with the TED X talk again, The Secret to Clean Energy: Addressing the Root Causes of Energy Burden. Diamond, thank you so much for taking time to come on the show. I appreciate it. 

[0:27:38.0] DS: Yeah, absolutely. Thank you so much for having me. I had a great time. 

[END OF INTERVIEW]

[0:27:42.1] TU: Before we wrap up today’s show, let’s hear an important message from our sponsor, Insuring Income. If you are in the market to add own occupation disability insurance, term life insurance or both, Insuring Income would love to be your resource. Insuring Income has relationships with all of the high quality disability insurance and life insurance carriers you should be considering and can help you design coverage to best protect you and your family. 

Head over to insuringincome.com/yourfinancialpharmacist or click on their link in the show notes to request quotes, ask a question or start down your own path of learning more about this necessary protection

[DISCLAIMER]

[0:28:18.9] TU: As we conclude this week’s podcast, an important reminder that the content on this show is provided to you for informational purposes only and it is not intended to provide and should not be relied on for investment or any other advice. Information of the podcast and corresponding materials should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archived newsletters, blog post, and podcast is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analysis expressed herein are solely those of your financial pharmacist unless otherwise noted and constitute judgments as of the dates published. Such information may contain forward-looking statements, which are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. For more information, please visit yourfinancialpharmacist.com/disclaimer. 

Thank you again for your support of the Your Financial Pharmacist Podcast. Have a great rest of your week.

[END] 

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