YFP 125: Why Lowering Interest Rates for Student Loans is an Alternative to Debt Cancellation


Why Lowering Interest Rates for Student Loans is an Alternative to Debt Cancellation

Dr. Joey Mattingly, a faculty member at The University of Maryland School of Pharmacy, talks to Tim Ulbrich about a recent article published in the American Journal of Pharmaceutical Education titled Before we talk about student debt cancelation, can we talk about the interest rates? They cover the basics of loan terminology, discuss why lower interest rates would have such a significant impact on student indebtedness and discuss the reasons why lowering interest rates may be a better option than loan cancellation or forgiveness.

About Today’s Guest

After graduating from the University of Kentucky College of Pharmacy and Gatton College of Business and Economics, Dr. Mattingly dove directly into pharmacy practice for The Kroger Company as an EPRN super trainer, facilitating the implementation of a new pharmacy information system software to more than 40 pharmacies. After completion of the pharmacy system rollout, Dr. Mattingly managed four different Kroger Pharmacy locations (L292, L780, L366, and L389) between 2010 and 2012, revamping operations at each location to improve multiple business and patient care activities. Dr. Mattingly was promoted within Kroger to serve as District 6 Pharmacy Coordinator in the Mid-South Division, based in Carbondale, Illinois, overseeing operations for 12 pharmacies.

In 2013, Dr. Mattingly left The Kroger Company to lead Indianapolis operations as general manager for a start-up long-term care pharmacy company called AlixaRx, providing pharmacy services and remote automated dispensing systems to 23 skilled nursing facilities (SNFs) across Indiana, Kentucky, and Ohio. He currently serves as an associate professor in the Department of Pharmacy Practice and Science at the University of Maryland School of Pharmacy, where he teaches business strategy to students in the professional program and is a strategic consultant for the University of Maryland Medical Center Department of Pharmacy. In 2016, Dr. Mattingly was selected as the graduating class Teacher of the Year.

In addition to his work as a faculty member, he serves as the Director of Operations for the PATIENTS Program and recently earned his PhD in Pharmaceutical Health Services Research with a special focus in pharmacoeconomics. Dr. Mattingly is also passionate about policy and parliamentary procedure and is the Speaker of the House of Delegates and Board of Trustee for the American Pharmacists Association. He has previously served the American Pharmacists Association Academy of Student Pharmacists (APhA-ASP), the Kentucky Pharmacists Association (KPhA), and Phi Lambda Sigma Pharmacy Leadership Society as speaker of the house.

Summary

Dr. Joey Mattingly joins Tim Ulbrich to discuss some important pieces from his APJE article titled Before we talk about student debt cancelation, can we talk about the interest rates? He also breaks down key loan terminology, what the math on interest rates shows, and four reasons in favor of supporting lower interest rates instead of debt cancellation.

To kick off the episode, Joey discusses what the words principal, term, interest rate and amortization mean in regards to student loans so that everyone has a basic understanding of what this debt is comprised of.

Joey then jumps into this APJE article titled Before we talk about student debt cancelation, can we talk about the interest rates? Using the AACP Graduating Student Survey from 2017, Joey estimates that that graduating class carries a total of $2 billion in student debt. Although there are Presidential candidates that are discussing loan forgiveness, Joey encourages a discussion of lowering interest rates. By lowering interest rates, principal balances will come down quicker and monthly payment will be less expensive. Joey talks through what this math looks like for interest rates at 6%, 3% and 1.5% When looking at a 6% rate, after a 25 year term, the total interest accrued for the $2 billion of student debt is $1.9 billion, almost double the principal. Lowering the interest rate to 3% or 1.5% significantly reduces interest as well as lowers monthly payments.

Joey also talks through four reasons to support lower interest rates instead of debt cancellation: resentment, incentive realignment, decision making uncertainty, and public support for lower rates.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast. I’m excited to welcome back onto the show Dr. Joey Mattingly to talk about one of his most recent articles published in the American Journal of Pharmaceutical Education titled, “Before We Talk About Student Debt Cancellation, Can We Talk About the Interest Rates?” Joey was on the Your Financial Pharmacist podcast all the way back in Episode 005, where we talked about the impact of rising student debt on a pharmacist’s income. So a little bit about Joey before we get started: After graduating from the University of Kentucky College of Pharmacy and the Gatton College of Business and Economics, Dr. Joey Mattingly dove directly into pharmacy practice for the Kroger Company, where he facilitated the implementation of a new pharmacy information system software to more than 40 pharmacies. He managed four different Kroger Pharmacy locations between 2010 and 2012, revamping operations at each location to improve multiple business and patient care activities. Dr. Mattingly was promoted within Kroger to serve as the District 6 Pharmacy Coordinator in the Midsouth division, based in Carbondale, Illinois, overseeing operations for 12 pharmacies. In 2013, Dr. Mattingly left the Kroger Company to lead Indianapolis operations as General Manager for a startup long-term care pharmacy company called Elyxa Rx, providing pharmacy services at remote automated dispensing systems to 23 skilled nursing facilities across Indiana, Kentucky and the great state of Ohio. He currently serves as an associate professor in the pharmaceutical health services research department at the University of Maryland School of Pharmacy, where he serves as a strategic consultant for the pharmacy department at the University of Maryland Medical Center in Baltimore. Joey, welcome back to the Your Financial Pharmacist podcast.

Joey Mattingly: Thanks, Tim. I’m very excited to be back with your audience.

Tim Ulbrich: So the commentary you wrote for AJPE, again, titled “Before We Talk About Student Debt Cancellation, Can We Talk About the Interest Rates?” I really enjoyed this work. It was simple, it was straightforward. And I thought it was very effective in helping the reader understand the basics of loan terminology — and we’ll talk about some of that here today — as well as why a conversation around lowering interest rates should be happening alongside or potentially in place of the debt cancellation/forgiveness discussion that we discussed here on Episode 114 of the podcast with Richard Waithe from RxRadio and certainly I think many of our listeners are familiar with through the Democratic presidential debates that have been ongoing. So in this interview, we’re going to hit the high points of Joey’s article that he published in AJPE, but please make sure to check out the show notes, where we’re going to put a link to the full article. And it’s an open access journal, so you can read the article in its entirety. So Joey, before we jump into the specifics of your article – and again, you do a nice job of this in there as well, let’s break down some of the loan terminology, specifically principal, term, interest rate, and amortization to make sure we’re on the same page. So let’s start with principal. When you define the principal of a loan, what is it? Let’s start there.

Joey Mattingly: Absolutely. So and again, this is great, well-timed, Tim. Actually, I gave this exact topic today in my pharmacy management class at the University of Maryland.

Tim Ulbrich: Awesome.

Joey Mattingly: My students — and I always, because I think it’s important as any manager as well to understand debt. And I really — the goal for this article is not to scare people or freak people out because a lot of students when they’re graduating, you know, there’s that anxiety and fear around their debt. And I hope — what I love about your podcast and the work with your group is I feel like you’re doing your very best to try to empower students to understand their financial situation so that they don’t — rather than fear and anxiety, maybe they feel more hope and optimism. So anyway, I just start by hey, let’s break it down. So when we start, the biggest component that comes right off the bat that we think of is the principal. That’s that amount that we borrow from the lender. So thinking of if it’s going to cost me $100,000 to go to pharmacy school or $200,000, I guess that’s a whole other podcast episode, what am I going to have to borrow overall? And that’s the amount that’s really if you did not have — if you had all the cash in your bank account or your parents had a lot of money to help pay for your school, they would just pay your tuition, right? And so they would use, if it was $200,000, they would write a $200,000 check, right? Or whatever that may be. Whereas if you do not have the money in your bank account, then we look to financing. And so we start with the principal.

Tim Ulbrich: Yeah, and I think starting there, and you do a good job of this in the article, the way I think about it here too is if we have a P3 student listening and here we are fall semester of 2019, and let’s say they borrowed $10,000 for fall semester, that $10,000 and whatever that loan may be, unsubsidized loan, that’s the principal. But as you mention in the article, obviously we can’t stop there when we think about the full amount that somebody may end up being in debt because we have to think about the term as well as the interest rate. So why don’t we go on from the principal and talk about the term and the interest rate.

Joey Mattingly: Well, before we leave principal, one thing I think that often gets overlooked too is that when we’re having that initial transaction and say — so I keep using, I like easy numbers, Tim, I hope it’s OK.

Tim Ulbrich: Yeah, yeah.

Joey Mattingly: I know for everyone, the challenge is it becomes complicated when it’s $7,342 or whatever. So I always round and say, OK, say I need $100,000. If when I’m trying to get that initial loan, there are often costs that go into the transaction. And in the case of a student loan, often they’ll call them origination fees or things that around if you look at the Department of Education, you’ll see anywhere from about 1% to about 4.2%. So even in that initial signing the paper, once the $100,000 is transferred over into say it went into your account, if you tried to give that money right back to the lender, you’re going to pay possibly $4,200. Right? So there’s a cost in just the transaction.

Tim Ulbrich: And I think that origination fee, as you mention in the article, is often overlooked but so important, especially the students listening, that you understand how that is calculated and roughly what that may be in terms of the impact. You know, just this past week, I had the opportunity to speak with the vet med students here at Ohio State, and as we all know, the way these loans are typically presented to you, it’s hey, here’s the max. And sign the line, and the rest is good. And so often students will say, “Well, why not just take that? And then if I have anything left over, I’ll return it or whatever. At some point, hopefully I’ll be able to pay it off.” And I think what you’re describing here is so important is that right off the bat, you have that origination fee that anything you can do to minimize the amount that you borrow from the beginning is going to help you in the long run.

Joey Mattingly: Yeah. And then one of the things that — and I always go back to percentages and thinking about percentages versus whole numbers. And I can’t take credit for this, I actually, when I think of the whole reason why my whole life has changed when I think about percentages versus whole numbers, is because of an independent pharmacist in Kentucky that was originally from Alabama, so he’s got kind of an Alabama accent, and I would always tell him, I’d say, “Hey, Leon, we’ve got this medication. We’ll make 80% gross profit on it. We’ll make 80%. I’m so excited.” And he’s like, “Joey, how many dollars will I make? How many dollars will I make?” And it blew my mind. Tim, I had an MBA. I was the smart business guy. And it was this independent pharmacist for 25 years that said, “Joey, I need to make this many dollars,” dollahs, as he would say. So when you think about that for a second. As student loans increase or as the cost of tuition, the cost of room and board, all those other costs, as it increases, the percentage may stay the same, but what your total dollar amount that you need — so in a way, like guess what? If I’m a loan, if I’m giving out the dollars, if I am the person giving out the dollars, what does it cost for me to — as you’re thinking about it, like they’re able to make more whole dollars, not just yeah, that’s 4.2%, but it’s part of that incentive for the numbers to just get bigger. So anyway, we can move on to term, but I just wanted to, as we think about this, yes, it may be 1% or 2% or 3%, it may seem like nothing, but as we see the numbers get bigger and bigger, 1% and 2% can make a big difference.

Tim Ulbrich: And I think that’s a great point, Joey. You know, and we’re not talking here about tuition, whole separate — as you mentioned in the article — whole separate issue, whole separate topic for a different day, certainly a factor, but to your point, when you talk about something like an origination fee, we often see these presented separately where we’ll see OK, tuition has gone up x% this year, but it’s not just the increase in tuition, which is then going to increase what you need to borrow, it’s the increased amount that you’re going to borrow, which also increased your origination fees and then, of course, as we’re going to move onto here, the term in which you’re borrowing as well as the interest. So take us through those two terms.

Joey Mattingly: Yeah, so now the term. This is the one that we — when I say we, as graduates, as students, when we’re signing up — or not when we’re signing up, actually. So the difference — the interesting thing about student loans is that you don’t determine the term until you graduate. I think that’s something very different than when you’re buying a car, right?

Tim Ulbrich: Yep, right.

Joey Mattingly: So when you’re buying a car or buying a home — and often, when we’re buying a home, there’s opportunities to refinance and everything, which we can do that as well with student loans. I think you’ve got plenty of topics on that, you know. But when we get to the term, that’s just the time. That’s just the time that you’ve agreed to pay back the principal, principal and interest, I guess, over a period of time. And so what’s common is for student loans is somewhere between 10 and 30 years. 30 being the longest, which oddly enough, they have like the extended repayment plan is set at 25. So we often see 10 and 25 are common. But then I think there are other plans with the Department of Education where you can extend it out to 30. And that leads — and so we get the time built in. And again, we decide, you kind of get that exit counseling at the end of school. And so that’s often where you’re signing up. And think about what’s happening with some of our graduates right now. Tim, when you and I graduated — and we won’t talk about how long ago that was — but it was in a time when there was still a period where pharmacists were getting maybe bonuses, maybe we were getting multiple job offers, and let’s be real for a moment, we know a lot of our students right now aren’t in the same boat that we were in a few years ago. And so if I had been aggressive, which I wish I had gone back and was a little more aggressive at that time and taken a 10-year note, Tim, I just had my 10-year pharmacy school reunion this past, I guess, what was it? Two weekend ago back at the University of Kentucky. If I had not — so I initially signed up for a 25-year repayment plan. And I had been in that repayment plan for a few years, and after a couple years realizing oh my gosh, my principal isn’t going down. And so that’s what — and again, I would like to think I’m a smart person. I know how to do a lot of math, I’ve got the business and the degrees I think to say it. But a lot of it’s not about whether you can do the math, it’s about whether or not you’ve got the mental —

Tim Ulbrich: The behavior.

Joey Mattingly: The behavior. Will you do it?

Tim Ulbrich: Absolutely. And you had me reflecting back on when I graduated and the offers relative to the salary, and I’ve always tried to show graphs on debt-to-income ratio, debt-to-income ratio, debt-to-income ratio, where have we gone in the last 10 years? And if I’m correct off the top of my head, I think the median indebtedness for a pharmacy graduate in 2010, I believe in 2010 was $100,000. And so here we are now in 2019 and that now is north of $170,000, which you look at what’s happened, the Bureau of Labor Statistics I think for all pharmacists’ median salaries is a little bit misleading to the reality of the job market of somebody coming out today, but I would argue the entry-level community pharmacists in 2010 probably was making more than they’re making here in 2019, but we’ve seen the debt numbers go in the exact opposite direction. So you know, as you and I wrote an article on before and we’ve talked about in Episode 005, what’s the purchasing power of an income? And I think what we’re getting to here is when you think about your debt side of the equation, you’ve got what you borrowed to begin with, your principal, and then you’ve got the interest that’s accruing while you’re in school. And for unsubsidized loans, obviously that’s happening along the way and ultimately, we get to the point where those capitalize and it grows baby interest over the term, which as you mentioned is the repayment term, anywhere from 10 up to 30 years. So interest rate then is the next variable we’re looking at. So just basic definition of what is interest?

Joey Mattingly: Yeah, so this is what — if you think about it, this is sort of what the company that’s giving you the loan, they’re taking interest as sort of to cover their cost. So this is the amount that’s above, you know, I guess the way the U.S. Department of Education, is the cost of borrowing that money, it goes to the lender. And so if the lender is a nonprofit, then in theory, you’re just going to have the revenues meet the expenses and no additional profit. If the lender is a for-profit, so then we think about our private banks, we think about payday loan lenders or whatever, you’re playing with that number. Those interest rates are what puts food on your table as a lender. So anyway often we think about it annually. But I think it’s important to consider how — and again, as we roll into the more complicated thing, I think some folks can get down principal, term, and interest rate. It’s when we start to amortize the loan is when things get fun. But that’s where I really think we can have a big impact when we discuss amortization. But for student loans, it should range between 3-8.5%, which when you hear 8.5%, you’re like, it’s not our parents’ interest rates. And so that comes up. I make sure I have that conversation with folks is that I pull up 1980s numbers because I think about my father graduated high school in I think ‘80-’81, something like that, and as he was thinking about college, if you took out a student loan, comparatively or relative, you could get a 3.5%, 4%, 5% loan. Auto loans in the early 1980s were something like — it got as high as like 20% at one time.

Tim Ulbrich: That’s crazy.

Joey Mattingly: And so thinking about that, if interest to buy a house was 20%, then yeah, we’d say 8.5% is not too bad. But I just think it’s really important for us to understand that the area of interest rates — and that’s, again, the whole part of this exercise, the whole bulk of this article, but just to understand that these aren’t our parents’ interest rates. And so often, we think about our parents as our sometimes the folks that give us advice, you know? And we hope that they’re — and they’re trying, they want the best for us and are trying to give us some advice on how we can handle things. The number of times I hear people talk about how good student is, man, it’s something that — I don’t know how you feel about it, Tim —

Tim Ulbrich: I’m with you, I’m with you.

Joey Mattingly: I just don’t like calling it a good debt. Like you know, let’s talk about the math. Let’s do math first.

Tim Ulbrich: Yeah, let’s talk about the math, let’s talk about the career path, let’s talk about what you’re trying to achieve, what’s the ROI? I mean, so many factors that go into that. I mean, I think it’s a blanket statement that probably gets assumed too easily and too often. And I love what you had to say about advice we get from our parents because that’s something I hear so often from others, and this really gets to the concept of anchoring where when we talk to somebody and they’re like, “Oh, well, back in the day, my interest rates were 17% to buy a home.” All of a sudden, you look at 7% or 8% and you think, oh, not too bad. But even in that range you give in the article of 3-8% or so, as we know, as we’ve run various refi numbers and scenarios, having a 5% versus a 7% when you’re talking about $200,000 of debt, that’s a big, big deal. And so really digging in deep, especially for those that are in active repayment, understanding your options about what am I looking for in a repayment strategy and for those that are currently in school, really understanding and looking at what can I be doing right now to try to minimize any of the indebtedness while I’m in school. So Joey, in your article — so now that we covered the total cost of loans, which is inclusive of principal, term and interest rate — in your article, you mentioned that “for PharmD students, focusing on the impact of interest rates on their monthly payments and the total term (amortization) for their student loans may be the most beneficial approach to helping them achieve their personal finance goals. So there’s that term, amortization. So talk us through what you mean by that. Why is that the case?

Joey Mattingly: Yeah, so I highly recommend if this is the first time, if you’re an audience member listening and you’ve never really, you’re not familiar with the word amortization, get on the Google right now and start learning what amortization means. And download a free, I keep a free amortization calculator on my phone one, because I’m a nerd, but two, I mean, so it doesn’t matter what it is, if it’s a car or if it’s a house or whatever I’m in the process of discussing, I like to just throw out, look at the amortization schedule, play around with the numbers, see what it looks like if interest rates change, if terms change. So basically, the amortization schedule is simply the — when a lender is lending money and you’re agreeing to pay this back, it’s set up in a way so that the monthly payment is a fixed amount. And so you calculate it out so that the principal and the interest are captured over however many payments it is. And so it’s actually, there’s not a function of time, it’s a function of really how many payments and how frequently is the interest being captured. But typically, we think of it as annually, and then within that year, often you’ll see like 12, each month you’ll see things. So wanting to know how frequently does the interest start compounding because that’s something as well. So anyway, I don’t think listeners have to become experts in it, but I think getting to an amortization calculator quickly is a smart thing to do. Like being able to just pull up one of these calculators that has the different variables for you and then start with something simple, you know? Put $100,000 in it, put 5% interest rate, and just change the term from 10 to 20 years or change the term. And then look at the schedule, so the amortization schedule will map out all 120 months in the 10-year loan. And then if you switch it to 20 years, it will map out all payments for the 240 payments, the 240 months. And so that allows you then to break out what’s going, each month, how much is being contributed to the interest? And how much is being contributed to the principal? And this kind of really breaks down the nuts and bolts of your loan. And so that was sort of the purpose of this, getting into this and then walking through an example of — I use the class of 2017 as an example, and we had a little over $2 billion in student debt potentially estimated for this class. And you know, so we take that $2 billion and start thinking, alright, what if the average interest rate was 6%? And we start plugging it in. So that’s sort of what I hope folks as they follow along, they don’t get lost in the math. It’s meant to stay simple, but we wanted to use a real-world example to talk about how just changing those numbers from a 6% interest rate and then changing the terms or whatever, what would happen? And then if we were to hypothetically lower the interest rate, what would happen?

Tim Ulbrich: Yeah, and I echo your recommendation to our listeners. If you have not dug into an amortization table before, please do. Whether it’s your student loans or buying a home, I think it’s really powerful to be able to see if you’re on a 30-year type of mortgage repayment, for all of those months, how much would be going toward principal? How much would be going toward interest? And for those of you that are making those payments, you know very well when you get those statements, you’re like, man, I send in a big check, but only a little amount actually went to pay off the principal on the loan. And I think it’s a small but very important behavioral move that as we talk about over and over and over on this podcast, the more educated you become, the more empowered you feel, the more informed decisions that you make. And I think looking at an amortization table is just a great example of doing that versus you just blindly accept the debt for what it is. So Joey, let’s dig in. You talked about in the article, you walked through a case study using the class of 2017. You used the projections and the data provided by the AACP Graduating Student Survey, which we’ll link to in the show notes for those that have not seen that before. And obviously, those numbers have even gone up here in the last couple years. But you noted a total of indebtedness — if we assume across the entire cohort, all the graduating students, a little over $2 billion. And you then walk through essentially three different assumptions: one with an average interest rate of 6%, one with an average interest rate of 3%, and one with an average interest rate of 1.5% to determine what would essentially be the savings to the borrower and thus, the cost, I guess for lack of a better word, cost to the federal government if we were to move in this direction of actually lowering rates. So tell us more about what you found when you ran through that scenario.

Joey Mattingly: Yeah, so — and again, as the title of the paper sort of signifies, that there’s a lot of discussion around what if we forgive the debt, forgive the debt, forgive the debt. And I just thought that that is a pretty big jump. And whatever your politics are, that’s fine. I just want to make sure that we have a discussion around the issue of potentially the interest rates being problematic. And if we were able to — whether it’s subsidize or come up with a way to offset the interest, we could actually show gains, the students could — graduates, I should say — can make their payments, see their principals coming down, and pay off their loans. And from a budget perspective — and this is probably more our article that we did a couple years ago when we talked about what that payment is and budgeting out that student loan payment — and so as you walk through the scenarios, at 6%, this $2 billion in debt — I thought it was interesting to, I wanted to point like what if it was the entire cohort of students? Because you know, maybe the CEO of CVS Larry Murlow’s listening right and he’s thinking, hey, what can we do to help our pharmacists? So maybe CVS or Walgreens, one of the big boys, will step in and say, what if we wanted to help out? Have the Walgreens, CVS loan program.

Tim Ulbrich: Absolutely.

Joey Mattingly: So say that we were looking at that. The interest paid at the full term, so over 10 years for someone if we average it out at 6% and students had a mix of 8% and 3%, whatever — I like to keep the numbers simple for an article like this, so I just picked 6% — that we would see on the $2 billion about $677 million of interest would be collected over a 10-year period. And then if you were to take that out to 25 years, so if all the students picked 25-year terms, the total interest paid over a 25-year period would be $1.9 billion. So you actually, you essentially double —

Tim Ulbrich: Double, right.

Joey Mattingly: Double the principal. I mean, so you know, it’s interesting — and that’s just extending the repayment. That’s not messing with the interest. And then I started saying, well, what if we cut in half. What if we cut it down to 3%? 3% is like — in economics, we love that 3% number for an inflation number.

Tim Ulbrich: Inflation.

Joey Mattingly: Yeah. Because it’s probably more accurate on the whole for different types of areas. So anyway, let’s just say we were able to cut it to 3%. Well, as you’d imagine, when you start working out the math, it has a significant impact. Actually, one of the things I probably should point out is the monthly payment for students, the average monthly payment at that 6% level over 10 years is $1,815 a month. Now, imagine a resident trying to pay that. Imagine a pharmacist who took a full-time job but their hours got cut to 32 hours a week, imagine now paying that $1,815 a month.

Tim Ulbrich: For 10 years.

Joey Mattingly: For 10 years, right? So just cutting the interest, we knock $300 off of that 10-year scenario. And as we continue to cut, we cut $400 a month off if we — and I wanted to show an ultra-low, like what if it was just 1.5%? What if it was just enough to like this is the CPI? Economists would argue that’s too low for inflation, but let’s just say we had some philanthropy or something involved to offset so we got some dollars in interest. Because remember, the interest is the cost of the borrowing, the cost of the $2 billion. So anyway, just in doing that alone in a 10-year scenario, you’re knocking $400 a month off for each student. And when we look at the 25-year term, it’s that same kind of you’ll see about a $400 a month knocked off their payment, but you’re going from $1,000 a month to $654 a month in terms of your payments. And a lot of pharmacists can afford, we’ve gotten used to paying those $1,000-1,500 a month payments. So if you’re paying $1,500 a month but your interest, you’re actually able to get it done in 10 years, that’s — I don’t know, I just wanted to show that you can have significant impact in bringing it down. And one of the things I wanted to show in the article was I wanted to show a picture of just how the interest in terms of the amount of principal paid comes off. It’s not a linear line. It’s curved because your principal comes off at a faster rate later in the term. And so I think it’s disheartening for a student or a graduate in the first five years out because in the first five years, if you’re even on a 10-year repayment, you’ve only got about 40% paid off. It’s not exactly half, you know? In a way, it just I think — doesn’t it feel a little disheartening when it feels like it’s taking a long time to come off?

Tim Ulbrich: It does. It’s like the first five years of a mortgage. Same thing. You see those statements, as I alluded to, and the student loans, exactly. You’re making these big payments and you feel like you’re not making the momentum that you should. And this is where we hear from people, especially those that decided to more aggressively pay them off, whether that be a refi or not, they’ll say things like hey, I made an extra $3,000 payment. Boom, you jumped on the amortization table. That goes directly toward principal and then they start to feel like they’re getting a sense of momentum. And separate conversation for a separate day, but I think what’s interesting — and I would encourage our listeners, again, check out the article, this is all in Table 1 where you can see the data, but what we’re not even talking about here is what’s the opportunity cost of what that money could be doing? So when you talk about a 10-year term and you talk about going from a 6% rate to a 3% rate, essentially that would take it down to a little over $1,800 a month to $1,579 per month. Well, what happens then if that difference you invest in your 401k, your 403b, your Roth IRA, you make extra home payments, you’re investing in growing businesses? I mean, what’s the value of that? And how do you even start to factor all of that in? So what I want to wrap up on, Joey, is I thought you did a really nice job at the end of summarizing really four reasons that you think this concept really is in favor of supporting lower interest rates over debt cancellation. And you talk about resentment, incentive, realignment, you talk about decision-making uncertainty, and public support for lower rates. So let’s walk through those briefly. When you say resentment, what do you mean by that? Why would this type of plan be more favorable compared to something like debt cancellation?

Joey Mattingly: Yeah, so this is the — I mean, honestly, if I could weight them, this is probably like I’d say 50-60% of one of the things that we need to really consider is that while — and I even put, I don’t know if you noticed in the paper, you know how, so for when we write academic papers, we put out our conflicts of interest?

Tim Ulbrich: Yes, I saw that.

Joey Mattingly: I put in my conflicts of interest, I said my wife and I have student loans. I was like, it’s absolutely — like I absolutely have a conflict in writing this paper. Now in the case, I’m actually arguing against my own best interests, you know. But I’m saying that so I have a lot of friends who have sacrificed or made choices in their life where whether it was maybe not buying a home right away, maybe even delaying having children, maybe it was whether they stayed in the same car for an extra 10 years and kept it going or whatever it was, the sacrifices that they made, didn’t go on trips or whatever, so that they could put larger chunks of their income right on top of those students loans and get them paid off. Now imagine my classmates that I love to death, we have grown through pharmacy together, find out that magic wand is waved from the federal government or whoever, and your loans are paid. Right?

Tim Ulbrich: Right, right.

Joey Mattingly: Now, they would probably think for the last 10 years, oh my gosh, they could have been investing in the stock market, they could have started a business, they could have done all these things had they known. And now, I totally agree that yeah, that would feel really, that would feel kind of challenging. Now, for some would say, well, you know, I’m still in principle OK with getting rid of the student debt just because you’re against, you know — maybe your politics are that you’re against students having this much debt to begin with. That’s another discussion. I just think that that’s an unintended consequence of this, and I think in a way, it sort of polarizes us. We get into these bigger philosophical discussions about what’s fair. And I just, I think that we can get past that. So I just wanted to put that out there. I think that’s a big one.

Tim Ulbrich: And I would agree with you. I think your percentage weighting is accurate. We actually had this out on the Facebook group, on the YFP Facebook group, a couple months ago when the candidates’ forgiveness/cancellation plans came out. And the word “fair” was by far the word that kept coming up over and over again. And some people were, as you mentioned, even though I’ve gone down that route, I still am in favor of this for various reasons. But I would say largely, many people had this concern, well, what about the people who have already paid this off? Is this fair? And that word, “fair,” did keep coming up. So the second thing you mentioned is incentive realignment. Tell us about that.

Joey Mattingly: Yeah, so I’ve shifted to become more of a health economist over the last few years in my studies and so incentives are something that I look at all the time and what are the things that the healthy behaviors that we think about, but anyway, in this particular case, imagine a policy shifting that saying, OK, we’re forgiving student loans. Does that tell future students or people who are thinking about doing another degree or whatever it may be to take out the maximum amount when maybe they don’t need the maximum amount? Because oh, hey, maybe it will just be forgiven later. And so I think there is a potential unintended consequence that may make it to where it’s not — we’re not aligning the incentives appropriately. And then one of the things I think would be kind of odd — again, this is theoretical, I don’t know this for certain — but think about some universities right now. We have a lot of universities, organizations, that they recognize that this is a problem. And I think some — and again, we could have a whole other discussion on whether or not schools are being more efficient — but that’s one of the things I do think some schools are working to become more efficient. And what if their consumers, the people paying the tuition, all of a sudden come into a windfall of more tuition dollars? Does this sort of put them in a situation where they’re thinking, oh, well, no sense in being efficient, anyone can pay for it?

Tim Ulbrich: Yeah, does it de-incentivize the efficiency? And you wrote a piece on the efficiency of the PharmD education.

Joey Mattingly: I’m just trying to get more citations.

Tim Ulbrich: We’ll link to that in the show notes as well. So the third point you make here — and again, we’re talking about reasons to support lower interest rates over debt cancellation — is decision-making uncertainty. What do you mean by that one?

Joey Mattingly: Yeah. So and I wanted to give an — I tried to give an example of myself. You know, my wife and I, as I stated, have student debt balances as we’ve worked to pay these things off. And we have a mortgage, we bought a home. Well, with all of this stuff happening in the politics, the national politics, Ashley and I have been working hard to take extra dollars putting on our student loans. You know, you listen to Your Financial Pharmacist, we’re trying to follow good behaviors and do those things. Well, for the next 12-24 months, Ashley and I have had the discussion, should we put that extra money in a savings account or somewhere or even towards our mortgage at least until we figure out what’s going to happen? Because you know, for those who are holding debt, I mean, come on. Like that would be dumb financially for me to not consider the prospects of that debt being paid off. And then if it never happens, if my debt doesn’t get magically forgiven by whatever policy, then if we invested wisely, we should be able to take that money from our savings and then put it on the debt. But in a way, that’s going to cause more interest rates — we’re going to pay more interest over that in the short term. But it’s kind of one of those risk things. But I just think it causes some uncertainty in decisions and whether that’s good and bad, I just think that it’s a negative to like look, while we’ve got this uncertainty, we don’t know what’s the best thing for our money.

Tim Ulbrich: That’s a great one. And the last one, which is of course of interest, you know, what would be the appetite for something like this in terms of the politics and the public support? And you addressed just that, the public support for lower rates. So what did you find in the literature and how this compares to debt cancellation?

Joey Mattingly: Yeah, so you know, when you think about it, it shouldn’t be that surprising when we think of if you ask in a general survey about interest rates on loans, no one likes interest rates. Like why would anyone — like I’ve never met a person that’s like, man, you know, I think they should raise our rates. I feel like I should be giving more to the financial institution. And so now I’m assuming the 12% that disagreed must work for a lender, right? Because like why would you be against lower rates? Now, I think that’s going to be the flip side is when you’re thinking about if folks are trying to lobby for lower interest rates or even debt forgiveness, actually, either way, you’re potentially destroying an industry where people work. OK? So those interest rates are paying people’s salaries. They are paying companies, lenders, it’s going to those groups. And so you’ll eliminate the need for those groups. But let’s not forget that there’s people behind that. And so that also means lobbying groups or whatever. There are going to be companies that are going to be very much against anything like this, that may even if we all believe as a society it’s good for us, there’s special interests that will be against it. But overwhelmingly, like from a general population standpoint, I think this is something we can all get behind. And Democrat, Republican, whoever, like you can support this without it being too political. And that’s one of the things too because I know this argument has gotten so political. And once you put on your red and blue hats, like you might as well stop talking.

Tim Ulbrich: Yeah, and this reminds me, Joey, I recently had the pleasure of interviewing Dr. Daniel Crosby, who wrote the New York Times bestseller, a couple books, “The Laws of Wealth,” and most recently, “The Behavioral Investor.” And he talks about the contentious debate of passive versus active investing. And he actually proposes an alternative, kind of a third, takes the best from both worlds. And this reminds me a little bit of that. You know, I think that when some bold proposals come out like debt cancellation or loan forgiveness, there tends to be OK, I’m on the yes side, I’m on the no side. And we forget about what other solutions that exist. And I think your article did such a nice job of OK, what other viewpoints are there? And is there a solution that can get us all on board of trying to move the needle on this rather than something that may be more polarizing that actually never moves forward. So Joey, I appreciate your time. Again, for our listeners, what we’ve discussed is a commentary that he wrote and authored in the American Journal of Pharmaceutical Education titled “Before We Talk About Student Debt Cancellation, Can We Talk About the Interest Rates?” So Joey, I greatly appreciate your time and your work here and the support that you’ve had for what we’re doing over at YFP.

Joey Mattingly: Thank you, Tim.

Current Student Loan Refinance Offers

Advertising Disclosure

[wptb id="15454" not found ]

Recent Posts

[pt_view id=”f651872qnv”]

YFP 124: The Behavioral Investor with Dr. Daniel Crosby


The Behavioral Investor with Dr. Daniel Crosby

Dr. Daniel Crosby, New York Times best selling author, joins Tim Ulbrich to discuss his most recent work The Behavioral Investor. As both a psychologist and asset manager, Dr. Crosby provides a fascinating look into the sociological, neurological and psychological factors that influence our investment decisions and provides solutions for how to improve our behavior to be more likely to succeed with our long-term investing plan.

About Today’s Guest

Educated at Brigham Young and Emory Universities, Dr. Daniel Crosby is a psychologist and behavioral finance expert who helps organizations understand the intersection of mind and markets. Dr. Crosby co-authored a New York Times Best-Selling book titled Personal Benchmark: Integrating Behavioral Finance and Investment Management and is the author of The Laws of Wealth. His most recent work is The Behavioral Investor.

He also constructed the “Irrationality Index,” a sentiment measure that gauges greed and fear in the marketplace from month to month. His ideas have appeared in the Huffington Post and Risk Management Magazine, as well as his monthly columns for WealthManagement.com and Investment News. Daniel was named one of the “12 Thinkers to Watch” by Monster.com and a “Financial Blogger You Should Be Reading” by AARP. When he is not consulting around market psychology, Daniel enjoys independent films, fanatically following St. Louis Cardinals baseball, and spending time with his wife and two children.

Summary

Dr. Daniel Crosby was ready to fully walk in the footsteps of his father and become a financial advisor. During a two year mission trip with his church during college, Daniel became fascinated with human behavior and decided he wanted to study psychology. Toward the end of his doctorate program, he was burned out on clinical psychology work and didn’t know if he was able to do that work full-time. He got a job assessing bankers before they were hired and his passion for behavioral finance was born.

Daniel shares that his new book, The Behavioral Investor, is written more for professionals where The Laws of Wealth is intended more for a mass audience. At conference Daniel attended, he heard people repeatedly sharing ideas that weren’t founded in science. This drove him to research behavioral finance to determine what was true and what he believed.

In this episode, Daniel discusses several aspects of behavioral finance and the research behind them. For example, Daniel shares that research shows that intelligent people can’t avoid behavioral bias. He says that we’re just smart enough to present a credible case to ourselves and that there is a negative correlation between intellect and the ability to navigate financial decisions.

Dr. Crosby also discusses why he has a financial advisor manage his money. He says that even though he likely knows more about markets than his advisor, his biggest impediment to managing his own money is that he gets anxious and freaks out. Having an advisor puts someone else in control and pushes him out of the way.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast. We have a special guest for you, New York Times and USA Today bestselling author, Dr. Daniel Crosby. He was educated at Brigham Young and Emory universities as a psychologist, behavioral finance expert, and asset manager, who applies his study of market psychology to everything from financial product design to security selection. He’s the coauthor of the New York Times bestseller, “Personal Benchmark: Integrating behavioral finance in investment management,” “The Laws of Wealth” — one of my personal favorites — and his most recent work, which we will discuss on today’s show, “The Behavioral Investor.” He is the Chief Behavior Officer and Brinker Capital. His ideas have appeared in the Huffington Post and Risk Management magazine as well as his monthly column for WealthManagement.com and Investment News. He was named one of the ‘12 Thinkers to Watch’ by Monster.com, ‘A Financial Blogger You Should Be Reading’ by AARP, and named the ‘Top 40 Under 40’ by Investment News. When he’s not consulting around market psychology, he enjoys independent films, fanatically following the St. Louis Cardinals baseball team, and spending time with his wife and three children. Daniel, welcome to the show.

Daniel Crosby: Thank you. Great to be here.

Tim Ulbrich: On the Your Financial Pharmacist podcast, we preach the importance of behavior when it comes to managing money, and your work in “The Behavioral Investor,” “The Laws of Wealth,” and your other work so eloquently includes rich research, stories, case studies and cultural references that we can all relate to that make a topic interesting and applicable that, let’s be honest, has a tendency to be quite dry. So before we get into the weeds and talk about behavioral investing, before we get into the nerdy financial conversation, I need to know, how did you find yourself at the crossroads of psychology and personal finance? How does one get interested and make a career of this?

Daniel Crosby: Well, it’s interesting because I entered college, my dad is still a financial advisor, and so I entered college with probably a limited range of options just sort of parroting what my dad had done. And I said, ‘Oh, well, I’m going to be a financial advisor like my dad,’ just saw that that was a good life and indeed it is good work and a good life. But then after my first year of college, I went on a two-year mission for my church and there, I got a chance to interact with people, I got to do a lot of service and things of that nature and just became fascinated by the human condition, the human struggle and sort of came back with this added emphasis on psychology. And I said, ‘Nope, this is what I want to do now. I want to study psychology.’ Well, I finished my bachelor’s, began my PhD three days after I finished my bachelor’s. So it was the ripe old age of 23 when I started my PhD. And towards the end of my PhD program, I was candidly just burning out on doing clinical work because my PhD is in clinical psychology. And so I said, ‘Look, I love psychology, I love thinking deeply about why people do the things that they do, but I don’t know that I’m cut out for 45 hours a week of hearing about people’s most tragic life events and their hardest days.’ And so long story short, found my way back to this original love of finance and got a job out of college assessing bankers pre-hire. So before a bank would hire an executive, they’d bring me in to give them an IQ test and a personality test. And there in the bank, I sort of discovered behavioral economics and behavioral finance in earnest.

Tim Ulbrich: So at the very beginning of the book, Daniel, you mention that the aim of writing this book is to be the most comprehensive guide to the psychology of asset management that’s ever been written. And I think you did a fantastic job of that, but as I read “The Laws of Wealth,” I really enjoyed that work. What inspired you to build upon that that you felt the need to come out with additional research and work that you have here in “The Behavioral Investor?”

Daniel Crosby: Well, you know, for me, it was really two things. “The Laws of Wealth is written more for a mass audience, a retail audience, mom and pop investors. “The Behavioral Investor” is probably better suited for professionals or people with a little bit of background. So there was a bit of an audience shift. But a secondary and perhaps tertiary consideration were I would find myself at conferences with other professionals, other people who were in this kind of world of emotion and finance, and I would hear them sharing ideas that I didn’t think were founded in science, that didn’t sound quite right to me. So there was one conference in particular where I was just sort of frustrated with what was being shared. And I felt like it wasn’t quite right but that I didn’t have the resources at my disposal to rebut what was being said. And so basically, a lot of it was just for me to figure out what I believed. You have a duty — if you’re going to make your living by going around and talking about these things to people, I feel like you have a duty and a responsibility to be better versed than anyone else in these sort of things, and so a lot of the reason why I write is simply to figure out what I believe myself and to teach myself what to think and what to share with others.

Tim Ulbrich: And I think so much of personal finance can quickly become opinion or OK, what did my friend do or what did somebody else or what are others doing? What’s out there in the news? And I think for pharmacists, we are trained, it’s drilled into us to think about evidence-based medicine, and I like so much of what you’ve done here in presenting the research and really putting I think a lot of rigor in depth behind some of the financial principles that will be sound in terms of helping one’s financial plan. So you break the book into four parts, and in part one, you investigate the sociological and neurological and physiological barriers to making sound investment decision-making. And early on in the book, you state, “Humans who are capable of much greater complexity of thought are accordingly capable of much greater self-deception and irrationality.” And you go on to say that there are social norms that define us and that “trusting in commonness and what makes one human but learning not to is what will make you a successful investor.” Tell us more by what you mean by this.

Daniel Crosby: Yeah, so starting with that first point, you know, when we become aware of our tendency to be biased or our tendency to make cognitive errors, a lot of folks and perhaps maybe smart folks like the ones that listen to this podcast go, ‘Oh, well, that pertains to other people but not me because I’m a pharmacist, I’m a doctor, and this is sort of a Joe Six-Pack problem, but it’s not my problem because I’m smarter, I’m better.’ But the research actually shows that there’s a negative correlation between intellect and your ability to successfully navigate some of these things because oftentimes, we’re just smart enough to fool ourselves. Like we’re just smart enough to present a credible case to ourselves that what we’re doing is not, in fact, wrongheaded or biased. And so there’s a couple of things at play: One is that smarts can actually be your own worst enemy in the way that I’ve just said. But in “The Laws of Wealth,” I cited research that shows that people lose 13% of their IQ, basically their cognitive processing power, when they’re in a period of financial stress. And so even for parts of navigating your financial life where smarts are of us, we have least access to them when we actually need them most. So it’s sort of a double-edged sword, but you can’t really think your way out of this one. And it’s a case of what got you there won’t get you to where you want to go. And a lot of people misapply their smarts in this area.

Tim Ulbrich: And I think that makes so much sense. I think any of us can think back to personal financial decisions we’ve made and I think especially as you reflect back — I mean, sometimes in the moment but I think more so reflecting back — where you look at a decision you made and it’s like, what was I thinking? You know, in that moment of time, what was going on? And I think it really speaks to the power of the emotions that can take over some rational thought and as we’ll talk about later in the show, the power of having a plan and putting that plan on automation to really help yourself get out of the way to ensure that your plan can see through to success. Daniel, one of the things I really took away from your book is that while it may seem counterintuitive, you mention that a large body of research suggests that investors profit most when they do the least, you know, really building on what we had just talked about here a couple moments ago. So my question here is, why do we have a tendency towards action? And why can this tendency hurt us when it comes to investing and saving for things like the future in terms of retirement?

Daniel Crosby: Well, one of the hallmarks, one of the key takeaways of “Behavioral Investor” is this idea that things that have served us well evolutionarily or things that have served us well in other parts of our lives serve us poorly when it comes to the investing domain, in particular. And so this action bias, as it’s called, is a great example of this. You know, in many parts of your life, quite intuitively more action does lead to greater results. You know, if you want to get more fit, then you should lift more weights. If you want to get smarter, you should read more books. Taking action does indeed bring about results. But in financial markets, the reverse tends to be true. Myers Statten looked at 19 different countries and found that in every single country that he studied, the more active people were in markets, the more they traded, effectively, the worse they did. And that was a monotonic stepwise relationship. For every extra action you took, you did slightly worse both net of and gross of fees, and so it’s a weird thing to think just about anywhere else, if you want more good stuff, you should do more. But in this world, doing less tends to get you more.

Tim Ulbrich: Yeah, and I think we’ll talk more about automation as well, but I think this really gets to the point of when you can be aware of the potential negative effects of having an action bias or action type of mindset, I think there’s a tendency when it comes to our investments, our finances, to be wanting to check accounts. And certainly if those are reading the news or getting additional information, make quick decisions. And really, again, automation, take a step back, have a plan, have a coach, and really looking at putting that plan on automatic to get yourself out of the way. One of the things that I left with was in Chapter 2, which was titled “Investing on the Brain,” you summarize this study where the brain activity of individuals was measured, and they were making a series of choices that were either immediate or delayed monetary rewards. And I found this part really interesting and so applicable to how we handle our long-term investing strategy, this idea between rewards that are immediate or rewards that are delayed into the future. Can you talk more about what researchers found in this work and what the implications are when it comes to investing, especially investing for the long term?

Daniel Crosby: So what the study found was that when people were presented with a short-term reward, there was a flood of dopamine, which is sort of a neurological reward, if you will, but that no such dopamine rush was present when it was a longer term reward setup. So the key psychological concept here is salience, right? It’s how real, how vivid, how present to the mind, that reward seems. And so research has shown that when people are making long-term plans, what they have to do is make the long-term more salient. So to explain, like what’s happening to me right now is enormously salient because, you know, if I eat a donut or if I go on a walk or do any other pleasurable thing, I’m rewarded in real time. But something like saving for 80-year-old Daniel’s retirement is much more abstract, much more ethereal, much less salient. And so what we have to do is make the future seem more real. And so you see this in studies where people have actually aged their faces, there have been studies where people have shown you what you might look like when you’re 80 years old, and then ask you, do you want to save money now for retirement? And people save at a bigger rate when they imagine themselves vividly older than they are today. So with your planner, with your spouse, with whoever, we need to be having conversations about the future that make that future — if not just as real, much more real than it currently is because that’s going to entice us to do the sort of saving and preparing that we need to do.

Tim Ulbrich: And I think in your example in the book, I think long-term retirement savings, if we think about a traditional retirement model, you work for 40 years, you’re 70, 75, 80, whatever, you know, I think that one’s probably the most obvious in terms of OK, that’s so far off, and I have all these needs that are here today of which — and expenses that can happen, of course. But if I go to spend money today on a vacation or spend money on a home today or spend money on a car today, that’s an immediate reward. And that’s what you talked about in terms of the dopamine pathway being activated versus Tim or Daniel, 40 years from now, it’s a much harder goal to really see the urgency around. So I think that’s an obvious one. You know, one that I’ve personally experienced that maybe isn’t as obvious in a little bit shorter term is even something like savings for kids’ college. So I have four boys, my oldest is 8. And I can remember, I mean, it seems like just yesterday he was a newborn and we were talking about savings for college. And here we are at 8 and lots of needs have really been put ahead of saving for college for a variety of reasons. So while that isn’t necessarily a 40- or 50-year trajectory, it’s more of an 18-year trajectory, I still that gets to the point that you made well in the book of needs that you have today and really being able to work with a coach and a planner to help take those future needs and really making them as real as possible today to prioritize the savings for those. One of the concepts — and you link this well to the idea of keeping up with the Joneses — is you talk in this section of the book that we just referenced, “Investing on the Brain,” about anticipating a reward is deeply satisfying, whereas literally receiving the reward is far less gratifying. And I want to say that again because I think that’s a really interesting concept. “Anticipating a reward is deeply satisfying whereas literally receiving the reward is far less gratifying.” And again, you go on to make the connection here of how we easily can feel dissatisfied in the work and the money that we earn, how you kind of keep pushing that forward and that obviously leads to the concept of keeping up with the Joneses, feeling like you need more and more and more and it’s never enough. So my question here, Daniel, is is there a point where there is enough? How much is enough? And can money buy happiness? Is there a point where wealth can really produce happiness? That’s a question we all often hear and think about.

Daniel Crosby: Yeah, so I wanted to talk about why anticipation is more pleasant than the reward itself, and then I’ll move onto the happiness question. So there’s something in psychology called “focalism,” which is when we imagine a future event, we imagine sort of one dimension of it. We focus on one particular thing. And so if you’re imagining a trip to Hawaii, you focus on laying on the beach with a pina colada in your hand and not getting up at 4 o’clock to make your flight and getting stuck in traffic and everything that it takes to get there because even for something immensely pleasurable, there’s still some element of hassle and negativity associated with it. And we tend not to focus on that. So that is part of why preparing for an event, a vacation, a gift, whatever, is more pleasurable than the event itself. You know, I think about we bought our dream home a couple of years ago. And you know, looking on Zillow and dreaming about all the things we would do there and everything was a lot of fun, but cleaning all of the toilets in a big house is a lot less fun. And so this focalism leads us to sort of one-dimensional appraisals of things, and that is the way that it is. In terms of the literature on money and happiness, it’s really quite fascinating. So in a phrase, money is better at buying the absence of misery than it is at buying happiness. So money can make you not sad. Like people with adequate resources are happier or less sad than people with inadequate resources, and that increases exponentially up to about $75,000 or $80,000, up to about sort of a middle-class income. But after that, it plateaus very quickly because what money is good at doing is having you not worry about living in a safe neighborhood, not worrying about keeping shoes on your kids’ feet, not worrying about keeping food on the table. But once you’ve sort of provided for that lowest rung of Maslow’s Pyramid there, it gets much trickier after that. And after that point, money can buy happiness if you spend it on certain things. And so the things that money can buy happiness is if you spend it on time with others, like a vacation or time with others, if you give it away, so if you’re charitable, and if you buy yourself out of things that you hate doing. So like getting a maid or getting someone to cut your yard or whatever you hate doing, if you can buy your way out of that. And that’s about it. So it provides sort of a worry-free baseline. And then after that, you have to get kind of particular about how you spend it because if you’re not spending it on time with people you love and if you’re not spending it on making your life a little easier, it just doesn’t do much, candidly.

Tim Ulbrich: That’s so rich. And I love how in the book, you talk about the concept, along with keeping up with the Joneses and eventually getting to this basic level of happiness which money can buy of being able to cover needs. You talk about the concept of living on the hedonic treadmill. And I think we can all relate to that where we buy something, and the anticipation of it was much greater than the reality of that or that feeling, that dopamine rush over time subsides. But when we think about investing in things like giving to others and being philanthropic or investing in convenience is what I just heard you say there, investing in time and experiences, I mean, those are the things that really produce that true joy and happiness. And I think that’s such rich information that we all can think about and reflect upon with our own financial plans. Beyond the minimum, beyond taking care of our needs, are we spending our money and investing our money in the things that matter most? Which the literature supports really does buy happiness and hopefully doing what we can to minimize buying things that we know will not produce that same level of happiness. So shifting focus here for a minute, I want to talk about loss aversion because I think that is real for so many listening to this podcast, especially myself, and thinking of those that were significantly impacted, either directly or indirectly, by the 2008 recession. Can you talk further about the concept of loss aversion and how this may have an impact on one’s long-term savings plan?

Daniel Crosby: Yeah, so loss aversion is the observation in the psychological literature that people are about 2.5 times as upset about a loss as they are excited about a comparably sized gain. So if you go to Vegas, and you lose $100, you’re upset. If you gain $100 bucks, you’re like, yeah, whatever, it doesn’t change my life. So this is sort of this asymmetrical relationship we have between how we perceive loss and gain. So of course, this leads people to do a number of things in markets, notably, to take too little risk. Now this can be exacerbated, depending on sort of where in your life you encountered the markets. So for me, I just turned 40 last week, and so I got out of school in 2008, I finished my PhD in 2008. And so the first thing I did is I got out of school, I got a job, started saving, started investing, and immediately ran into the buzzsaw of 2008 and early 2009. And so there’s something in psychology called this primacy and recency effect. So we have increased memory, right, we hang onto things that happen early in a sequence or late in a sequence. And so for people like me whose initial foray into investing was getting their money chewed up and spat out, it can be a very discouraging thing.

Tim Ulbrich: And I think, Daniel, so I’m on the exact opposite. I also finished my pharmacy degree in 2008, but I was doing residency in 2009, so when I just started investing, I’ve only been on the other side of this 10-year run in the positive. So I have yet to experience that loss. I really bought at probably about the lowest point, and so I think that leads me to be somewhat of overconfident in what the markets will do. And I think you do a good job in the book of when you’re thinking about risk, truly assessing risk not based on one experience or one moment in time but really looking at the historical risk. And I think on the other side of that when I think of my experience is that I shouldn’t necessarily look at this 10-year period, as I may have a tendency to do, and expect that that run is going to continue going forward. And so I think there’s — I could see this on both sides of it as well. And I hope our listeners will pick up a copy of the book because in “The Behavioral Investor,” you do a great job — and we’re only talking about a few of them here, obviously loss aversion being one — but you do a great job of distilling what you say is more than 117 different types of behavioral biases into four types of behavioral risk: ego, conservatism, attention, and emotion. And you walk through each one of those in detail, you give strategies to overcome, and so I hope our readers will get the book to look at more of those in detail. So I want to shift to the topic of automation. And I think — and you mention in the book — you could have really titled the book and distilled it down to three words: automation, automation, automation. And I find the irony in your book of there’s so much complex research and so much rich data and ultimately, it gets to this concept of less is more, automation, and have a coach. And so talk to us about the power of automation and how that helps combat some of these biases. And I’d also be interested in, you know, how have you successfully navigated automation, even in your own financial plan?

Daniel Crosby: Yeah, it’s a fascinating thing because people make the mistake of thinking that a complex, dynamic system like the stock market has to be met or solved with equal complexity. And you remember from your stats class that to avoid overfitting, when something is complex and dynamic and always in flux, really the way to not overfit by solving that problem is to approach it quite simply and with just a couple of rules. And you know, you’ve touched on a couple of mine, which are automate and work with a coach. And so automation is great because it actually takes a human tendency to be prone to the status quo, to be sort of lazy, and it locks it in for our benefit. So you know, being lazy can lead you to never start saving and investing, and that’s certainly problematic. But if you begin a robust program of investing and saving, and then you lock that in and you automate it, that same laziness can work to your benefit. So that’s sort of the magic of automation is it just locks in this human tendency to be conservative and be status quo-prone and uses it, flips it on its head and uses it for our benefit. The second piece I’ve written about quite a bit is that I work with a coach, like I pay a financial advisor. And I mean, at the risk of being arrogant here, I probably know more about financial markets than my financial advisor. And so why do I pay someone to manage my money, to hang onto my money when I perhaps know more than they do on paper? Well, the reason goes back to our conversation about education and IQ and these sorts of things. The biggest impediment to me reaching my financial goals is not inadequate knowledge of markets. The biggest impediment is me freaking out.

Tim Ulbrich: Yes.

Daniel Crosby: And so I understand that I’m no different than the next person. Like I can’t write enough books to make myself rational or calm or cool-headed. And I know myself. And I’m, in fact, quite not level-headed. I’m quite anxious, and I’m quite skittish. And markets — and look, let’s call it what it is, just in life general, nobody goes into psychology because they’re well-adjusted, right?

Tim Ulbrich: Right, right.

Daniel Crosby: So I know this about myself, and I build a wall to keep me out of my own way.

Tim Ulbrich: Yeah, and I think the self-awareness — I share that with you as well — I think the self-awareness of that and then taking the initiative to say, OK, I need that coach, I need that accountability, because I think as your book highlights so well, we’re just hardwired toward getting in our own way when it comes to being successful with investments. And so I think if we can acknowledge that, be aware of that, call it what it is, I think that really gives us the humility to say, OK, we probably need somebody in our corner to help us out with this plan. I would also point our listeners to, in addition to Daniel’s book, we talked about automation in detail on Episode 057 of the podcast if you want to check that out. And a book I’ve talked about before on this show is “I Will Teach You to Be Rich” by Rahmit Sedi. I think he does a really, really nice job of talking about the power of automation and giving some examples of what that could look like. And in his plan, he talks a lot about that upfront time investment to develop the plan or work with a coach to do that. But then after that, you’re really saving yourself time and I would argue saving yourself a lot of anxiety and stress when you know that you’re going to be really just overseeing the plan as it’s hopefully functioning and running itself and not having to really wonder, am I achieving this? Am I not achieving this? What’s going on with certain parts of the plan? I want to end by talking about passive investing versus active investing, two terms that many of our listeners are probably familiar with. But then a third approach that you talk about, which is a new approach called rule-based behavioral investing and why that may be even a better approach than passive investing, which I think many of our listeners would probably be in favor of. So can you briefly define passive and active for those that are not familiar with those terms when it comes to investing? And then outline what’s different about rule-based behavioral investing?
Daniel Crosby: Yeah, so passive investing in its purest form is saying, I don’t know what the market’s going to do in the future. So I’m going to own the entire market, effectively, to use the S&P 500 as a proxy for the entire market. Instead of trying to pick the winners and losers from these 500 largest companies in the U.S. economy, I’m just going to own them all and own them in the sizes that they are. So the bigger the company, the bigger a piece of my portfolio it will be. And I’m not going to try and pick winners and losers. Active investing would be trying to pick winners and losers from among those 500, again, just using this as a simplified proxy, we’re going to try and pick the top 50 stocks from among these 500, hold those 50 with the aim of beating that benchmark, as it were. And so like many things I think in our day and age, the conversation around active and passive I think has sort of devolved into hysterics and people just shouting at each other from the other side, the other bank of the river. And so I wanted to look at this and say, ‘You know, what works about passive investing? And what works with active investing? And let’s just do that. Like let’s just do what works.’ So when I looked at what works, it must be said that the reason there are so many passive enthusiasts is that it’s just worked very well and it’s very cheap, on average. So if you look at 10-year periods over the last 10 years, it’s something like 85% of passive vehicles have beaten their active brethren and at a fraction of the cost, so that’s very compelling stuff. But passive investing still falls prey to a couple of mistakes. You know one of them that is somewhat controversial is market cap waiting, which basically says the larger a company is, the larger the size of my portfolio it will constitute in a true passive portfolio. Well, there’s research to suggest that larger stocks underperform smaller stocks. So you might want to do something as simple as equal weight or broaden your universe. There’s also interesting research that I think not many people are aware of. If you look at something like the S&P 500, this is the Standard & Poor’s 500. You know, the Standard & Poor’s is a rating agency. This isn’t mined from the earth, right? Like this doesn’t occur in nature. There’s a secret committee of people who chooses who will go into and out of the S&P 500. And at times, they have made poor decisions, just like we all do. They’ve made decisions to include, to break their own rules around profitability to include AOL right before the tech bubble burst. So they can break their own rules, they can make poor, wrong-headed, discretionary choices that can lead to some underperformance. So my thought was take the best parts of passive investing. It’s well diversified, it’s cheap, and do those things. Never overpay. Diversify to the hilt. Those are great things to learn. But you can also take rules from active investing or the best types of active investing, which is don’t use your discretion. Don’t leave it up to some external force to choose what’s going to go into your portfolio. You rule based on choosing affordably priced, high quality shares, weight them in a way that’s consistent with strong performance historically. So you know, before I get an angry army of passive investing enthusiasts after me, there’s so much recommended. For the average person, for the person who just doesn’t want to think about this stuff, passive investing makes all the sense in the world. But if you’re interested in these things and you want to take it just a step further, I think there are ways that you can improve on market cap-weighted passive investing that are very sensible and very affordable.

Tim Ulbrich: Yeah, and you do a great job of this. Chapter 12 is called “Investing a Third Way,” and I found this very refreshing, to be honest. And confession time to my audience and community, I mean, I was one of those people, I am one of those people I feel like that is kind of on the side of passive investing, shouting across the riverbank to the people on the active side. And I think this was just a good reminder of, you know, as you mentioned, many things in life, it’s not one of two options, but there’s multiple options. And really taking a look to see what’s the best from both of these? And is there a third way and a third approach. And you do a great job in outlining this in a table in terms of what really are the advantages of what you’re referring to here as this rule-based behavioral investing. It’s got low fees, it’s diversified, it has the potential to outperform, obviously potential a key word there, low turnover, and manages bias. And in the book, you were very clear and your quote was, “To be as direct as possible, passive investing should be the de facto choice of those uninterested in the art and science of investment managing. By buying a diversified basket of index funds that covers a variety of asset classes, know nothing investors who often know a great deal are likely to beat more than 90% of active managers and have time to focus on pursuits more meaningful than compounding wealth.” And so I think that’s also a great reminder of again, there’s not one or two options. There’s a multitude of options. And this also depends on how involved and how interested you want to be in learning more about the process. So Daniel, thank you so much for taking time, for coming on the show, for, again, the work that you’ve done here in “The Behavioral Investor,” “The Laws of Wealth,” and the other work that you’ve put out there as well. So in addition to listening to your podcast called “Standard Deviations” and getting ahold of the book, “The Behavioral Investor,” which is available pretty much anywhere, where can our listeners go to learn more about the work that you are doing?
Daniel Crosby: I’m very active on Twitter @danielcrosby and also post a lot of my research on LinkedIn, so just Daniel Crosby, PhD. So thank you so much for having me.

Tim Ulbrich: Awesome. Thank you so much, Daniel.

Current Student Loan Refinance Offers

[wptb id="15454" not found ]

Recent Posts

[pt_view id=”f651872qnv”]

YFP 123: Leveraging Your Expertise to Start a Side Hustle


Leveraging Your Expertise to Start a Side Hustle

Dustin & Melody Hartzler talk about their healthcare side hustles, how these ventures have accelerated their financial goals, how they balance and prioritize their time, and how they work together as a couple when it comes to business and managing their personal finances.

About Today’s Guests

Dustin Hartzler is a Happiness Engineer at Automattic by day, where he helps business owners work all of the kinks out of their WooCommerce stores. If working with WordPress all day wasn’t enough, he spends time each week recording his WordPress podcast called Your Website Engineer (http://YourWebsiteEngineer.com). He enjoys helping people understand and use WordPress to its fullest capacity and spends time tinkering with code. When he’s not in front of the computer (which is rare), he enjoys spending time CrossFitting, reading and traveling. He lives in Dayton, OH with his wife, 5.5 year old daughter, and 2.5 year old son.

Dr. Melody L. Hartzler, PharmD, BCACP, BC-ADM, is a family medicine clinical pharmacist and Associate professor of pharmacy practice. Dr. Hartzler is a graduate from Ohio Northern Raabe College of Pharmacy. She completed her PGY-1 Pharmacy Practice Residency with emphasis in Ambulatory Care at the Chalmers P. Wylie VA Ambulatory Care Center in Columbus, OH. Following residency, she joined faculty at Cedarville University School of Pharmacy and developed a collaborative practice in a family medicine residency program. She now serves part-time for Cedarville University School of Pharmacy and part-time as a clinical pharmacist at Western Medicine Family Physicians. Her primary practice interests are diabetes, IBS/IBD, and functional medicine. In her current clinical practice, she works collaboratively with her physicians through a consult agreements. She is board certified in both ambulatory care pharmacy as well as diabetes management. She is a nationally recognized speaker, who has presented 6 times at the ASHP Midyear Clinical Meeting, as well as numerous state and local programs. She is an active member of American Society of Health System-Pharmacists as well as state and local organizations. She is also is a current board member for the Ohio Pharmacist Association. Dr. Hartzler’s passion for functional medicine lead her to start her company PharmToTable, LLC; she blogs at PharmToTable.Life. Her newest adventure is FunctionalMedicineCE.Com, she is making quality continuing education for Functional Medicine convenient and affordable.

Summary

Dustin and Melody Hartzler share their career journeys and how they are leveraging their expertise to start a side hustle. They have created multiple side hustles built on needs they are seeing while also fulfilling creative outlets they crave. Melody works 3 days a week at Western Medicine Family Physicians and teaches at Cedarville part-time. At her office job, she focuses on diabetes medication, transitions of care, medical reconciliation and does functional medicine consultations. Dustin is an electrical engineer turned Happiness Engineer at Automattic where he supports customers set up their WooCommerce stores and websites.Together they have created two side hustles: Functional Medicine Continuing Education and Pharm to Table. This episode focuses on Functional Medicine Continuing Education.

Dustin and Melody share their roles in their businesses. Dustin is able to have a creative outlet by building websites for their businesses and Melody often brings new ideas to the table based on the needs she sees in the pharmacy and functional medicine fields. They often have business conversations while driving.

Melody dives into functional medicine, a break down of what it is, her personal story leading her to learn more about functional medicine and how she incorporates it into her office practice as well as in their side hustles.

They speak more about their business model and the costs behind getting websites like they have up and running. The couple also share their advice for getting started in a side hustle and the podcasts and books they help to inspire their journey.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast. I’m excited to welcome onto the show Dustin and Melody Hartzler, proud fellow alums of mine of Ohio Northern University to talk about their unique career journeys with multiple side hustles, which most recently culminated in the launch of FunctionalMedicineCE.com and a virtual symposium that they are launching on Nov. 9, 2019. This episode is an extension of the work, the excellent work, that Tim Church has been doing as a part of our YFP side hustle series where we talk about ways you can create additional streams of income to reach your financial goals faster and highlight pharmacists who are making this happen. Now, before we get started with today’s episode, I want to mention an awesome giveaway that we have going on this month in combination, in partnership with Brandon Dyson and the team over at TLDR Pharmacy. And this is the ultimate residency prep giveaway, and you can learn more and enroll in that giveaway to get yourself eligible over at YourFinancialPharmacist.com/giveaway. Again, that’s YourFinancialPharmacist.com/giveaway. In this giveaway, the ultimate residency prep giveaway for five winners, we have a variety of resources, everything from interview prep, letter of intent prep, a pharmacy residency bootcamp from the Pharmacy Advisory Group, lots and lots of resources, including the forecast application fee that, of course, costs just over $100. So again, you can learn more at YourFinancialPharmacist.com/giveaway. So Dustin and Melody, welcome to the Your Financial Pharmacist podcast.

Melody Hartzler: Thank you.

Dustin Hartzler: Hello, hello.

Tim Ulbrich: Well this has been a long time in the making, so excited to have you guys on the show. And we’re going to talk everything from business and side hustles to how do you guys effectively work together, what’s the purpose, what’s the goal, why are you doing these side hustles, so I’m excited to be able to have our community, our listeners, get exposure not only to the businesses that you’re working on but also a little bit of the behind-the-scenes of how the two of you operate and the success that you’ve had. So why don’t we start with each of you — Melody, I’ll start with you. And then Dustin, I’ll ask the same thing. Melody, can you start and tell us a little bit about your day job, what you’re doing every day as a clinical pharmacist? And then from there, we’ll jump later in the show about some of the side hustles.

Melody Hartzler: Sure. So three days a week, I work at Western Medicine Family Physicians, which is a private practice family physician office in the Dayton, Ohio, area. And then I also teach at Cedarville part-time, so I get the opportunity to still teach what I love, which is endocrinology and diabetes-focused. And also I am in charge of our residency teaching certificate program at Cedarville. So during the week at the office, I do a lot of diabetes management, also transitions of care, helping med reconciliation for post-hospital discharge patients. And then I do a lot of functional medicine consults too, which I think we’re going to get into later.

Tim Ulbrich: We are. And that was — part of wanting you to share that is I think often the value in a side hustle — most side hustles that often turn into successful businesses I think is where there is synergy between someone’s area of expertise in their day job and what they’re able to do. So split position, teaching as well as practice in functional medicine. Dustin, why don’t you give us a little bit of background on the work that you’re currently doing at Automatic as well as the previous work that you had in starting and owning your own business?

Dustin Hartzler: Yeah, absolutely. So I do work at Automatic now. I am on a support team, so I help people set up websites. And you might see where this is going here in a little bit, but I had a business when we moved to Dayton in 2010, I set up my own company because I wasn’t going to do my electrical engineering job, drive to a factory two hours away, and it just didn’t make sense. So I’m like, let’s see if I can start something here. And I started, and I had a business building websites for people. And so I have a lot of experience, 10 years almost, in just building websites and helping people get their websites set up. So that’s my primary focus, and that’s my primary day-to-day.

Tim Ulbrich: So you’re title, Dustin, if I pulled this correctly from your LinkedIn profile, is a “happiness engineer.” What is that? I mean, what does the day-to-day of that look like?

Dustin Hartzler: Yeah, so that’s just a name for our customer support team. And so our goal is to make everybody happy, I guess if you will. It’s mainly — it’s kind of a unique position in the fact that we’re not like a normal call center that says like, “Oh, you can only give them refunds if this, or you can only do this.” Like there’s so much flexibility in our jobs, like you know, if somebody has paid for a plugin or paid for something and it just doesn’t work, we can go outside their window to refund them or we give them extra time or give them free plugins. Like I’ve given customers who’ve spent thousands of dollars with us, just oh, this wasn’t working when you try to check out, it’s on me. Like it’s one of the cool things that we can do for our loyal customers and just try to make everybody, that experience when you’re building a website is so frustrating. And so our goal is to help people get what they need and to also just do it without having to ask for extra permission. Like, “Oh, can we give someone this $100 thing worth of value?” Just go ahead and do it, and everybody moves on with their lives.

Tim Ulbrich: So one of the things I don’t think I’ve ever asked you this and I don’t want to gloss over, Dustin, but you mentioned obviously you’re trained as an electrical engineer and you abandoned — for lack of a better word — abandoned that work, started your own company. You mentioned the long commute, but what other reasons, what other factors played into that decision in terms of leaving a career in a field that you had spent a lot of time obviously in training and becoming an expertise and deciding you want to go this route into web development?

Dustin Hartzler: I think the two things that stand out to me is one, I don’t like meetings. I worked at Whirlpool, and I would literally have like seven hours of meetings in an eight-hour day, plus have to do all my other work.

Melody Hartzler: He wouldn’t do well in academia either.

Tim Ulbrich: No, no, he would not.

Dustin Hartzler: And then I think the other thing was just the inspiration I was getting from listening to so many other business podcasts and people creating their own thing and doing their own thing, and the income level was — you were never capped. Whatever you could create, that’s how much money you could make. So I think those were kind of the two reasons besides the long commute. And honestly, I liked the commute more than the work because I got to listen to podcasts the whole way to and from work.

Tim Ulbrich: I love that. I mean, so the aversion of meetings and the advantage of not having a cap on your income certainly can be reasons to be able to start your own business. So I agree, though, Melody, academia would not be the environment for Dustin. You’ve got to love the meetings that are about the meetings. Those are my favorite types of meetings. So let’s jump in. And Melody, if you could start, and Dustin, feel free to chime in, you know, I’m always curious, obviously here we are on a personal finance podcast, but I think so much of people’s success in business or here in side hustles or side hustles that turn into businesses over time is really dependent on people having a solid financial base and foundation from which they can build. So tell us a little bit about your personal finance story and journey as an individual, as a couple, and how that has put you in a position to be strategic and on the offense when it comes to these business opportunities.

Melody Hartzler: Sure. So I probably didn’t have the best understanding of finances when we got married and even going into school. I had a lot of private loans that had a variable interest rate. So by the time 2008 came around, before the stock market crashed, some of those were at about 16% interest.

Tim Ulbrich: Wow.

Melody Hartzler: Yes. So we left, I graduated in 2009, and I had about $120,000 in debt plus an additional $12,000 that I ended up paying back to Walgreens about three years later. Maybe a little longer. And so from that point, we knew we had to pay it back, and we wanted to pay it back quickly. We really wanted to pay it back before we had kids. Dustin had a lot less, which he can talk about. But so I — even during residency, I wanted to pursue residency and I knew that I liked talking with people and I loved the idea of community pharmacy, but I knew that the way that it was going wasn’t going to work for me and my goals. And so I did my residency in an outpatient facility at the Columbus VA. And I didn’t have weekend responsibilities there, so on the weekends, just like every other resident in town, I was working on the weekends. So I worked at Walgreens every other weekend throughout my whole residency. So pretty much had four days off a month because I was working the other weekends. And you know, that helped us a lot because we were able to significantly increase even just that first year. If you think about four days a month of a retail pharmacist’s salary plus the residency salary, it almost was about the same.

Tim Ulbrich: Absolutely.

Melody Hartzler: You know, when you got down to it. So that was a blessing to still be able to have that residency experience and then be able to get paid a separate position to help us dig out of that a little bit and then ended up having one of our cars died that year, and so we ended up having to use a lot of that to purchase a reliable car to get to those jobs. So and then Dustin, I can let him talk a little bit about his strategy when we were paying off loans. He was even paying them off when we were in Ada still at Ohio Northern, so my last two years of school, I worked as a head resident — actually three years, the last three years I was at ONU, I was the head resident. And so my room was free and we had the stipend plus we got a meal ticket. So here we got married and we’re living in an apartment on campus and going to the cafeteria as a married couple because that’s what made the most sense. I mean, we didn’t have our awakening on the whole health and nutrition thing at that point, so we were still OK with eating the food there. And so that was a big savings, we didn’t have a rent to pay for our first early years of marriage because of that. And so Dustin really was able to start driving down some of those high interest loans.

Tim Ulbrich: So Dustin, give us the strategy a little bit — and obviously chime in with your own financial position as well in terms of student loan debt. But those together when I hear 16% interest loans, were those just things you aggressively paid off? Did you guys refinance those? But in addition to that, what was the motivation for you that even while Melody was still in school that you obviously had very significant intentions of trying to aggressively pay those off. Tell us a little bit about that backstory.

Dustin Hartzler: Yeah, so when I started — so I graduated. I’m two years older than Melody school-wise. And so I graduated two years earlier. And I had a full-time job, you know, a full salary engineer position, and I drove to and from work. And this was like right at the dawn of podcasts, believe it or not. And the iPod, video iPod is the first iPod with the thick wheel, and I felt like I could invest $300 in this Apple device so that I could play it through my car deck tape player.

Tim Ulbrich: Yes.

Dustin Hartzler: To and from work. Like I was commuting an hour to and from Whirlpool. And I was like, well, I just want to learn about money. Like nobody ever teaches you about money. And so I got hooked on the Dave Ramsey Show, and all of a sudden things that he was saying was making sense. And we didn’t full out Dave Ramsey — like we took vacations while we were still in debt. Like we lived life, but we still were pretty aggressive with our student loans. But what happened was I ended up with like $20,000 in student loans. I throw that number out there like, oh, just $20,000. That’s still a lot. It’s not Monopoly money, like we paid it all back. But so I ended up — he was talking about creating a budget, and this was all before Dave Ramsey has his budgeting tools and stuff online. So I had an Excel spreadsheet, and I figured out — and I don’t know if this is true or not — but as an engineer, you’re always trying to figure out how you can save the most amount of money in interest. And so like we figured that it made more sense for Melody to take out new loans for the last couple years while we paid off her current loans. And so we had about three things we had to pay for: We paid for gas for my car to and from work. We paid for renter’s insurance. And I think we paid for like some groceries for breakfast and lunches for me. That was pretty much all of our bills. And so it was like every week, I figured out that if I wanted to spend $2,000 per month towards the loans, then I could spend $500 per week. And then that last week, whatever we had left in the month, we got that, that’s what got sent over to Sallie Mae at the time. And so that was kind of the strategy and the thought process. And was it the coolest life to live? No, not really. But looking back, our first two years of marriage, we lived on campus. And I mean, I got to do all the intramural sports and all that kind of stuff, and there were still a lot of friends that I had because I had just graduated. And so it was kind of cool, like it was a good jumpstart with such a weight around our ankles, if you will, with all of the loans that we had.

Tim Ulbrich: Yeah, I mean, there’s nothing like a good date night at the Macintosh cafeteria, right? At Ohio Northern University. I mean, what I love about that though is I love the intentionality, I love that Melody, you kind of admitted that you didn’t necessarily come in with the same appreciation for that and obviously had more debt, although that’s still well below the national average of what we’re seeing now even though it was a higher interest rate. But still were really, really aggressive. And I want to follow up on that and hear from the two of you. We talk a lot on this show about the importance of having a financial why. What is your motivator for why you even care about this topic of money to begin with? And we’ve preached over and over and over again that that’s going to be different for everyone. But if you can articulate that, especially as a couple if you can articulate that, I think it makes so many other parts of the financial plan easier to work through, such as the month-to-month budget and being on the same page and all the things that cause so much heartache and a lot of difficulty for people. So for the two of you, what’s the vision? What’s the dream? What’s the why when it comes to money in terms of why you wanted to be intentional in paying down the debt? And what’s the future hold in terms of why this topic of money matters?

Dustin Hartzler: I think the first thing that really comes to mind is like, I didn’t like paying people to use their money. I don’t know, like I had never had any credit, I had never — before, it was always like, “Oh, interest. That’s what the bank pays me.” And then when we see how much the interest is making, or how much we’re spending in interest, it just like takes your breath away almost. It’s like, wow, on our mortgage or whatever, that’s a lot of money just to spend to have used somebody else’s money. And so I think that’s kind of the driving force behind it, and then kind of looking out — and I do this a lot too with trying to figure out what happens the day comes and we don’t have our mortgage anymore, like look at all of the possibilities there. Like, oh, if we didn’t have a mortgage, we could easily cash flow college for our children. Or oh, if we didn’t have a mortgage, look how much money we would have to do these other things. So I think some of the why is just giving us the flexibility to do what we want. You think about it, and I told this to Melody, I don’t know, a few weeks ago or months ago, we were driving somewhere and I was like, “I am so glad that we do not have any student loans anymore.” With all of the things that we’re doing, the pieces of the puzzle, like you start tacking on $500, $1,000 here or there doing other things, we would rather spend instead of $1,000 to Sallie Mae to pay for education, like we would rather spend $1,000 to have our kids be more bilingual and go to a Spanish immersion preschool, which they do, and a kindergarten. So those are some of the kind of the things that I can think of right off the top of my head when it comes to financial motivators for us.

Melody Hartzler: The other thing too is that we’re Christians and we’re also passionate about giving and serving, and so we feel called to give back. It’s not really our money to begin with. And so how can we be a better steward of that? And so paying it down quicker as far as the debt that we had and even with our mortgage now is important to us so that we can be better stewards of the finances that we’re given and the opportunities that we have. We do give at least 10% of our incomes to our church and to various ministries in our community, even through the things I’m doing on the side hustles, the blogs and things like that. I also make it a priority to tithe those and things like that as well. So that’s important to us. Travel is also important to us. So I love, I’ve been to 49 out of 50 states. And so I grew up — and a lot of times, my parents didn’t have any super fancy we did, timeshare travel and different things like that where we’d cook most of our meals throughout the week, but hey, we were at the beach. And we did a lot of trips where we’d drive to the Grand Canyon or drive to Yellowstone and stopped at a lot of places along the way. And so I sort of got the travel bug and then like Dustin said, even when we were paying off debt, we were still traveling. So we went to Hawaii. My parents had gifted us two timeshare weeks out there that we were able to line up sort of back-to-back. But you know, when we were out there, we definitely used a Red Lobster gift card in Honolulu. And we totally ate peanut butter sandwiches at the feet of waterfalls. And so it was OK. We saw the beautiful creation that we were there to see. And obviously if we went back now, it would be a little bit different. But we laughed at that, and again, before our healthy food awaken, but we still have great memories of that. And even when we went to Europe before we got pregnant with our daughter, we went with another couple, we split Airbnb’s, so we weren’t out there spending — when I look at the Travel & Leisure magazine, I just sort of read it like, oh, this is beautiful. I’m never going to stay at these places. It has cool places to go, but never am I going to go on this place that costs $3,000 for the whole week just for one person. But yeah, so we really do want our kids to be exposed to travel, and that’s also important. And we like to — even each year, we like to go someplace by ourselves to sort of just disconnect from the day-to-day and I guess you could say the rat race sometimes. And then we like to take our family on a trip as well. So we just got back, actually, from St. John. But even within that, we went on Marriott points, and we got a good deal on flights. So it wasn’t like we’re just still — we’re still trying to be budget-friendly because we still are in debt with our mortgage and trying to be good stewards of our money.

Tim Ulbrich: Yeah, and I think you guys have been great examples that you can enjoy something that both of you are very passionate about in terms of traveling and exposing your kids to that but also do it in a way that fits in your financial plan and is reasonable to do in terms of how much money you have. And what you all are going to remember, obviously, is the experience. Right? I mean, not necessarily using a Red Lobster card, although that’s a great story. I mean, the meals and the food and all that are good, but obviously the experience and the time you have with one another and with your family is going to be what you’re going to remember in the long run. So let’s talk business because I wanted to lay that foundation because as I mentioned on this show and I say often, being able to aggressively pursue business opportunities, whether it’s a side hustle, whether it’s investing in another business, whether it’s buying real estate, whatever it be, doing so when you have clarity on the things that we just talked about I think allows someone to be able to pursue that opportunity with confidence and to do it in a way that’s not going to add on stress. And I think that’s so important that we all know the stress that can come from our own financial situation. And when you think about things like debt and not having emergency savings and obviously you put kids into the picture and expenses go up and home prices, all those things, and if you want to then pursue business opportunities but you already have those stressors, obviously this could be one extra layer of stress rather than hopefully something that can produce additional income and also allow you to pursue something that you’re passionate about. So what I would like to do is talk through two businesses I know that you’ve worked on, and we’ll talk about the one a little bit more in detail that you’re getting ready to launch, the virtual symposium, the functional medicine CE, but I also want to talk about your other venture in farm-to-table. But before we jump into those two, help me understand — obviously, we’re going to talk about two pharmacy-specific oriented businesses, but Dustin, obviously you’re not a pharmacist. We’ve learned you’re an electrical engineer, you’ve got a web design background, so what is the role that each of you play when it comes to the business ventures that you’re working on?

Dustin Hartzler: Yeah, so the thing about working at Automatic, it’s an awesome company. It’s the — WordPress.com is the company behind that, and there’s a specific little thing in my contract with them that I have a — it’s a conflict of interest for me to build websites for other people and charge money for it. I can out of the goodness of my heart for as many people as I’d like, but the time doesn’t really — I don’t really have the time to build websites for the goodness of my heart for many people. And so I think one of the really interesting things with that conflict of interest, you know, I was always trying to think like, OK, what can I do as my side hustle? Or what can I do that I’m really passionate about? But everything I’m passionate about is WordPress and websites, developing code and stuff like that. And so that’s one of the things that really, it was kind of once I started at Automatic back in 2013, it was like for a few months and a few years, it was like, well, I don’t have to do anything else. I’ve got this good-paying job, let’s not worry about it. But then that itch continues to be there. And then Melody comes up with these ideas, it’s like hmm. So I can build something for free, and I get revenue from it, essentially. So like I was talking to some people at we have an all-company meetup. It’s once per year; it was back in September. And I was telling people like, oh yeah, I built this. I was using WooCommerce and my wife is making all this money with this website. And they’re like, well don’t you mean you? And I was like, no. My wife is making all this money. So I think that’s a really good blend of what we can do as a couple because I can’t create that kind of thing on my own, mainly just because of the conflict of interest. Like had I — if I leave Automatic, I can go and do whatever I want. But I really like my job, and so this just gives me the opportunity, it scratches the itch of I get to build things but then I’m also getting the benefit of building this by as much as Melody can fill.

Tim Ulbrich: Hey Melody, I know how big of an asset that is, you know. For us, we have the magic bullet of Tim Church. You have the magic bullet of Dustin Hartzler that can do all of that. But the web design piece, the opt-ins, the lead magnets, the format, that can often consume people when they’re trying to just get their idea off the ground. So what an incredible resource. So building on that, it sounds like based on what Dustin said, you’re often coming with the vision, the idea, and then are you batting that back-and-forth with Dustin? Is he helping on the execution? Help me understand how you’re fleshing out a business idea that you come up with.

Melody Hartzler: Yeah, so normally, honestly, it’s a lot of conversations in the car when we’re driving places because if the kids are watching something on the iPad and you can’t do anything else when you’re driving, that’s when we have a lot of our business discussions. But I think a lot of times, it’s like, hey, this is what the need is that I’m seeing. And then like we’re just sort of going back-and-forth about how we can meet that need but also turn it into that side hustle and generate revenue from it.

Tim Ulbrich: Yes.

Melody Hartzler: And so for example, with the functional medicine CE, I all the time was seeing people saying, “Hey, I want to learn more about functional medicine. Where can I go?” And there’s a lot of great organizations teaching about functional medicine. The challenge is not a lot of them are providing pharmacist CEs. So if people are looking to meet their Continuing Education requirements with this education, that wasn’t happening in a lot of those situations. And also, the conferences are sort of expensive. And so when you’re looking at Institute of Functional Medicine, which is a great organization, and I’m hopefully going to be — I want to go to their conference next year at some point. It’s a great organization, but there’s no pharmacist CE currently, and there’s also — it’s a couple thousand dollars, if not more because you’re talking plane travel and really nice hotel stay for five days. And that all adds up really quickly. And so you know, a lot of people are too like I’m not sure if I’m ready for that. What can I learn to before I get to the point where I want to spend a couple grand on this. And so a lot of the other functional medicine programs out there, there’s Functional Medicine University, which is a great site that’s a couple grand to do their certificate program, which is actually one of the lower cost ones for getting a whole certificate. But anyways, so if you’re talking like IFM, you’re talking maybe $20,000 by the time you’re done with all the things you need to do to get that certificate. So I thought, you know, there’s got to be a better way to do this. So with my background in education, I’ve developed a lot of Continuing Education as well over the years as a faculty member. And I thought, you know, we can teach people, and we don’t have to have them go anywhere. You know? We’ve got webinar, you can Zoom software, and the ability to work with — I work with CEI, which is a great CE company. And so the ladies there that I’ve worked with have been fabulous. And so I’d already been working with them a little bit, writing for them. And so I thought, you know what? I can do this but host it on my own site and then I can still pay them to certify the CE and get this sort of going. And so I started talking about this with Orthomolecular, there’s a pharmacist that works for Orthomolecular, which was like, hey, that’s a great idea. We could sponsor it. And I was like, awesome. And so you know, the more I talked about it, the more people started to say, OK, yeah, we can do this. And so I had a lot of support. The speakers that are speaking this time around are all awesome and have been sharing a lot about the conference, and so Lauren Castle (?) is the founder of FMPhA. It’s funny because I was on maternity leave with my son, I think, and I saw the flyer for OPA that year. And it was this Introduction to Functional Medicine. And I was like, who in the world is giving that talk? Here I am holding this baby. So I looked at it, and I looked her up and I called her and we started connecting, and so that’s been awhile now. It actually might have been when I was on maternity leave with Kinley now that I think about it, about five years ago. But then now she lives like 10 minutes down the street from me. So —

Tim Ulbrich: Small world.

Melody Hartzler: It is a small world. But it’s been fun to help encourage her and what she’s doing in the functional medicine world and also have her support for what I’m doing as well.

Tim Ulbrich: So we’ll link to this in the show notes as well, FunctionalMedicineCE.com. The first virtual symposium is starting on Nov. 9. So for those of you that are interested in the topic, obviously check it out. Also I would encourage for those of you have an educational idea that you’re batting around and wanting to get a feel for what a virtual symposium is, I would check that out as well. You guys did a great job with the website setup, Dustin. Nice work. And I think it looks really clean, you’ve got great speakers on there, and I think it’s a great model that others can look at and build off from as well. So let me — couple more questions. I want to dig into this business model a little bit further, but for those of our listeners that maybe aren’t as familiar with functional medicine, give us the down-low on what is functional medicine? And why is it a topic that you care so much about? And why as a pharmacist do you think you have a lot to offer in that space?

Melody Hartzler: Sure, that could be a whole hour conversation, so I’ll try to not do that. But so essentially, functional medicine is really looking at the root cause of disease. And so we do that really well when we talk about infectious disease, you know, we have a treatment, it gets rid of it, we’re gone. But as far as the chronic disease model in this country, when we think about chronic disease, we really don’t have a lot of cures for most of our chronic diseases. It’s just something we manage with symptom management, and I do that every day in my practice too. I manage diabetes with medications, but I also try to incorporate some of these functional medicine principles as well. But essentially, it’s acknowledging that patients are individuals too I think is a big component of it. So just because something works in the population health, it doesn’t mean it’s necessarily going to work for this person sitting in front of you. And so trusting that what the patient is saying about their symptoms and using information that’s evidence-based is part of it, so it’s not like we’re just throwing these supplements that don’t have any science. It’s so much biochemistry, I wish I would have really paid a lot more attention in biochemistry. I give these reports, I do this one report from Genova Diagnostics called The NutriEval, and you literally get the kreb cycle printed out with all the different components of it of the patient’s actual body, and then it tells you what nutrients you need to make that cycle more efficient. And I was like, man I should have — and it seems like such a long time ago too. So it’s good — that’s why education, Continuing Education, is so important to try to keep brushing up on those skills. But I think the best example that I like to give is functional medicine approaches IBS. Irritable Bowel Syndrome is not just constipation or diarrhea. Like there’s something causing it. But the drugs that we have both of those conditions, whether it’s IBSD or IBSC, are just symptom-managing drugs.

Tim Ulbrich: Right.

Melody Hartzler: They’re not actually correcting any of the issue. And so typically, IBSD is often caused by a dysbiosis or an imbalance in the microbiome, which is why we do now have a prescription agent that is an antibiotic. But there’s also challenges with that because it’s only 60-70% effective after one course. And so there’s other things that we have to think about. And then as far as constipation, we don’t really have anything that addresses a lot of the root cause. And so when we are looking at someone with IBS, we’re thinking about is there a potential pathogen that’s causing this? Is it a parasite? Is it a microbiome imbalance? Or is it inflammation? So even some of our IBS patients, their fecal count protectants (?) is really high, so there’s a lot of inflammation going on there even though you wouldn’t classify it necessarily diagnostically as IBD. And so looking at some of those things, is food intolerance related? And so we organize sort of our thoughts based on the patient. There’s this whole timeline piece of functional medicine. So they look back questions that we’re asking patients on our intake survey: Were they breast fed? Were they born prematurely? What kind of stressors did they have early in life? Was it parents went through a divorce and then all of a sudden these abdominal symptoms started to appear? And so there’s different points in your life that this cycle piece and the stressors also sort of turn over the epigenetics. So epigenetics is, you know, you have this genetic code at the beginning, but then the influences in your life turn on and turn off different things. And so everyone is unique in that aspect because we’ve all had different influences in our lives, whether that’s chemical or external stressors from family circumstances and things like that. So my stressor that led us to functional medicine was actually the birth of our daughter. So it was quite the experience, and we sort of planned for this natural birthing experience, and our doula was in jail, so that’s a podcast for another day.

Tim Ulbrich: Oh gees.

Melody Hartzler: So from that, it turned into a pretty stressful induction, long labor and the first five weeks of her life, she was super colicky and tongue-tied, and it took us awhile to realize that. And so all of that stress I think just sort of set my bad diet, probably poor microbiome balance, sort of over the top. And then, you know, about a year later, I started to have this abdominal pain that wasn’t going away. And everybody was like, oh, you’re fine. Yeah, basic interventions type things. Even then GI specialist was like, no, there’s no reason to scope you, you’re completely fine. I was like, well I literally have this pain every single day in the same exact spot. And so I finally found some functional medicine practitioners and turned out it was probably dysbiosis, probably CBO — I never actually did the breath test, which I don’t always do for our patients either — but did some of the comprehensive stool testing and took some antimicrobials. I even tried the laxin (?). It was a long journey, so it was about at that year point from her life for about a year and a half that we were still sort of going through the journey. I even went to the Cleveland Clinic Functional Medicine Institute. And I felt a lot better at that point, but I had finally made it on the waitlist, and so I was like, you know what? I’m going to go and learn from them. So let’s see what they have to tell me because at this point, I knew functional medicine was something that I wanted to incorporate, but I wasn’t sure exactly how to do that because I was working at the time in a federally qualified healthcare center, which was a little bit challenging because, you know, the cost of a lot of these interventions right now is really only available to people in the middle class and above. So I think some of the things other people are doing in this community to try to make these resources more available to the masses is awesome. So but at this point, it was challenging for us to do a lot of that testing. But there’s still a lot of basic things we can do, not only in community pharmacy but also in settings like that, you know, as far as testing vitamins and using probiotics and doing nutrient supplementations to help to heal the gut. And so even in that practice, looking back, there’s probably a lot more that I could be doing at the time, but I didn’t have enough experience to know what that was. And so — but anyways, so at about that time, it was right before, actually, we got pregnant with our son that we decided that I needed to go part-time with my faculty position. And that was coming from a lot of the stress with not only not knowing what was going on in my body and trying to — I was like, if I’m going to have another child, like I really need some extra time during the week. And I also in my head also had a lot of these ideas sort of out there, that I would like to do the blogs and stuff like that. And so made that decision and then started my part-time position with Cedarville and also at that time then, transferred offices to work in a different family medicine office, which that was really I think one of the pivotal points for my career because the family medicine physician that I work for is wonderful. And he is very open to a lot of these things, and so when myself and actually my best friend is one of my colleagues there who’s a nurse practitioner, and we sort of went to him together because he needed a new nurse practitioner. But we had also heard that he needed someone to manage his diabetes. And so I was like, well she may not want to manage diabetes, but I can do that. And she didn’t want to do something else, so we sat with together and sort of said, this is what we can do, that we both have this interest in functional medicine. And then fast forward to today, we have a functional medicine service that patients see her, sometimes they see me as part of that. And so we’re starting to be known in the Dayton area for our functional medicine service, so it’s pretty exciting. And so I really feel like had we not made that decision to go part-time, like that really wouldn’t have been where we would be landing right now. And so yeah. So it’s exciting and I really think the passion for sharing about functional medicine is because of that experience that I had as a patient, and I think that’s a lot of pharmacists that are involved in functional medicine had some kind of personal experience, whether it was them or it was their spouse going through something or their child. And even with our daughter, I’ve learned a lot about pediatric approaches to functional medicine through some of her journeys with allergies and asthma and things like that. And so a lot of my initial blog post that I have on farm-to-table are based on a lot of those topics that I was sort of walking through and researching anyways for our own personal health.

Tim Ulbrich: And what I love about this is one, just great example of — I think great businesses are made out of identifying a problem that needs to be solved that people actually care about, and you’ve checked that. Obviously, there’s lots of concerns people have out there about their own personal health and diet and exercise or not getting successful treatment plans with traditional medicine. It also has a combination of certainly your expertise, so an area of practice and an area that you’ve experienced firsthand, an area that brings your educational background as you’re looking at building CE and online courses and things like that. And then obviously, it has a personal component as well. So I think as people are out there hearing this, I think it’s just a great example of as you’re thinking about a business, you’re thinking about a side hustle, is there something out there — you mentioned you and Dustin talking in the car where you often say, OK, well, there’s a need here or there’s a problem that’s here, something that needs to be solved. That’s where it starts, and then it’s trying to figure out what is the solution? And is it a solution that you can bring value to based on your previous experience and personally? Or based on your experiences and expertise in what you do every day. So before I ask you a question about the business model of this, Dustin, as I look at the website, which again, is incredible, as I look at the website if I’m somebody listening to this podcast and thinking, oh, I have this idea and I need to build this site whether it’s a site for a CE program or whether it’s just a site for what they’re trying to do, I look at this and say No. 1, I could never do this. I don’t have time or this is way too expensive. So give us a ballpark. Like what would be involved here if somebody were building a site in terms of time and roughly expense to get something like this off the ground?

Dustin Hartzler: Sure. And this was one thing that — I mean, you mentioned it earlier. Like Melody’s able to do these things because she doesn’t have a lot of upfront tech costs because like that’s my thing. But honestly, I bought a — I didn’t do all the design, I didn’t have time for that either. But I bought a $20 theme online and I did some customizations and I did some things with it, and you need a website and you can get hosting for $5-10 per month or $50 a year or so. You can even go to WordPress.com. We’ll do a little promo there. But they have the ability for $100 a year or $300 per year, you can get live chat support and do all kinds of things online. And you can have somebody physically help you if you run into things like that. So I would say all in all, with my development time if you were to pay somebody to do it, I probably have 20 hours in the site and just because it was a lot of tinkering, and there’s probably 20 more hours of things that I want to do because I know — I want to be able to do this multiple times. Like that’s kind of our goal. We want to have this virtual symposium and then another one and another one. And a lot of the stuff that’s in there is kind of hard-coated. It’s like built right into the theme. And so if Melody needs to make a change, I have to do it. And I don’t want that, I want her to be able to do all the changes because I want to make it easier for me in the future. And so I don’t know, I would say you — if you would invest like $500, you could get a pretty decent website up and running to test a business idea or test a model out or something like that. You could go a lot less than that if you are a little bit techy and you’d rather do a little sweat equity if that’s something interesting to you. You know, a minimum if you bought a theme and you have some hosting, you could get by with about $100 investment. And so I think anywhere between the $100-500 could get you a pretty decent website up and running to start testing that idea out.

Tim Ulbrich: Yeah, and I think that’s great. That’s what I want our audience to hear is that we’re not in an age where you have to be paying $10,000 or $20,000 to get your site off the ground, right? When you look at themes and you look at some of the things that are out there in terms of plug-and-play and what you can do with e-commerce, whether it’s them digging a little bit deep to read and learn on their own or ultimately hiring that out, it shouldn’t be an expense that is unbearable, even if they don’t have a Dustin Hartzler on their team. It should still be an opportunity they could pursue. So Melody, let me ask you a question or two in terms of the business model of this. And I want our audience to hear kind of your thought and vision of where this is starting and where this could go in the future. So I’m on the website right now, FunctionalMedicineCE.com. I see you have a symposium on Nov. 9, and I see you have a silver package, which essentially is the live option that people can tune in for seven hours of CE, it’s live only, $129 all the way up to a platinum pass, which gives them both the live as well as the video recording and then a post-conference networking. So what, as you were putting this together, what is the business model? What’s the goal in terms of running this? And I know there’s other virtual symposiums that have been out there that offer a free option and then they offer a buy-up option and then they’re promoting additional products and services. So as you started this way, why did you start this way? And where do you see this going in the future?

Melody Hartzler: So we started this way because looking at what other people were paying for functional medicine education, this is still much less than that. Even the weekend, I went on a Saturday-only symposium, that was Pharmacy CE in Indianapolis in September, which was great. But it was like the conference fee was $499 for the day. And then there was a discount code that got it to $299, but then we stayed at the Marriott downtown and the gas to drive there and a lot of people flew there, and so it added up to probably $1,000 pretty quickly for a lot of people. So we knew that — and there was I think 115 pharmacists that were there that day, and so I knew that if people are willing to fly across the country for this one day event, I feel like there’s enough people out there that would pay a fraction of that to be able to learn this information from people that are experts in the field. And so that was sort of the thought process by not having a free option upfront, and also I think the cost of the CE was part of that too and having to pay for accrediting the CE, AACP-accredited. And so we didn’t want to lose money on our first adventure in this, and so that’s part of the reason. We do offer discount codes, and we actually did make a YFP code as well. So if anyone’s listening to this and wants to sign up, YFP will get you 10% off. And so our future plan is to move forward with more of these virtual symposiums. And so our goal is to have three or four a year but then also eventually have a membership to the site where you would get all of those included in your membership throughout the year. So we’re looking at doing our second one probably late February, maybe early March, focusing on pain and inflammation. And we’re also going to try to have a session on CBD since that’s something that’s very popular right now and a lot of pharmacists have questions about because their patients are asking questions. And I think that’s the other thing about functional medicine that’s so important is whether or not you’re interested for yourself, a lot of your patients are interested and they’re asking you questions about way more herbal supplements and different products than they probably ever have. And so really being able to have the tools to answer some of those questions I think for a lot of people is important. I just kept hearing over and over, like hey, where do I get good information about this? And so I really just felt like we needed to try to provide that.

Tim Ulbrich: So when you think of threats to this, I think of the concept of how do you bulletproof your business, right? So you mentioned membership, which I’m guessing is maybe one answer to this, but what thoughts do you have in terms of the next person who comes on and says, “Well, I’m going to offer a free symposium, and I’m going to offer it for $79.” Like what’s the differential advantage that you see here? Because I think that’s an important aspect people need to think about when they’re working on a business idea is of course there will be competition, but what differential advantage do you have to this business model that you think will allow you to be successful in the long run?

Melody Hartzler: Well, that’s a good question. I think overall, the having a team of people of that have expertise in this subject, I mean, there’s a lot of people growing and learning more about functional medicine, so I anticipate that there’s going to be other opportunities. And I think the membership piece, we might morph into having a certificate program as well because I know a lot of pharmacists are looking for a lower cost certificate training program compared to some of the other options that are out there. I think developing a community is also important in trying to keep people engaged in your business versus looking at other places, and so I’m hoping that after this conference, we’re going to develop even just a Facebook group to start out with for people that all attended and just sort of stay connected and offering discounts for the next conferences for those that attended. And so I think trying to get the community built around it, I mean, you guys are a great example of that with the community that you’ve built around YFP. And so I think that’s really important to being able to continue to drive what you’re trying to do.

Tim Ulbrich: Yeah, I really like that aspect. And I think the book that comes to mind if people want to learn more on that, one of the books that will never leave me that I always think back to is called “Tribes” by Seth Godin. He talks about exactly that concept of how do you build a community? Another article out there is around the concept of superfans and 1,000 superfans. But building a community that are passionate about this topic, which I’m guessing people are that are engaged here, either because of personal experience or because of the outcomes they see with patients that they’ve worked with and how do you create that platform and community that they can engage with each other all the time, throughout the entire year as well as these events that may happen throughout the year. So let’s jump into some fun questions to wrap up here. And we didn’t get to talk to as much but I want to reference our listeners to you also have another site you’ve worked on, which is Farm to Table, FarmtoTable.life, where they can learn more about the blog and the work that you’re doing over there. But I want to talk about some more of the fun, lighthearted questions on the business. And Dustin, I want to start with you because obviously, you’ve gone through this process of owning your own business. You started your own media company, and I’m sure there’s many people that are listening to this podcast that have some type of business aspiration, whether it’s big, small, medium, anywhere in between, they’ve identified maybe a problem that they see as unsolved, the process that could be done better or differently, or maybe there’s others that are just out there feeling stuck and they don’t even have an idea formulated but know they want to do something different. So from your experience of both starting a business and now working with Melody on this, what advice would you have to them in terms of next step that they may be able to take?

Dustin Hartzler: Yeah, I think it all really depends in your life is like, it depends on how much time you have. Like if you’re young, you’re right out of school, like you have so much time available to you that it’s kind of silly that you say you don’t have enough time. But I think really, the big thing is just spending some time thinking about it and just starting. Ask some people. Like when Melody figured out this thing was — she’s seen all these people commenting on Facebook and relationships and connections she has, like she saw the need there. If you find a need — you know, I found a need. I wanted it to help people have less horrible websites online, and that was a passion of mine to do that. But then also, I wanted to learn more about tech. And so the two things really came together for me, which was super nice. And so the advice is just start. I mean, it’s so hard to just start anything. But if you have a passion, you have an idea, like come up with a little thing that you can do. And I think the other thing that’s a big that was always a big thing for me was like, let’s just work on it for five minutes. Like five minutes goes by really, really fast when you’re working on something. And then all of a sudden it’s 10 minutes, and then it’s an hour. And then it’s like, wow, I spent a lot of time on this today, and I’ve made progress. I’m moving forward in the right direction.

Tim Ulbrich: And Melody, let me follow up with a different question. But you know, often people are interested in side hustles, of course, in part because they’re passionate about the idea and helping others but also the idea that there’s additional income that can be used for other financial goals and things that they’re working on. So for the two of you and your family, what are you hoping to do with the additional income that you’re earning through the business side hustle?

Melody Hartzler: Well, should I say the truth? Dustin wants a new pair of running shoes.

Tim Ulbrich: Yes.

Melody Hartzler: We definitely want to invest back into the business as part of that. So anything from this first conference, honestly, we probably won’t do much with personally but invest into this concept and continue to grow it. We may set aside some for our emergency fund or car funds because our one car has got 245,000 miles on it and something is loud in the back that needs fixing bad. So there’s that. But you know, that’s part of the financial goals. And we’ve always driven used cars and we would still buy a used car with the next step, but that’s part of how we are able to afford travel and things like that. But I think also, we want to give. We’re going to be giving back to the people that are sharing about this conference too. And so all of our speakers that are promoting the conference have a specific code and even your code and whoever’s, we’re going to be giving a percentage back to those people because again, we want to create that community and everybody is a part of that for promoting this. And it’s not just our work that’s helping to spread the word.

Tim Ulbrich: And I want our community to hear from the two of you. I sense — and Dustin, you alluded to certain podcasts that you turned your car drives and your commute essentially into an additional education or two that you received along the way — I think it’s so important for our audience to hear, what are you reading? What have you read? What are you pulling inspiration from? So Dustin, let me start with you. Is there a book or a podcast or a resource that you would reference people to that was really helpful in your own journey?

Dustin Hartzler: I have so many of these. Like I could go on for hours. I’m looking at my podcast archive here, and I’ve got hundreds that I’m subscribed to and just listen to ones that are encouraging to me. The ones that — I’m still a Dave Ramsey subscriber. Like he just gives me inspiration like hey, look what you can do when you have your financial life in order. It’s all about you don’t make money to — how does he say it? He says something along the lines of like, you really want to — look how generous you can be when you have more money and you have your life in order. So that’s one of the things that I like. So the Dave Ramsey Show is one. I listen to a bunch of podcasts that are tech-related to give me inspiration of how I can become a better developer and how I can — some of the tech tools that I can do.

Tim Ulbrich: Sure.

Dustin Hartzler: And then I’m also reading a book that was a recommendation from a podcast. But it’s called “PsychoCybernetics,” and it’s a book written by a guy, his name is Maxwell Maltz. And he’s an MD, and it was written a long time ago, before digital technology. And so it’s kind of a cool thing, it’s talking about your brain and how you can — some experiments of like thinking through the visual success. Like they did experiments with people shooting free throws. The first group — you shoot 20 free throws every day for a week and see the results at the end of the week. And you have one group that shoots 20 in the first day, and then shoots 20 on the last day and see how they have improved. And then the third group was like, they shot 20 on the first day and then they did nothing but imagine shooting 20 free throws every day. And then their percentage improved by 50-some percent, even though they never actually made a shot. So it’s kind of an interesting book. I’m still at the very beginning of it, but it gives me some inspiration of like, hey, here’s some things that it’s not all about your life and your circumstances, like how you think about things. And I think that’s really interesting.

Tim Ulbrich: Yeah, mindset and visualization. Those are great takeaways from that resource. Melody, how about you?
Melody Hartzler: So most of the podcasts that I listen to are functional medicine content podcasts. And so I really love Kara Fitzgerald’s New Frontiers in Functional Medicine. It is a good one that — she’s an MD, but she interviews people all over the country that are researchers, that are MDs, that are PhDs, that are clinicians, like doing the work of functional medicine, and goes through great protocols and just getting people’s opinions about different things and how they would treat things. Some of the people she interviews are even, you know, the lady I was listening to yesterday on my drive to Columbus for the OPA meeting was a nurse practitioner in New York that was treating a lot of weird patients and just gleaning insights from that. So I like those. I also love from a faith standpoint, “Dayton Women in the Word.” It is a local organization here. The podcast obviously airs wherever there is Internet, but it’s been a good, you know, like hey, I need to listen to something that’s about — get me away from all the business ideas because I’d drive to work and just think about all this stuff and what I need to do. But it helps keep me grounded in what my true purpose is. So obviously our church and things like that have podcasts. But sometimes I even forget to turn on the podcast when I get in the car because I — sometimes, I’ll use that time to pray and sort of reset my thought processes for the day and just pray over the people that I’m going to interact with.

Tim Ulbrich: Which is always important before you get home, especially with young children and kind of entering that space. So thank you so much, both of you, for taking the time to share your journey. And I think it’s going to be an inspiration to many. And again, I would reference our listeners to FunctionalMedicineCE.com, virtual symposium beginning Nov. 9, as well as the work they’ve done over at FarmtoTable.life. So appreciate the time that you’ve taken. And as always, I would ask our listeners if you like what you heard on this week’s episode of the Your Financial Pharmacist podcast, please do us a favor and leave a rating and review in iTunes, Apple podcasts, or wherever you listen to your shows each and every week. And as a last reminder, make sure to head on over to YourFinancialPharmacist.com/giveaway. For those that are pursuing residency training and are going through that application process, we have the ultimate residency prep giveaway going on for the next couple weeks where we’re giving away over $349 value in resources to five different winners: information on residency interviews, how to effectively write letters of intent, we have a boot camp course, and a great resource from TLDR Pharmacy as well. So again, YourFinancialPharmacist.com/giveaway. And until next week, we appreciate you joining us.

Recent Posts

[pt_view id=”f651872qnv”]

YFP 122: What Will Be the Future of Pharmacy Practice?


What Will Be the Future of Pharmacy Practice?

Dr. Todd Sorensen, President of the American Association of Colleges of Pharmacy (AACP) and Associate Dean for Strategic Initiatives & Innovation at the University of Minnesota joins Tim Ulbrich on this episode. They talk through the workforce challenges facing the profession of pharmacy, rising indebtedness, the change.org petition, and Todd’s vision for the future of pharmacy practice including dramatically expanding the number of pharmacists working alongside primary care providers.

About Today’s Guest

Dr. Sorensen is Professor and Associate Dean for Strategic Initiatives and Innovation at the College of Pharmacy, University of Minnesota. He also serves as the Executive Director of the Alliance for Integrated Medication Management, a non-profit organization that engages health care institutions in practice transformation activities that support improved medication use. He is currently serving as President of the American Association of Colleges of Pharmacy.

Dr. Sorensen’s work concentrates on identifying strategies that facilitate clinical practice development and developing change management and leadership skills in student pharmacists, pharmacy residents and practitioners. His research and service activities have focused on working with health care organizations to implement strategies that improve health outcomes associated with chronic illness, specifically identifying leadership strategies that allow organizations to integrate and sustain medication management services delivered by pharmacists within interprofessional teams. This work has been greatly influenced by ten years of experience participating in and leading national quality improvement collaboratives for health systems seeking to optimize medication use in outpatient settings.

Summary

Dr. Todd Sorensen joins Tim Ulbrich for a conversation covering many topics such as workforce challenges facing the profession of pharmacy, rising indebtedness, the change.org petition, and Todd’s vision for the future of the practice of pharmacy including dramatically expanding the number of pharmacists working alongside primary care providers.

Todd is the President-elect of AACP and also Associate Dean for Strategic Initiatives & Innovation at the University of Minnesota. Todd explains that he believes there are two broad reasons why the pharmacy job market is changing and why the Bureau of Labor Statistics projects 0% job growth in the profession over the next ten years. One of those reasons is that there is a lack of perceived value in the medication distribution process. The other is that the professions has seen this coming for 20+ years according to a workforce projection report from 1999. In that report were new roles for pharmacists, however those roles haven’t grown as projected.

Todd discusses his Presidential address at the 2019 AACP Annual Meeting which was titled Leading in Dickensian Times.” He began the speech with the notable quote, “it was the worst of times, it was the best of times” referencing different viewpoints of pharmacists today. There is a group that sees the current state of pharmacy as the worst of times and are legitimate in feeling that way as they are experiencing job loss, wage cuts, and a saturated job market. However, others see it as the best of times because there is a lot of opportunity available.

Even though Todd falls in the second category, he says it’s imperative to acknowledge the pressures and difficulties pharmacists are facing today. Todd shares AACP’s plan to address those issues. He also sees a large opportunity for collaboration between physicians and pharmacists and envisions every physician office having a pharmacist working in it. To attain this goal, first we have to have the mindset that it is possible and shift to a model of value based healthcare. He points out that no one is as highly trained and skilled as pharmacists are in managing complex medication problems.

Lastly, Todd addresses the #ChangePharmacy petition on change.org that requests organizations such as AACP halt accepting new accreditation applications until standards are installed, among a number of other requests. Todd explains that the reality is that they are unable to do this. As we’re in a free market society, restricting or halting such openings could be viewed as restriction of free trade. Instead, Todd says that we should shift our focus to create new opportunities for pharmacists that were predicted 20 years ago. This alone, according to Todd, should shift dynamics and balance the supply and demand of pharmacists.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast. I have joining me today Dr. Todd Sorensen, president of the American Association of Colleges of Pharmacy, also known as AACP, and Associate Dean for Strategic Initiatives and Innovation at the University of Minnesota. In addition to hearing about Todd’s background and career story, we’re going to focus our time together on the current workforce challenges facing our profession, including a flat job market over the next 10 years as projected by the Bureau of Labor Statistics, the student loan debt that continues to be on the rise, and his vision for the future of the profession of pharmacy. Dr. Sorensen, welcome to the show.

Todd Sorensen: Great, thanks. Glad to be here.

Tim Ulbrich: Well first of all, thank you for taking time out of your busy schedule. I know you have essentially two full-time jobs this year, both as president of AACP and associate dean at the University of Minnesota. And before we dive into the discussion around the workforce challenges that we’re facing as a profession and your vision for the future of pharmacy practice, if you could give our listeners just a brief background on your career journey and how you got to this point in time leading as the president of AACP.

Todd Sorensen: Sure. So I was a graduate of the University of Minnesota as a pharmacist in 1994. I entered practice, actually moved to Canada and was on faculty at Dalhousie University and practiced at the Queen Elizabeth II Health Sciences Center, where I was a critical care pharmacy specialist for three years while my wife and I were in Canada. It was a great experience, learned a lot there, got to experience a lot of Canadian pharmacy, which was a great experience to then bring back home, understanding similarities and differences between the two countries. Came back to Minnesota, worked for a period of time in managed care, really brief stint there, about 15 months. And then joined the faculty here at the University of Minnesota in 1998. My time here I have had kind of two distinct teaching experiences. I taught skills in our curriculum for a long period of time, physical assessment skills, was one of the instructors in our skills lab for almost 10 years. And then shifted my teaching activities almost entirely over to teaching leadership development. And my research work has really focused over the entire span of time at the University of Minnesota of how we advance the role of pharmacists in clinical areas, primarily in ambulatory care, both in community pharmacy as well as in primary care clinic settings. I would say the one thing that has really carried through my entire career starting as a student is I’ve really always been fascinated with about how leaders facilitate change in organizations and in their environments. I really got that bug in me when I was a student and saw some of the things that were happening back in the early ‘90s. And that’s what ultimately led me to focus on teaching leadership in our curriculum. I have done that in one way or another now almost, well, over 20 years I’ve been teaching leadership in one way or another. And that’s gotten me very involved in national organizations as well, which in the case of AACP, I’ve been very involved in a lot of different ways, worked my way through the different ranks and ultimately had the opportunity to run for president and get to serve in that role.

Tim Ulbrich: Yeah, and I’ve had the pleasure of attending several of your leadership sessions you presented on a national level. I’ve attended with some of my mentees, we’ve done some workshops and other things, and so I appreciate the work that you’ve done on that and the influence you’ve had on hundreds, probably thousands, of pharmacy leaders out there, students, residents, and other practitioners. And we’re going to come back, I appreciate your comment about your interest in change management and that aspect of leadership as well as your background and interest in primary care as I think that’s going to come together nicely as we talk about your vision for the future. So I don’t want to assume that everybody listening knows and understands AACP. So can you give us just a high-level overview of what is AACP?

Todd Sorensen: Sure. AACP is a national organization that represents faculty and schools of pharmacy. So we have two groups of members: We have institutional members, so all of the 144 schools of pharmacy across the country are members as institutions of AACP, and then the faculty at those schools, anyone who holds faculty appointment can choose to join AACP. We have approximately 5,000 members, faculty across the country, and again, those 144 schools.

Tim Ulbrich: So as our listeners know, and many pharmacists are unfortunately experiencing firsthand, the profession is pharmacy is changing. Many brick-and-mortar pharmacies are closing, we’ve seen a lot of news in the last year of full-time hours that are being reduced, in some places, jobs that are being cut, and I think for many, the job market is becoming more saturated than they probably have seen throughout their working career with the Bureau of Labor Statistics recently projecting a 0% job growth for pharmacists in the next 10 years between 2018-2028. Obviously, a topic that’s near and dear to my heart. To top it all off, we now see pharmacy graduates that are carrying student loan debt in excess of $170,000 on average. So from your perspective, Todd, both as the president of AACP as well as somebody who’s just had a lot of experience in the profession of pharmacy, why are we seeing such dramatic changes over the last few years? And what’s happened across I guess the last five to 10 to 15 years that’s led to these changes?

Todd Sorensen: Well, it’s a question that’s probably on the mind of just about everybody in pharmacy right now. It’s an important question, and from AACP’s standpoint and from our school’s standpoint, of course, this is a very important topic to us in terms of our alumni, all the practice sites that we work with in providing education and really just being part of the overall profession of pharmacy. And what happens out in practice, of course, does have influence and affects what happens in education as well and vice versa. What has happened? What has led to this? Well, it really is a complicated, multifaceted issue. And I don’t know that we can pinpoint any one thing. I do think there’s two broad issues that come into play. First, there is a lack of perceived value in the medication distribution process by people outside of pharmacy. Most payers and consumers, they do see medications and the process of acquiring them really as a transactional process.

Tim Ulbrich: Yes.

Todd Sorensen: And therefore, there’s little belief that any payment beyond cost of a medication should be required. And until we are able to demonstrate the value beyond that and a perception among payers and consumers, that is the reality that we live in. And that is been getting to be a tighter and tighter and tighter margin as that perception continues to drive those traditional payment systems over the last several years. And second, I’d say that we’ve really, we’ve seen this coming for over 20 years. If you go back to 1999, there was a workforce projection report authored by David Knapp (?), and eerily, some of his projections have born out to be quite accurate, particularly around some of the reductions in the number of pharmacists in the drug distribution process. What didn’t happen that were part of his projections was there was projections around new roles for pharmacists and how do we create those opportunities? And we have not seen the growth in some of the areas that were projected at that time. So I would say that there’s a number of things that happened over the last 20 years that maybe were a bit of a distraction from causing the profession to really look at what we need to do to create those new opportunities and bring value into the healthcare system in a new way. And now, we’re at that point in time where we really have to focus on that because we can’t ignore it any longer. There’s a lot of other factors that come into play that we probably don’t have time to get into. I would like to highlight for the listeners, if they are interested in really kind of getting into this in a deeper way, Dr. Lucinda Maine, the executive director/CEO of AACP, authored and published this summer a commentary titled, “It Really Isn’t That Simple” in the American Journal of Pharmaceutical Education. That is an open access journal, so anybody can access it. And she really gets into a lot more of the statistics and the numbers and the trends and the factors along the way from 1999 to 2019. And I think it’s really a good read that explains how complicated this issue really is.

Tim Ulbrich: Yeah, you beat me to it, Todd. I just had that pulled up; I was going to reference that piece to our listeners. We’ll link to that in our show notes as well. But I think the multifactorial, the reasons and discussion is really important, and I would encourage our listeners, I think this is a topic that often carries a lot of emotional aspects to it. It can feel charged based on how this is impacting your personal situation, whether that be somebody who’s impacted by job loss or just feeling the pressure of student loan debt or other things and really looking at all of the different variables and looking all the way back to some of the projections that were made in terms of the shortage and why we saw some of the expansion and, as you mentioned, some of the lack of evolution of where we thought the roles of the pharmacist was going to go beyond the dispensing aspects. And we’re going to come back to that as we talk about your vision in the future. So in your title of the piece that you facilitated in your presidential address at the American Association of Colleges of Pharmacy annual meeting this past summer in July, the title of that, which is published in AGAPE, which we will link to in the show notes, is “Leading In Dickensian Times.” And so what do you mean by that? What did you mean by this as you were choosing the topic and using that as the keynote for your presidential address?

Todd Sorensen: Yes, the reference is, of course, to Charles Dickens and “The Tale of Two Cities,” and I started out that speech with the familiar phrase that many people are familiar with: “It was the worst of times, it was the best of times. And I really feel like that is the mindset that we many have in pharmacy today. There is a group who sees this as the worst of times and probably in their personal experiences, that is a very legitimate perception to have. There is also a group who sees this as potentially the best of times, that the opportunity for pharmacists is as great as it’s ever been. I fall into that category. And so I started out the speech kind of using that traditional — paraphrasing the first paragraph of “A Tale of Two Cities” to kind of highlight this dynamic between things are as bad as they can be versus there are opportunities, and we can choose to look at where our opportunities are in a new way. I mean, I can honestly say that in the 25+ years I have been a pharmacist, the recognition of the good that can come from medication use and the harm and the cost associated with medication use is as great as it’s ever been. They may not — the people who are recognizing that now at an acute level outside of pharmacy may or may not see pharmacists as part of the solution. But that awareness is there like it’s never been before. And they’re looking for solutions, and so that creates an opportunity for pharmacy to be part of that solution in a way that I don’t think in the past 20 years have really existed in the same way that that acute understanding of where medication use is in our society and the good and bad that it can produce is a great opportunity for us to shift what we bring to the healthcare system.

Tim Ulbrich: Yeah, and I think what you just said there is so profound that the awareness piece is there. It’s finally there to the level that I think we had hoped it would be. And now the question is, are pharmacists going to be the center of that solution? And how do we as a profession begin to think about our role in that and making sure we’re advocating for our role. And that may mean shifting the role that we know or have been comfortable in for some time. So I think as there is a need for a problem to be solved, now the question is, are we willing to really pivot to make sure we’re a part of that solution? So Todd, in your address, you acknowledged that there’s some tough challenges pharmacists are facing in the current reality of our profession. So you said, “Pipeline of candidates seeking to enroll in professional programs continues to be far below optimal numbers. The employment prospects for our newest graduates are not consistent with the story we want to tell prospective students. Our alumni frequently express frustration about the nature of the work they’re expected to perform and the difficult environment in which the deliver it. The traditional model of compensation through distribution of medications is as difficult as it ever has been. So my question is, what is your vision? What is AACP’s strategic plan to remedy the challenges current and future pharmacists are facing here?

Todd Sorensen: To address that, I’d first say in presenting that information and saying that I fall into the category of people that see this could be the best of times instead of the worst of times, it is important to acknowledge that there are pressures. And so the last thing I wanted to do through this speech and through conversations like this is to send the message that I don’t recognize these issues but that they are real. They are. Now, in terms of AACP’s strategic plan, we really have three priorities related to this that we’re very focused on. First is increasing the pipeline of candidates. So regardless of where we are with number of schools, and we have been seeing a decline in the number of applicants interested in pharmacy.

Tim Ulbrich: That’s right.

Todd Sorensen: And that’s an unfortunate situation for the profession as a whole. There’s a lot of factors, again, this is also multifactorial, but for a number of reasons, individuals who are thinking about what their career choice is going to be might be looking at other options, not even in healthcare. We’re competing with lots of things in technology and other areas that are where high school seniors and into the undergraduate years of college are really wanting to focus their attention. So we have to demonstrate that pharmacy is a vibrant profession and a great career choice. And it is. So that has included a number of things that AACP has done with schools to really get the word out to candidates about pharmacy as a career.

Tim Ulbrich: Right.

Todd Sorensen: The second priority is then the consumer understanding of the role of pharmacists. And there’s a lot of misperceptions about the role of a pharmacist. And that affects, then, the pipeline as well because parents are often guiding their children in their career choices. And so a year ago this month, actually, we launched the Pharmacists for Healthier Lives campaign, which is largely a social media-based campaign targeting consumers to understand the diversity of the roles that pharmacists play in healthcare, the impact that pharmacists play in healthcare and really trying to help consumers understand how to work with a pharmacist and to proactively understand the role that they have that really, their healthcare team is not complete if they don’t have a pharmacist actively as a part of it. And then the third strategic priority for AACP is really focusing on innovation and education and in practice. That’s really where our work is focusing on this year is what is going to be the role, what should be the role of schools of pharmacy to help transform the way that we prepare practitioners for practice in the future and help stimulate the innovative practices that are going to bring value into healthcare in the future.

Tim Ulbrich: Yeah, and I’m hopeful going forward what obviously the focus of our podcast is personal finance, and so of course I have a bias here, but I’m hoping that we can see beyond just the somewhat of a grassroots movement, which is great, where we’re seeing many colleges more vested in this topic than ever before. I’m hopeful we can see some more movement on the national level, whether that be with AACP, other national pharmacy organizations. I think there’s some good models out there in medicine and vetment to really make this a priority. And I firmly believe — and we can talk about lots of reasons of why students are coming out with over $170,000 of debt, much of that is related to rises we’ve seen in tuition, much of that is self-inflicted with cost of living expenses, a whole host of reasons. However, we know that the financial literacy and education piece is so important, and we also know that if we can help decrease the burden of this financial indebtedness, I think we’re going to see more pharmacy graduates that are willing to take the risk that we need them to be taking when we need to have complex problems that need to be solved and we need solutions to solve those. So I’m hopeful that we can continue to further this conversation on a national level, and I think we’re seeing traction on that. And I’m excited to see where that goes in the future. Now, in your speech, you reference one of my favorite books, which is Gary Keller’s “The One Thing,” which I would highly recommend to all of our listeners and we’ll link to in the show notes. And that book, “The One Thing: The surprisingly simple truth behind extraordinary results,” he links success to narrowing your focus on really a single question. That single question is, what’s the one thing I can do or we can do such that by doing it, everything else will be easier or unnecessary? So how have you used this book, this concept, this method, to think of solutions to the current state of pharmacy?

Todd Sorensen: Well, you know, I’d mentioned before that the issues that we’re facing right now and the reasons why we’re facing them are multifaceted. So if you look at all those different issues and facets, it can become overwhelming. And so the premise is the book, as you described, is to really — and I know that it can sound simpler than it is, but in a very complicated world, you have to be able to distill things down to their essence, to some degree so that you can know where to go to create change. And it’s really — I think the book talks about this — it’s really ingraining in yourself a way of thinking and asking that question over and over again. What’s something that you can focus on today? What’s the one thing I need to do today to make everything easier or unnecessary? Or at the level we’re talking about, what’s the one thing that we can do to make everything else easier or necessary. So spent a lot of time with that question and really trying to not take the easy way out and just say, well, there is no one thing in this case. It’s too complicated. And from my experience, from my observations, what I landed on was the one thing that we can do to make everything else easier or unnecessary is forging collaborative, authentic relationships with physicians, that that could have more impact and more power than just about anything else that we would do that might focus on directly attacking some of these different factors that we’re focusing on, whether that be debt in itself, the job market in itself, so forth. Partnerships with physicians help us solve healthcare-related problems and create advocates for pharmacists in a way that would be stronger than we could ever be on our own. So I think it would make everything else easier or unnecessary.

Tim Ulbrich: And as I mentioned to you before we hit record, Todd, when I read this article and I listened to your speech just a few days after the annual meeting in July, you know, I think a lot of people are going to hear this and quickly start listing the objections. Well, we can’t do this because of this, this, or this. Or we can’t do this. Or what about this? Or what about this? And I think certainly of course there’s room for all that discussion, we should have that discussion, we should bat up these ideas back and forth. But the one thing I really, really appreciate is I feel like we have been lacking bold vision in terms of what are some potential solutions going forward? And so I commend you for putting a bold vision out there that leans on your experiences, and I think leans on a lot of opportunities and successes you’ve seen pharmacy have over the last five years. And so some more questions I have about this because I did my residency training 11 years ago in a physician office when at the time, you know, patient-centered medical homes were really just coming to be. So I certainly can appreciate the value of this living it firsthand and seeing many other primary care, ambulatory care pharmacists, when you see them in that practice and you see the impact they have on the patients, on the relationships you’re able to build with those other providers and the impact they can have on quality metrics, it pretty much becomes very obvious of wow, this is incredible if we could replicate this vision all across the country. But obviously, the questions are coming in terms of well, how do we scale it and how do we fund it and how do we replicate this with different state practice acts and all these other things? So couple questions for you on this vision physicians and pharmacists collaboration. What are the one or two areas that you think we need to start as you think about the potential objections or barriers that are in the way? How do we begin to forge forward when it comes to this idea of really replicating this model of pharmacists in a physician path? What are the one or two things of where we begin to do this?

Todd Sorensen: Well, I think we start with a mindset that it’s possible. And it is possible, I’ve seen it in my own state play out over and over and over again. And one of the reasons why it’s possible is the shift to value-based healthcare. If we continue to be focused on fee for service payment structures, it becomes very difficult to see how this maybe will play out in the way that we hoped it might. But when you focus on the fact that healthcare is moving more and more into paying for value, and I believe fully that pharmacists can bring value into healthcare, then there is a place for that. And so much of that value is being measured and determined upstream in that primary care area so that we can prevent the costs that occur downstream in terms of hospitalization, complications secondary to chronic illnesses, and so forth. So moving upstream to that place is where we need to be. And the healthcare system is becoming more focused on primary care than it has been in many, many, many years. So how do we align with that? The other reason I believe that it can happen, I referenced this story in the speech. I was at a conference where I saw a physician colleague who I knew by name, they were somebody that I work with that have a couple of pharmacists actually working in their clinic, and I didn’t know her personally, and I went up to introduce myself. And so I said, “Hi, my name is Todd Sorensen, I’m at the University of Minnesota.” Her immediate response without a beat of pause was, “So nice to meet you. I will never work in another clinic again that doesn’t have a pharmacist.”

Tim Ulbrich: Yep.

Todd Sorensen: And you know, that’s the vision that we need to have, that we can say the physicians don’t want to collaborate with pharmacists because there’s history, there’s been experiences that have suggested that. But the physicians that are coming through in the early parts of their career now and the pressures that they’re facing create a whole dynamic that didn’t exist 10 or 20 years ago in creating those teams. So it can happen. And so that’s where I would start, and then we could get into technicalities, different things that need to happen. But we don’t need to start with worrying about practice acts, we don’t need to start with worrying about — we have to build the relationships first. And the relationships will then create the advocacy that will make all the other things fall into place, which is, again, “The One Thing” principle. One other thing I’ll add is that we’ve done this before. The ‘70s and ‘80s schools of pharmacy were often the catalyst for creating change in acute care practice. I’m not sure if we have, as schools, maintained that same mindset that the leaders of those schools in the ‘70s and ‘80s had. And so part of this is calling for our schools, again, to see their role as catalysts in building these partnerships and creating these opportunities. We’ve done it before, we can do it again.

Tim Ulbrich: Yeah, and I think we’re in somewhat of a perfect storm environment, you know, building off of what you said. When you think of the challenges physicians are being faced with, the multiple pressures they’re being faced with, in combination with the value-based healthcare model that we’re shifting towards, I think pharmacists fit very nicely into that. And in my opinion, I think we often get caught up in the weeds of the conversations of what about practice acts? What about this? What about this? And I think starting with the relationships, starting with the vision. And I think in any time where there’s a complex problem like this where you start hearing a lot of objections that are being presented, I think that is so ripe for entrepreneurship and innovation. And so I personally think we’re going to look back and this 10-year period, whatever number of years you want to call on pharmacy and say, “Wow, a lot of cool things came out of this because these people decided to take risks towards this bigger vision and what could be achieved.” So one of the objections, Todd — and we could talk about many of these. I just want to talk about a couple here. But one of them I commonly hear and think about myself is, well, what about nurse practitioners? What about PAs? And how do pharmacists differentiate? What’s our differential advantage in terms of competing with those providers, especially when you think about factors like ability to prescribe, ability to get paid and reimbursed for those services that they’re providing inside of the clinic. So as you’ve thought about this on a bigger vision type of level, I’m sure that issue has come to mind for you and obviously from your experiences as well. So what are your thoughts on that?

Todd Sorensen: I have thought about it, and it’s a really important question. It gets back to the issue of bringing value into healthcare. We are in an environment where the practitioner or the individual that can produce an outcome at the lowest price is the one that’s going to get the business. And in many cases, pharmacists are the second most expensive person on a healthcare team. So we really have to think about what is it that we do uniquely, that nobody else can do as well as us, to be able to justify that price point and be able to demonstrate value. And there’s a couple of things that I think of. First of all, no one is trained. And nobody is as skilled as pharmacists in managing really complex medication-related problems. So that’s where we have to focus our team. For us to spend time on the majority of our time on things that are not very complicated, that our single disease-focused, others can do that. You mentioned nurse practitioners and physicians assistants. Honestly, RNs, at even a lower price point can manage essential hypertension on protocol. So we really have to be looking at where our unique knowledge and skills are different and can be leveraged in a way that exceeds that of others. The other thing that I would highlight is this was a small study, but it has gotten a lot of attention because it’s kind of put a new lens on, again pharmacist and physician teams. And one of the things that physicians are really dealing with — and of course, pharmacists are as well, which is issues of burnout and lack of joy in practice.

Tim Ulbrich: Yeah.

Todd Sorensen: We interviewed a series of primary care providers who had formal relationships with pharmacists and asked them whether or not that relationship affected their sense of burnout or joy in practice. And basically unanimously — of course that group, this was through interviews that we did this with — they said absolutely. And then we asked them why. And one of the things that came out of that that I in hindsight maybe could understand, but I hadn’t thought about it at the time, was that they said that the way I work with a pharmacist and this type of relationship is different than I work with any other practitioner. It’s different than how I work with a nurse practitioner. All these clinics had nurse practitioners in them. And the reason why was that the nurse practitioner has their own panel, and the physician has their own panel. They don’t really collaborate on individual patients. They collaborate at a population level, not necessarily an individual patient. Whereas they said with pharmacists, these really complicated, complex medication-heavy burden patients, they wear me out. They create mental burden, and often I just don’t know where to go with them. And it’s really part of what’s contributing to my lack of joy in my practice. But when I work with a pharmacist collaborative on that, it lifts much of that burden. So the way I work with a pharmacist on this select group of patients is different than the way I work with any other practitioner. And that’s starting to get to that uniqueness and to that value because we’re finding something that nobody else is doing or can do as well as a pharmacist can, and it’s bringing value. In that case, the value is in the sense of joy in practice with physicians, which will play out as an influential element in decision-making.

Tim Ulbrich: Absolutely.

Todd Sorensen: It also leads to then costs, better care, it really can lead to the quadrupling.

Tim Ulbrich: That’s an interesting angle. I’ve never heard that talked about. I’ve heard obviously the impact on value-based contracts and being able to improve quality metrics. I’ve heard about and seen studies related to freeing up physician time so they can see more patients, which certainly works in a fee-for-service model, but I think run flat longer term. That’s a really interesting angle in terms of the provider satisfaction. And it makes sense. I mean, I think back to my time in a primary care office, very much the 80-20 rule where you’d have 20% of the patients, maybe 10% of the patients, that took up 80-90% of the time in terms of the questions they have, the complexity of their care and the frequency of their visits, and so I think the pharmacist certainly could play an important role in that process. Todd, one of the things I also think a lot about is just from the academic perspective obviously living in this realm, and I think back to one of my favorite books called, “The End of Jobs” by Taylor Pearson is that I think as I hear you talking, as I listen to your vision, I read more about your vision, I think we have to find a way to better facilitate students and pharmacy graduates and practitioners being comfortable in the uncomfortable. So when I hear your vision, you know, I think pharmacists often want the A-Z checklist of OK, what do I need to do to execute this to be successful to earn a paycheck? And I think the answer is, it’s not there yet. And I think that those that are going to be successful, both practitioners now and students that will be out there in the future, in my opinion, is you have this broad framework, you have this broad vision, but now the creativity lies in the multiple pathways of solutions that can be had. So I would encourage our listeners for those that are out there, whether they’re working full-time, part-time, thinking ahead to the future, begin to think about what are the business solutions that may exist in this framework that you’re hearing Todd talk about? So Todd, I want to address — and you acknowledged this, and I appreciated it — that many pharmacists are frustrated right now with the state of the profession. And many of them are being deeply affected by the current reality. And so those that are out there listening or working today, maybe some of them got laid off, hours got cut, and they’re hearing about this longer term vision to expand pharmacists role in a primary care, they may feel like this message doesn’t do much to address the current challenges. And I’m not necessarily suggesting AACP has this responsibility alone, I think there’s a shared responsibility across all organizations and also shared responsibility by the individual as well as the associations, but any thoughts on short-term solutions or short-term strategies in addition to this longer term vision?

Todd Sorensen: Yes. You know, I would start off by saying that I think that part of the reason that we are — if you go back again and think about the 1999 and some of the projections that were in that NAP report and the factors that maybe did not allow those things to come to fruition on the growth side of the projections, I think it’s in part because it is much easier to focus on short-term initiatives in the short-term. It is much harder, even with the best of intentions, it is harder to get organizations let alone a whole profession, to really look at the long term.

Tim Ulbrich: Yes.

Todd Sorensen: The phrase, “the tyranny of the urgent” comes to mind. And many of the things that we have done over the last 20 years I think are with a short-term focus in terms of trying to pursue this payment opportunity here or even though they might not be the right thing or solving the problem in the long term. Let me give you one quick example.

Tim Ulbrich: Sure.

Todd Sorensen: I’m a particular fan of pharmacists trying to achieve revenue through annual wellness visits in primary care settings. We can’t demonstrate a clear value in net value proposition in that role because again, a nurse practitioner or even a nurse can do that. So by adjusting your service line to try to take advantage of that payment opportunity is very much a short-term focus that is not building the capacity and the direction for the future where you can actually demonstrate value. So I understand the dynamics. It’s easier, we have these short-term pressures that we have to address, so it is a balancing game that we have to consider. And it takes more discipline, and it takes more risk to be able to focus on the long term. And as you’re speaking to the audience and encouraging the idea of these opportunities in entrepreneurship, that’s the same thing. There’s the short-term of the job that’s in front of me right now. There’s a long-term of how I can be a solution and be creative and entrepreneurial to create an opportunity for the long term.

Tim Ulbrich: I think that’s such a great example, the annual wellness visits. I mean, I think it’s no different than how I treat my business and how other business owners look at things in terms of if you’re going to develop a product or a service, you want to think about, again, what’s your differential advantage? And even if this has short-term revenue gain, could this be replaced quickly by something else? I think that’s a good example where can we show a value proposition that is different than what others are doing? And I think based on the criteria for what’s involved in an annual wellness visit, I would agree with you, no. The other example that comes to mind, which isn’t going to be popular, is that even though we have a short-term urgency to focus fixing reimbursement rates on dispensing of products through fair reimbursement through some of the PBM things that are going on, all of that important efforts that we need to continue and we should be doing. It still, again, is a shorter term horizon as we think about 10, 15, 20 years, is the value of the pharmacist still tied to that product? And I think personally, the answer is no. And so I think that, again, we need to be thinking about the longer term and certainly addressing some of those issues. Todd, I want to end by talking about the change.org petition. I think we have to talk about it. For those that are not familiar, the change.org petition #ChangePharmacy, it’s been signed by almost 23,000 people now as of October 1. It probably is beyond that. And it urges the leaders of ACPE, AACP and APhA — not sure why only those three, but nonetheless, to halt and/or postpone accreditation of new pharmacy schools until 2030. So again, I have been a big advocate that we need to be having a constructive, informed conversation that addresses the challenges we’re facing today but also talks about the future and the vision that we need to aspire towards. So what insights can you provide, Todd, either from your personal perspective or AACP’s perspective, to those that signed the petition in terms of the authority for these organizations to “halt and/or postpone accreditation?” And really, what do you think the type of impact that that would have in terms of a solution and the impact on the profession?

Todd Sorensen: Yeah, it’s probably — it’s not really appropriate to hypothesize what that could look like because the reality is that it can’t. And ACPE has commented on this a number of times that we do operate in a free market society, and to do anything on their part to overtly restrict accreditation of schools could be viewed as restriction of free trade. And so that’s just a reality that we have to address that the market is part of what we believe drives supply and demand in our economy. Now, in terms of the number of schools, I mean, right now, that, again, is the short-term focus is that the reason why we are in the situation we are is because we have too many schools. Well, what if we would have created the new opportunities that were projected 20 years ago? Let’s say that even just 50% of primary care practices had some sort of formal relationship with pharmacists right now. That doesn’t even mean embedding them as an employed member of the team, but relationships between the community pharmacist and the primary care setting. That alone probably would shift our dynamics to the point where we would say we might be in balance with our supply or maybe even undersupplied at that time. So we don’t want to run the risk of taking, again, the very acute issue and blaming one thing as the reason for why we are in that situation. And instead, we need to look to the future and say, what does society need? What is the value that pharmacists can bring? And we don’t really know the number of pharmacists that are necessary. I would project that if we could accomplish the aim that I would like to see us pursue that we would not then say we have too many schools. We potentially are not fulfilling the needs of society with the number of pharmacists that we need. So it all is in your perception of how you look at things. Is it the worst of times? Or is the best of times?

Tim Ulbrich: Todd, I thank you so much, again, for taking the time that you did to come onto the show. Thank you for your leadership in AACP and all the work that you’ve done for the profession.

Todd Sorensen: Thanks, Tim. I enjoyed it. Great to have the opportunity to share some of these thoughts with your listeners.

Recent Posts

[pt_view id=”f651872qnv”]

YFP 121: Creating Another Stream of Income as an Airbnb Host


Creating Another Stream of Income as an Airbnb Host

Tim Church interviews Dr. Hillary Blackburn about how she’s monetizing her personal residence as an Airbnb host. Hillary has been able to earn thousands of dollars each year making this side hustle another consistent income stream for her and her husband.

Summary

Dr. Hillary Blackburn and her husband, Chad, have been monetizing their personal residence as hosts on Airbnb for the last five years. They use this additional income, which has totaled to over $40,000, as their travel fund. Hillary talks through what it’s like to be a host through Airbnb.

Hillary explains that Airbnb is like Uber for vacation rentals and says that it’s a great option for travelers, especially in areas where hotel prices are really high. Hillary and Chad rent their home in Nashville 14 times a year. Typically when the home is rented, they stay with family that happens to be in town or use that time to travel themselves.

Hillary explains that sometimes it’s difficult for her to share her personal space, but her husband doesn’t mind if people are there. Each year they re-evaluate whether they’d like to host their home on Airbnb and he reminds her that they can use the income for their travel fund so they don’t have to take any money out of other savings for their trips. Chad takes care of managing their profile, reservations and communicating with guests. Hillary says that this side hustle is easier on her than picking up shifts at a pharmacy.

Their home is a four bedroom, two bathroom house located in a really convenient area of the city and is generally rented out for about $600 a night. In the rental price, they’ve built in a cleaning fee and have their home cleaned by a maid once a month. The couple has friends that have bought second and third houses to host on Airbnb. Hillary explains that if you purchased a condo in Nashville and paid $2,000 in mortgage each month, you’d essentially be able to make that payment by renting it out for two weekends.

Hillary and Chad have had relatively good experiences renting their home on Airbnb. Although it’s sometimes difficult for her to allow strangers into her home, she takes precautions like locking her closet, locking the basement, and making sure certain valuables, including pictures, are secured. Her advice on becoming a host is to first use Airbnb as a guest and then simply go to the website to set up a host account.

Mentioned on the Show

Episode Transcript

Tim Church: Hillary, thank you so much for coming back on the show.

Hillary Blackburn: Yeah. Thanks, Tim. It is great to be here.

Tim Church: Yeah, I think you’re one of the few guests who has made a repeat experience, so always happy to see that.

Hillary Blackburn: Well, glad to share some more updates and some other ways that I’ve been making a little extra income and hopefully will be a good thing to share with your listeners.

Tim Church: Awesome. Excited to hear about it. But before we kind of go there, knowing that you live in Nashville, this question has just been burning that I have to ask you. OK? You have to sing karaoke. What song are you picking?

Hillary Blackburn: Oh gosh. You know, I am not always a karaoke person. I’ll tell you what my husband always sings. It’s Big and Rich, “Save a Horse, Ride a Cowboy.”

Tim Church: Ooh, that’s a classic hit.

Hillary Blackburn: Yeah. So I think he probably enjoys doing it more than me. I just like to be the backup dancers and things.

Tim Church: OK.

Hillary Blackburn: But yes, lots of good music here in Nashville. Definitely come visit and we can check out some of the spots on Broadway.

Tim Church: Love to. Love it there. So it’s been about five months since the last time you were on the show. And before we talk about kind of a different way that we didn’t talk about before on how you’re earning some extra income, can you give us a little bit of an update about what’s happening with your career and your businesses?

Hillary Blackburn: Yeah. So since May, I started an MBA course and have been doing that. That has been taking up a lot of my time. But it’s something that I had always wanted to do and really wasn’t going to commit to it if, you know, it was too expensive. Again, financial, that was a big barrier. So we have some really amazing programs here in Nashville. Vanderbilt has a very nationally recognized, Vanderbilt Owen School of Business, Belmont has a great MBA program. But I really didn’t want to commit to a $50,000-60,000 another degree already having a pharmacy degree. So found one that is online, so that’s scalable and very affordable and something that my employer was able to help finance as well. So just all wins on that front. And this one is self-paced and competency-based, so I hope to have it finished within six months. So having that existing experience in business over the past 10 years has been a lot to draw from but definitely learning in the key areas that I want to learn in. So that’s been a lot of what’s been keeping me busy. But as far as some of the other business things that I’ve been working on, of course still doing the Talk to Your Pharmacist podcast, and I do make some revenue from that. We’ve got two great sponsors, RxDestroyer, which is a drug disposal system, and Theraworks Relief, which is a topical pain foam, pain reliever. And then of course, I have just launched a new podcast called “The Natural Products Resource Center” focused on helping to educate our pharmacists and others about separating fact from fiction around natural products, particularly medical cannabis since that is certainly taking the medical community by surprise. And you know, I’ve got also a pharmacy residency boot camp online for those who are gearing up for residency. So that’s just a couple of recordings, sessions that I did last year and wanted to make those available for people at their own convenience, so it’s all online so kind of like the MBA, being able to take those chunks of learnings whenever it’s convenient for you and just kind of I was able to basically download all of these tips and things that I’ve crowdsourced from other residency directors and organizations that are actually doing the residency process. So they’re doing the recruiting and hiring, so what they’re looking for. And then just tips for navigating Midyear. So I have been staying busy, Tim.

Tim Church: I would say so. It sounds like it. I mean, I’m just blown away. I feel like you just keep mentioning new things that I don’t even know about by the time that we got on this recording. So that’s really exciting. So it sounds like the MBA is taking up quite a bit of time. How many classes are you taking at one time?

Hillary Blackburn: Yeah, so I take — the way this program, it’s Western Governors University, which is a nonprofit university started by 19 governors to really make higher ed really affordable. They set it up as six-month terms, so you can take as many classes as you want in one term. So if as soon as I pass one, then I’m going onto the next. So I’ve already hit leadership and communications and marketing, ethical leadership, accounting — accounting and financial management were definitely the areas that I’ve had to dig in and really study. But right now, my husband and I don’t have children, and so we can really — if we’re not traveling or doing something fun, which we love to do, we’re pretty buckled down on the weekends and can knock out 20-30 hours in a weekend of committing to studying.

Tim Church: So when a lot of people are binge-watching “Downton Abbey,” “Poldark,” other shows, you’re basically hustling, grinding it out, trying to not only further your education but also your businesses as well.

Hillary Blackburn: Right. Don’t ask me if you want to know the latest TV show. Although I did watch all of the “Outlander” series that are out. So I’m a big fan of “Outlander.”

Tim Church: OK, OK. Well, you mentioned to me after a call that we had a number of months back that hey, by the way, I also have another side hustle. And that’s kind of why we set this podcast up because I think it’s really a cool and somewhat I’d say — I don’t know if I want to say easy, but not as time-consuming as other things and other side hustles that are out there. But that is becoming an Airbnb host.

Hillary Blackburn: Yeah.

Tim Church: Talk about what Airbnb is for those of the people out there that don’t know what it is, even though it’s been around for a number of years, and how do you become a host?

Hillary Blackburn: Yes. So Airbnb, for those that are not familiar, it is basically like Uber for vacation rentals. So people are probably most familiar with VRBO or others. Well, Airbnb has basically helped any homeowner or apartment owner or whatnot, depending on, of course, whether your city and state allow it and whether you have to have any type of licenses and things. And if anyone has those types of questions, my husband navigated all of that. He had to go down and you’ve got to get your permit and there’s a fee for that. And then you have to take out taxes and all of those regulatory things. But Airbnb is such a great option not only for travelers — the very first experience I had with Airbnb was as a traveler. So we were going to Houston for a wedding and hotels were all really expensive. We wanted to be a little bit more affordable and booked a studio through Airbnb. And the great thing about Airbnb is that just like Uber or Lyft, there are ratings and reviews. So not only do you rate and review the accommodation, but you as a guest are being rated and reviewed. So it’s because of that review type of setup that, you know, that kind of I guess dissuades any of the fears that someone stranger is going to come into my house and mess it up because you do have that opportunity to review them. And so if you have a bad guest, you’re going to rate them bad, and they won’t ever be able to use the service again. And Airbnb does allow for you can put in for cleaning fees, you can set that into your price. You can also — they have a very hefty insurance package. And then if you notice anything that potentially does break or something, you can always charge the guest. So they have all of those things, insurances in place. But since we have been doing it with our own home for the past 5+ years, we really haven’t had any major issues. We are sensitive. We don’t let all the bachelorette parties come because we are in a residential area. And you know, we live here. It’s not a second property that we just have furnished. We actually live in the home and rent it out up to 14 times per year because after 14 times per year, then you have to start doing like the federal taxes. And for us, you know, usually it works out that if someone’s wanting to come stay, we are traveling anyway or we have family in town and we just can go and stay with them.

Tim Church: So Hillary, I want to back up just for one minute because I bet there are people listening right now and saying, ‘Hillary, are you kidding me that you are letting complete strangers stay in your own home?’

Hillary Blackburn: Yes. I am a little crazy, yes. So Tim, as I mentioned, I do have this love-hate relationship with Airbnb. So as a guest, I have loved being able to use it. Now, don’t get me wrong. If I’m traveling for work and then I’m probably going to use a hotel because work is paying for it. And I still try to be very frugal, of course, but there’s something about a hotel that you kind of know what you’re going to get. But there’s definitely some gems, some like really awesome houses. Or for instance, if you’re traveling to a city and you’ve got a big group, you could all rent out a big house and then you’re all together instead of being in a couple, you know, lots of different hotel rooms. So alright, getting back to letting people stay in our home, so my husband started doing it at our house before we got married. So he was an early adopter and had roommates, and it was a great way for them to rent out their fourth room for all these people that like to visit Nashville. And I actually did it a couple of times before we got married because I had a two-bedroom condo that the roommate, my roommate had moved out, and so I was letting people come in to that second room. I had my door locked but all of the general areas were fine. So once we got married, I’m like, OK, we’re not going to do Airbnb anymore. But it’s funny because if you start to think of your house as an asset that is just sitting here and not making any money, then that’s kind of the incentive that my husband uses. And then the way he gets me to do it is that that is our travel fund. So if anybody knows anything about me, they know that I love to travel, we love to travel together. We’ve been on some amazing trips. And a lot of the way that we’ve been able to do those is from this extra income. So we’re not using — we’re dual income, no kids, so we’re just trying to socket away for retirement, live off of one income. So we’re living off of mine. And so instead of having to steal from our retirement and our savings to do all of the amazing travel that we do, you know, we’ve got a trip to San Francisco coming up this week and then we’re going down to Mexico City in November with a group and hopefully we’re going to use our Southwest companion pass to go to Hawaii over Christmas. So those are just some of the things — but those are some of the big trips that we’ve kind of done all year. So we’re kind of all queueing those up for Q4 it seems.

Tim Church: So he knew exactly how to persuade you into this, right?

Hillary Blackburn: Yeah, you need to know your spouse. Exactly. So a lot of my friends, a lot, a lot of my friends would say, ‘Absolutely no way am I going to let somebody come into my house and stay here.’ And there are definitely times when I have had tears and we’ve had some — Chad and I have had some really difficult conversations. And it’s like every year, I’m like, never again. And then I’m like, oooh, but we want to go on this amazing trip. So it’s kind of like when I see the trip in mind, I’m like, OK, OK, we can do it.

Tim Church: And is that because just the thought of more strangers coming into the house? Or have you had some somewhat bad experiences that make you hesitant to continue on?

Hillary Blackburn: Well, I don’t know if this is just being a female, but you know, he operates very differently than I do. And he doesn’t mind if people are here at all. For me, I’m like, oh, this is my personal space. You know, this is our home, like I have all of my personal pictures, all of the furniture that we’ve gotten and different things. Like all my clothes, I do lock my closet, so that is something that I do. But you know, there’s certainly areas like my bathroom, I’m like, well, I definitely have toiletries out for guests, but people are nosy, so people could be like — but yeah. It’s just something that you kind of just have to get over. I was just listening to Malcolm Gladwell’s book, “Talking to Strangers,” and yeah. It’s like instead of just thinking that everybody is out for the bad, you’ve kind of got to think about air on the side of truth. And so I think just knowing that people want to be respectful, they’re coming to stay in your house, they know it’s a house. We do have house rules. There is a ratings system. We really haven’t had any — I think one time before we got married, we had some partiers. And the police were called once or twice during the whole weekend by our neighbors. So that was not ideal. And we’ve had maybe one other issue where we’ve had like a wine glass break, but they were cheap wine glasses. You know? And so I really haven’t had anything where like I’ve had a stain on a sofa or anything like that. But heck, if that happened, then you just charge them. And then you get a whole brand new sofa.

Tim Church: Right, there you go.

Hillary Blackburn: So part of me is like, well, before I really do a whole lot of any kind of redecorating, now’s the time. Once we have kids and everything, then that gets a little bit harder to do. So right now, we’re just really trying to utilize all of our resources and be good stewards of what we have.

Tim Church: Well I think the other thing too is that as a host, not everybody knows this, but you get up to a $1 million worth of property damage protection in case you need it.

Hillary Blackburn: Yes.

Tim Church: And so that is one of the things that I think can make it a little bit easier to let people be in your primary residence or whether you have another property, knowing that you do have some protections in place.

Hillary Blackburn: Yeah, exactly. And then on the flip side, if you are traveling, like to Nashville, for instance, the hotel prices are outrageous. There’s not enough hotels for all of the people who are wanting to visit. And you know, you can really get some great deals on Airbnb and make your vacation really affordable.

Tim Church: Definitely. I was going to get into that a little bit, but I think that’s one of the biggest reasons why it’s becoming so popular with the millennial generation. And I was looking at some statistics and that 30% of millennials, they’ve had a very positive opinion of the service. And about a quarter of them have stayed at least once in an Airbnb. And definitely I think it’s disrupting the hotel market to some degree because not only is it more economical in many cases, but I think also to especially some of the more exotic places or just different is that people get a really unique experience.

Hillary Blackburn: Exactly.

Tim Church: So let’s talk a little bit about the economics. You mentioned that your cap per year is 14 different reservations through the year. Is that correct?

Hillary Blackburn: Actually 14 nights. So I’m really not doing it that much.

Tim Church: 14 nights. OK.

Hillary Blackburn: Yeah. I mean, we have some friends here that have bought second and third properties. So a lot of people want to buy a second home and make money from that, put it on the rental market. You can honestly make more money on the Airbnb market than on the regular rental market. So say, you know, a Nashville rate for maybe a condo, two-bedroom condo, $2,000. Well, you could make that in two weekends if you were doing Airbnb. So you know, you don’t have that guarantee that it will be booked up all the time, but if you start getting a lot of great reviews, then you become a Superhost and then you get rated higher, and so people are going to find you. So that gets a little bit into the marketing of your Airbnb I guess. But we could talk more about that.

Tim Church: So are you pretty consistently booked for those nights?

Hillary Blackburn: Well, so we — since we only have like 14 nights, we leave open our calendar a little bit during spring and fall. We found that those are two of the biggest times of year. So fall being that we’re a mile away from Vanderbilt, lots of people come in wanting to stay during the fall. And then spring in Nashville is very fun. So that was just seven weekends or if we have a three-night stay or two three-night stays, then that’s five weekends. So yeah, we don’t have just 14 days out of the year. We’ll close off for the rest of the year. We have one more Airbnb at the end of the year — I mean, sorry — at the end of the month, and then we won’t do it again until 2020 if we do, which I feel like I’m getting more and more comfortable. Another thing, too — so we have Ring, which is basically I guess a webcam for your front door or something. I feel like I should be getting some royalties for all of these products that I’m promoting.

Tim Church: Yeah, exactly.

Hillary Blackburn: So Ring, we had that installed maybe about a year or so ago. And you can see when packages are dropped from Amazon, you know, a lot of time people have challenges with people stealing packages. We didn’t have that issue, but just for more security purposes, I obviously like privacy and security. And those are two values that I hold dearly. And so it’s just nice to be able to see like when there’s movement at your front door, you have a package, who’s at your door while you’re away. Maybe you’re traveling and on vacation, you want to see what’s going on at your house. Ring is great for that. But what I’ve found is that I have to turn off Ring when Airbnb guests come because for me, it’s like out of sight, out of mind. I don’t want to know who’s staying there, when they come and go, any of that. I let my husband handle all of that because otherwise, it just works me up into a tizzy. So he does all of the management for our Airbnb. He’s talking with the guest, he shows up and does a walk-through with them. Basically, I think once they know that you live there and it’s your home, then they’re going to treat it more respectfully. So he manages all of that. So that’s what we’ve found works for us.

Tim Church: So what does a typical night, what does it cost to stay in the Blackburn residence bnb? Actually, I was going to ask before you answer that, do you have a nickname for your Airbnb property?

Hillary Blackburn: Anchor Down.

Tim Church: Alright.

Hillary Blackburn: So since it’s close to Vanderbilt, it’s called Anchor Down because that’s kind of their motto or whatever because they’re the Commodores.

Tim Church: OK.

Hillary Blackburn: So yeah. So also, Airbnb has an algorithm available. So they know when there are hot markets. So you know, maybe the Labor Day weekend, Vanderbilt-Georgia game, or other weekends, like the Draft. We were out of our house for the draft weekend too. Lots of people come in. So when those weekends hit, then the price goes up. So a typical price per night is usually around $600. And we have a four-bedroom, two-bath house. It is really conveniently located, you know, close to downtown, within the 440 Loop, it’s a beautiful Craftsman-style home. So it’s amazing. We were able, fortunate to have bought this in the downturn. So my husband bought it 10 years ago, so in 2009, and so of course, the property value has just increased over the past 10 years with Nashville being such a hot market. So hopefully when we’re ready to sell, we’ll be able to do well. But yeah, so usually, it could be anywhere around $600 a night. So once they take out taxes and things, like this past weekend, we made $1,200, yeah, just under $1,200. So not too —

Tim Church: So that was the profit to you?

Hillary Blackburn: Yeah, profit.

Tim Church: Wow.

Hillary Blackburn: So it’s way easier than me going and picking up a shift at a retail store, which I still work PRN but have not been doing that as much because I have all of these other things keeping me busy. But yeah, so for changing out the linen, I change out the linens, I change out the towels, I do lock my closet, he locks our basement. We pull out a few really personal pictures, make sure that our refrigerator is cleaned out. I don’t remove all the condiments and everything. I used to be way more intense about what I would clean out and what I wouldn’t. But honestly, sometimes people end up leaving us food. They’re like, ‘Oh, we have all this extra alcohol left and we’re flying out.’ We’re like, ‘Great.’ So yeah. I mean, it’s been something that we’ve been doing for almost five years. And you know, we’ve been able to really make some awesome memories traveling and not have to steal from our other funds.

Tim Church: Yeah, so it definitely sounds like yes, there are definitely some concerns and maybe some inconvenience around being a host and doing that.

Hillary Blackburn: Totally.

Tim Church: But the opportunities that being a host gives you and affords you really outweighs all of those other things and concerns. Would that be fair to say?

Hillary Blackburn: Yeah, I would say that. And eventually, are we always going to do Airbnb? Probably not. But for right now and the home that we’re in and the time in life that we’re in, it is a great way to make some extra income.

Tim Church: And so what would be a typical yearly earning that would actually be profit for being a host for your property?

Hillary Blackburn: Yeah. So I guess anywhere like $8,400?

Tim Church: OK, OK. That’s a nice side hustle. And you said this — what year is this?

Hillary Blackburn: We’ve been married four and a half years. And he’s been doing it for six. And he actually did more than 14. They changed a lot of the rules. So I would say even conservatively with the 14 days, we’ve made $42,000 in five years.

Tim Church: So you really are making sure that your house is an asset.

Hillary Blackburn: We are, yes. And we get it cleaned. We have a maid that comes every month.

Tim Church: Yeah, that’s what I was going to ask you is so you’re changing out some of the linens, but are you paying someone to come in and clean between every time there’s a guest?

Hillary Blackburn: Yes, but I already have a housekeeper come once a month just to help me keep everything clean.

Tim Church: So you mentioned kind of the average cost per night for your Airbnb. Does the Airbnb platform automatically adjust during those points where they think you can charge more?

Hillary Blackburn: It does.

Tim Church: Or is that something that happens automatically?

Hillary Blackburn: Yes.

Tim Church: OK.

Hillary Blackburn: Yes. So it’s just supply and demand.

Tim Church: So you don’t have to necessarily guess what the best price is going to be or trying to always go higher than what the standard or recommended amount would be.

Hillary Blackburn: Right. And they allow you to set your own price and, you know, you can also block your calendar for certain dates when you don’t want people to stay. You get to talk to the people or you hear they’re for a bachelorette party, and they’re like, ‘No, we’re here for a family reunion.’ We’re like, ‘Great. We love family reunions because the moms and the grandmoms always end up cleaning before they leave.’ So yeah. For the most part, it’s been really pretty great.

Tim Church: What tips would you have for people who are interested and maybe want to get started? And what should they avoid when they first become a host?

Hillary Blackburn: You know, I would just check out the Airbnb — you know, I would be a guest first, actually. I would totally start with being a guest. Check it out as a guest the next time you’re traveling, see how it works. It’s very easy. They even have an app, so you’re like literally texting and communicating with your host. So you get that experience, and then you basically just get on the Airbnb website. They have a different profile for you if you’re a host.

Tim Church: So one last question, Hillary. What do you do or what have you done to make the guest experience memorable? Is there anything special?

Hillary Blackburn: You know, one of the things that we do is you know, we have a guide, we put bottled waters by everyone’s bed, just making sure the house is clean and orderly, and then just being a really responsive host. So I think that we do all of that and have always had really great reviews.

Tim Church: And has that got you to that superhost status that you were talking about a little bit earlier?

Hillary Blackburn: You know, we did have superhose status but only doing it for 14 times out of the year, it’s kind of hard to maintain that.

Tim Church: Well Hillary, thank you so much for coming back on and sharing a really cool side hustle. I think it’s a great way to earn extra income, whether you’re using your own residence or whether you have an additional space or property because as you mentioned, it doesn’t take as much time as going out and working an 8-10 hour shift to pull that in. Now, obviously, it’s going to depend on where you live and kind of what the rates are. And if you’re interested in learning what your space or property would rent for, you can check out our Airbnb earnings estimator, and that’s at YourFinancialPharmacist.com/airbnb. So Hillary, thank you so much for coming back on the show. What is the best way for someone to reach out and contact you?

Hillary Blackburn: Yeah, so I am on all of the different platforms. So Instagram, @talktoyourpharmacist and Facebook @TalkToYourPharmacist, I have a page as well. Also pretty active on LinkedIn. You can search for me at Hillary Blackburn and then on Twitter @hilblackburn. Oh, and of course my website, www.pharmacyadvisory.com.

Tim Church: Well thank you so much, Hillary, and looking forward to all the work and what you have ahead.

Hillary Blackburn: Awesome. Thanks so much for having me back as a guest.

Recent Posts

[pt_view id=”f651872qnv”]

YFP 120: 5 Ways to Finish 2019 Strong


5 Ways to Finish 2019 Strong

Tim Ulbrich talks through 5 ways to finish 2019 strong. These 5 strategies will help you enter the New Year with a sense of momentum and accomplishment, setting yourself up for an awesome 2020.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast. I’m excited that you are joining me as we talk about five strategies that you can employ in 2019 to finish the year strong. So last week, we heard from one of our Certified Financial Planners, Christina Slavonik, where we did our first episode of a new segment that we will be rolling out going forward called, “Ask a YFP CFP.” Of course, CFP standing for Certified Financial Planner. We had some great questions that we answered from you, the YFP community, and we’d like to tackle more of your questions in the future. So if you have a question that you would like to have featured on the show and answered by one of our fee-only Certified Financial Planners, please do us a favor and shoot us an email at [email protected]. Again, that’s [email protected].

OK, so today’s episode, five strategies, five things that you can employ in 2019 to finish out this last quarter of the year strong. The theme across all five of these strategies is intentionality. The theme is slowing down for a moment and getting out of the month-to-month rush to ask yourself, what am I trying to achieve? Or maybe to remind yourself what am I trying to achieve? To ask yourself, what progress have I made thus far? And to ask yourself, what are some strategies that I can do for this last quarter, this remaining three months of 2019 to finish the year strong and to start 2020 with a bang? You know, I’m a big believer in momentum and running into the new year with some wins. And I think this is a much different situation than just waiting for 2020 to roll around, waiting for the new year to roll around so that you can hit the reset button and get a fresh start on your financial plan on the financial year. Now, don’t get me wrong. I think hitting the reset button every once in awhile can certainly be refreshing, and it does serve a purpose. But choosing to be intentional, choosing to be intentional in this final three months, in this final quarter of the year, and digging in, that’s a growth mindset. And that is putting yourself in a position of playing offense rather than playing defense.

So let’s jump in: Five strategies that you can employ to finish 2019 strong. Now, what would an episode of the YFP podcast, what would it be without us talking student loans? So No. 1 here is reevaluating your student loan repayment option. Or maybe for recent graduates, maybe it’s just evaluating your student loan repayment option for the first time. You know, when I started Your Financial Pharmacist back in 2015, I noticed there were only a handful of pharmacists that were spending the time, the time that is necessary to navigate all of the student loan repayment options that are out there and to determine the one best option for their own personal situation. This takes work. This takes effort. This takes digging into the unknown. This takes really understanding all of the variety of the repayment options and the confusion that could come along with that. And after I graduated from pharmacy school in 2008, I defaulted into the standard 10-year repayment plan because I didn’t know what else was out there. And at the time, that was the easiest path forward, right? It’s the standard, it’s the default repayment plan. The problem was is that I could have saved significant amounts of money by either pursuing Public Service Loan Forgiveness, PSLF, as I did work for a qualifying employer, or refinancing my loans to a lower interest rate because many of my loans at the time were at a fixed 6.8% interest rate, and I certainly could have done better than that if I weren’t pursuing PSLF, which I was not. So don’t get me wrong, while I’m grateful that I eventually got them paid off, I’m grateful that Jess and I were able to work through this journey, I think we learned lots through this journey, but not knowing all of the options that were available to me and just defaulting into the standard 10-year repayment plan certainly cost me big. Thankfully, there is now a lot more resources out there in terms of helping borrowers navigate the maze of student loan repayment. And in the pharmacy space — of course, disclaimer, I’m biased here — there is no better student loan repayment piece for pharmacy professionals than the one put together by our very own Tim Church. And that is the ultimate guide to repayment of student loans. You can get that post and all of the details and all the information for free at YourFinancialPharmacist.com/ultimate. Again, YourFinancialPharmacist.com/ultimate. We’ll link to that in the show notes.

Now, for students that are listening, the question hopefully you’re asking yourself is, you know, you’re note reevaluating repayment options, you haven’t yet evaluated them, and maybe you haven’t even thought about this yet for the first time. After all, this seems like it’s off into the distance as something you need to be thinking about into the future. And so my encouragement for the students listening is to begin to learn about these options that are available. Certainly you’re going to graduate, you’re going to have the grace period, you’re going to have some time, but that’s going to come quick. You’re going to have lots of competing priorities, you’re going to be studying for the NAPLEX, you’re going to be studying for the MPJE, you’re going to be starting a new job or residency or training program, and it may seem like that’s something to worry about in the future. But I think now is really the time to start listening to episodes like this or reading blogs or other resources that are out there to understand these terms, understand what an unsubsidized versus a subsidized loan is, understand what different types of loans are in terms of consolidation and refinancing and loan forgiveness and having the vocabulary, having an awareness that when you need to choose that option, you’re in a position that hopefully does not feel as overwhelming.

I would also encourage the students listening that I think you’ve heard me talk about before on this show, I think it’s easy as a student, myself included when I was a student, to fall into the trap of worrying about this in the future, to fall into the trap of it just feels like Monopoly money, it doesn’t feel real. So I would encourage you to inventory your loans, to log on, to look at your balances, to look at the interest rates, to see how that interest is accruing, to ask yourself, what are some things that I can do, especially on my unsubsidized loans, to lower the interest that is ultimately going to be accruing while you’re in school for your unsubsidized loans and, of course, capitalizing and growing beyond that?

And then students, the other thing I would encourage you is to begin to develop a relationship with the financial aid officer at your institution. Again, really building that relationship. Now having these conversations early as possible to begin to understand the terms, understand the options that when you need to make that decision, you’re ready to be in that position of action.

Now, for recent graduates, here I’m talking to the class of 2019, this could be those that are pursuing residency or those that are out in practice already, you know very well that you are in the grace period. You have the grace period, you’re living it right now. And here we are, that grace period is going to come to an end very soon. So now is the time if you have not already done so to evaluate and compare your options. I think for myself as was true for many others probably listening to this, it’s a rude awakening when you get that statement out of the blue to say, by the way, in the standard 10-year repayment option, you need to pay about $1,800 a month for 10 years to get these loans paid off. And so now is the time, before you get that notice, to evaluate, compare your options, understand income-driven repayment, understand some of the nuances between those plans, understand loan forgiveness, understand what are your options in the refinance marketplace so that when you go into active repayment, again, you’re in a position to make an educated decision.

Now, just a separate word for residents, you know, I think the common thing among residents is an automatic decision to defer. And my question for you to consider is is deferment the best option? Have you really thought about that? Have you really determined what’s going to happen to the interest on your loans while you’re in residency? What’s your makeup of subsidized versus unsubsidized loan? And I know, it’s a busy time. It’s a busy time. You finished your orientation, you’re active in your research experiences. Many of you are probably also teaching, balancing patient care and staffing responsibilities. I understand that you’re busy. But now is the time to really dig in and understand these options. And for those that are in active repayment, my question to you is maybe you’ve never sat down and intentionally evaluated all the options that are available to you. Or maybe you at one point refinanced, but you haven’t reevaluated rates. Or for those of you that are pursuing loan forgiveness, maybe you haven’t yet submitted your employer certification form. So my challenge for those that are in active repayment is have you confirmed, have you spent time to determine that the repayment strategy that you’re in right now is really the best option for you?

And I think as we are certainly here in October 2019, we’ve seen interest rates come down, we’ll talk about that here in a moment with refinance, when it comes to student loans, that means we often see the interest rates on a refinance become a greater differentiation or separation from the interest rates that you’re going to get offered through your federal loans. Now, we’ve said many, many times before, refinance is not for everyone. There’s certain considerations and benefits that you have in the federal system that you may not have in the private system, although that gap has closed. And certainly if you’re pursuing Public Service Loan Forgiveness, absolutely you do not want to pursue a refinance. But for those that have decided that is the best option for them, I think now is a good time to check rates. Certainly if you’re just getting initial quotes, it’s a soft pull on your credit, and that’s not going to have an impact until you actually go through the full application. You can learn more at YourFinancialPharmacist.com/refinance to learn more about the refinance process, who we think it’s for, who we think it is not for, and ultimately to check and compare rates. Again, YourFinancialPharmacist.com/refinance. So that’s No. 1 is reevaluating or evaluating your student loan repayment options.

No. 2, it’s hard to think about the holidays here in October, but if we’re going to finish 2019 strong, we need to set a budget, have a plan, and save for the holidays. And that’s No. 2. Now, we talked about this in detail all the way back in Episode 023. That was a long time ago, and I don’t know about you, but I know that I could use a reminder, and I’m guessing that’s the same for you, that we could all use a reminder about by the way, we’ve got to be thinking about the holidays and the impact that has on your financial plan. So of course, ideally, we’re saving throughout the year, that’s the thing we should be doing. But if you, like me, find yourself looking up at the calendar as we roll into October saying, ‘Is it really time for the holidays again?’ then we need to develop a plan as soon as possible to avoid the stress and the debt that often comes along with the holiday season and impacts how we start the new year. After all, the data shows that on average, on average, those who take on debt accrue approximately $1,000 of new debt from the holidays alone. So if we’re going to be in an offensive position going into the new year, we cannot let the holidays derail our financial plan. So the question here is, how can you have a painless financial holiday season?

So I think first thing that you can do is list all of your holiday expenses. Now, I’m talking all of your holiday expenses. And I know, here we are, it’s October. It’s not even Halloween yet, and we’re talking about later in the year holiday expenses. But this is important, right? Because it sounds easy. But from my experience, I’m sure from your experience, a lot of frustration comes from understanding what really are the true expenses when you reflect back on it. And I think we often underestimate these true expenses. So you know as well as I know it’s not just the gifts for family and friends, although that’s where we typically stop and end with the budget for the holidays. It’s the gifts we often buy for coworkers, it’s the gifts for those that are hosting parties we attend, it’s the gifts and the things associated with various work outings. It’s the expenses associated with hosting family and friends. Of course, it’s the travel, it’s the house decorations, it’s the cards and the postage, and the list goes on and on and on. So I think where we start is listing each item, holding true to that, and hopefully eventually coming up with a budget for each line item to come up with in sum, what do we need to be planning for the holiday season?

Second, for each of those categories, once you get everything down on paper, you know, begin to think about and identify are there some ways that since here we are planning well in advance, are there some ways because of your preparation and because of your diligence that you can be more intentional and save money during the holidays? For example, perhaps an electronic letter with a photo compared to printing cards or shopping in advance to be more intentional and to give yourself time to price shop around and compare. Or maybe it’s taking up those gift cards that have been unused or cashing in on travel or credit card points to help fund gifts or putting a cap on gift amounts with family or friends. And again, the list goes on and on. But the point is if we can plan here in October as we talk about finishing 2019 strong and we don’t wait until the last minute, we can be much more intentional and I think reap the benefits of that going into next year.

Now we have a guide we developed all the way back in Episode 023 if you want more information to help you think about this further and even start to work through the budgeting process of this. Head on over to YourFinancialPharmacist/holidays to get started. Again, YourFinancialPharmacist.com/holidays. So that’s No. 2: Set a budget, be intentional, save for the holidays. s

No. 3, evaluate a mortgage refinance. So for those of you that currently own a home, you know, here we are at the time of this recording, early October 2019, and we have seen a significant reduction in mortgage interest rates compared to this time last year. And I think there’s even talks of further reduction in Quarter 4 of 2019. So as an example, this time last year, my wife Jess and I moved down to Columbus from northeast Ohio, and interest rates on a 30-year fixed loan 12 months ago were north of 4.5%. So 12 months ago, we saw interest rates on 30-year fixed loans be above 4.5%. We actually closed on a loan at 4.625%. Now, today, we are seeing rates, a year later — depending on credit scores, of course if you buy points in the process and other factors — we’re seeing 30-year rates that are below 4%, high 3’s, and we’re seeing 15-year rates that are in the low 3’s. And I’ve even seen some offers in the high 2’s, especially if you’re buying points in the process. Now, it may not seem significant, but when you talk about a percentage, percentage and a half, even three-quarters of a percentage, depending on your mortgage, depending on where you’re at in the repayment process, this can be significant, especially over a 15- or 30-year term. So what I encourage you to do is take a moment to stop, look at the interest rate, look at the current market of rates — you can look at that without having to impact your credit score — and calculate a break-even on what this would mean if you would refinance your home. How much would you save relative to how much you would cost, how much you would spend in the closing process? So pretty simple, you can run a calculator. We’ve got some great resources on our site. If you go to YourFinancialPharmacist.com/calculators, we’ve got lots of resources that can help you here. But essentially, you do a simple calculation to say OK, if this is my current balance on my loan, here’s my current interest rate, here’s the rate I’m assuming in a refinance, how much would I save per month? And obviously, you have to make this as close to an apples-to-apples comparison as possible because if you currently have 26 years left on your mortgage and you’re going to refi to a 30-year, obviously you need to account for that time difference. There’s certainly calculators that can help you do that. So once you calculate the savings over the life of the loan, then you want to ask yourself, well, how much are you going to pay in closing costs, in fees? And this would include things like bank fees, title costs, third-party costs, appraisals or attorney fees, escrow charges and so forth. What’s your total cost to close? And based on your monthly savings, when will you get to a break-even? And typically, what you see like in the situation where Jess and I are in right now, if we had a 30-year mortgage that we just closed on a year ago of 4.625% and we can get a 30-year in the low 4’s or the high 3’s, then certainly we’re going to see a significant return on investment in a fairly short period of time. So that’s No. 3 is evaluating a mortgage refinance if you haven’t looked at that in awhile.

Now, No. 4 is one that’s near and dear to my heart, and it’s something I’m becoming more and more passionate about as I really understand the power and value in continuing to have a mindset of professional development and learning and learning and learning. No. 4 is making a commitment to read at least one book per month. Some of you may already be doing that, some of you that may seem a stretch. It’s just a place, a recommendation of where to start. Now, where does this come from? My wife and I are recently watching the Bill Gates documentary on Netflix, which is fantastic, by the way. It’s called “Inside Bill’s Brain,” and one of the things you’ll notice in that documentary is he just carries around this sack of books. He’s constantly reading and reading a wide variety of things. And his passion to learn, his desire to learn is so evident as a part of the fabric of who he is as a leader. And we’ll link to in the show notes, he actually has a summer books 2019 reading list, a suggestion of books if you’re looking to get started. But he’s reported to read approximately 50 books per year, and he’s quoted as saying, “You don’t really start getting old until you stop learning.” And when you look at some of the most successful people that are out there — and here I’m defining success by a combination of both net worth as well as the impact they have had and the work that they’re doing. This could be business related or philanthropic related, which certainly Bill Gates would fall into both of those. And what you see among these people is a common thread of a quest for knowledge, a deep desire to learn more and the humility to accept that what they know is only a fraction of what there is to learn, no matter where they are in their career. And so this just got me thinking, why is this so for such famous, successful people like Bill Gates, Oprah Winfrey, Warren Buffett, all of whom are worth billions of dollars, extremely busy, have lots of competing priorities? How in the world do they have time to read, time to learn more? And why is that such a significant priority for them? In many of these leaders what you see, as I’ve already alluded to, is that despite being extremely busy, they set aside at least an hour a day, five hours a week, over their entire career, or at least most of their career, for activities that could be classified as deliberate practice or learning. And this has been written about, it is known as the “Five-Hour Rule,” this five hours a week, and there’s a 2016 article that was written by serial entrepreneur and bestselling author Michael Simmons, and he quotes these individuals as exhibiting these behaviors and habits: Warren Buffett, for example, which is referenced in the Bill Gates documentary as well, spends 5-6 hours per day reading five newspapers and 500 pages of corporate reports. Not sure how he stays awake for that, but he does. Bill Gates reads 50 books per year, I already mentioned that. Mark Zuckerberg reads at least one book every two weeks. Elon Musk grew up reading two books a day, according to his brother. Mark Cuban reads more than three hours every day. Arthur Blank, co-founder of Home Depot, reads two hours a day. Dan Gilbert, self-made billionaire, owner of the Cleveland Cavaliers, reads 1-2 hours a day.

So my encouragement to you is to start making a habit of reading and learning more, whether that is the old-school book-in-hand method, maybe it’s a Kindle, an audiobook, podcast. Make this commitment to learn more of a priority. Set a goal for the number of books — I gave you an example as we started here point No. 4, one book per month — but set a number of books that you want to read for the remainder of 2019 and do the same for 2020. So we’ll link in the show notes to Bill Gates’ Summer of 2019 reading list if you’re looking for a place to get started. And I hope that you will share with the YFP community and our Facebook group what you’re reading and what you’re learning. And of course, if you’re looking for a good financial book to get started, I have to mention “Seven Figure Pharmacist,” I have a bias for that. Also I will throw out there, “I Will Teach You to Be Rich” by Ramit Sethi, “Rich Dad Poor Dad” by Robert Kiyosaki, “Friend of a Friend” by David Burkus, which we recently interviewed on the podcast, and one if you want to get ready for an interview you’re going to be doing in the future is “The Behavioral Investor” by Daniel Crosby. It talks a lot about the behavioral aspects of finance and has built a career with his PhD studying this information about how behavior impacts our financial plan. So there’s some ideas to get started. So that’s No. 4. No. 4 is making a commitment to read and doing so with reading at least one book per month.

No. 5 is start visualizing what success will look like for you in 2020. You know, several years ago, I read a book called “The Miracle Morning,” and one of the activities they talk about in “The Miracle Morning” by Hal Elrod, it’s a great book, great process, is this concept of visualization. Pat Flynn talks about this a lot as well in his book, “Will It Fly?” And they talk about this process of not only setting goals but visualizing those goals becoming a reality and then revisiting those goals each and every day or maybe it’s once a week or maybe it’s several times a month. And when you do that, an amazing thing happens between you start with the goal that maybe feels like a hope or a dream or a wish, and then you articulate it, and then you become more specific, and then you put a number to it, and then you start to repeat that and see it and think about what would this feel like? What would this look like if this were to become a reality? And you begin to convince yourself through visualization that it will become a reality.

So I want you to answer this question as you think about visualizing success for 2020. And that question is, at the end of 2020, finish this statement: I will feel like I am winning financially if… So write it down. Look at it. What is happening for you at the end of 2020 that you will feel like you are winning financially if these things happen? The more specific you can get here, the better. Maybe it’s a certain amount that you want to have paid off of debt, credit card debt, student loan debt. Maybe it’s a certain amount that you want saved for a rainy day. Maybe it’s a certain amount for investing or for paying on a mortgage or for starting to get invested in real estate. And I would encourage you in addition to just writing these down, maybe some things that come to mind that you’re already thinking about, set one big, audacious, stretch goal for 2020. One thing that may seem like, you know what, it’s a hope or it’s a dream, it’s out of sight, it’s out of touch, but this is something I’m going to put down on paper, and I’m going to begin to think about that if I get these other things achieved, I’m going to be in a position to work towards this bigger goal.

So for Jess and I in 2019, this was real estate. We said, you know what, we want to invest in our first real estate property. We want to do that in 2019. Now, at the time, we had a big $0 invested to do that, but we knew it was a goal. We were able to articulate why that was a goal for our family. We created a sinking fund in Ally that had a big $0 for a long time, but it was a constant visual reminder of why we needed to achieve the other things within our financial plan that were ultimately going to allow us to unlock this part of it. We’re going to talk more about what that process was for us and our first property and hopefully soon our second property in the next couple weeks.

So I want to finish here with a quote from Seth Godin that I think really gets to this concept of visualizing for the future, really gets to this concept of setting big goals and often that our limitations are internal, our limitations are the variable that we can’t see a big enough picture to be able to realize what we’re actually capable of. And this is really this concept of a growth mindset. Seth Godin says, “Not the limit of our skills, not the limit of our knowledge, not the limit of our physical capacity. It’s almost always the limits of our internal narrative, our guts, our willingness to be kind, to believe, to care enough to lead. We can’t do anything about the limitations of physics, and we can never do enough to change the limitations of our culture.” But Seth says, “But we can begin today on changing the internal limits we place on ourselves. Yes, it’s your turn.” I love that from Seth Godin.

So there you have it. Five ways to finish 2019 strong. I hope you can take away one of these five, maybe all of these five, and as always, I’d love to hear what your thoughts are and would love to have you share your progress with the Your Financial Pharmacist community over at the Your Financial Pharmacist Facebook group.

Before we wrap up today’s episode of the Your Financial Pharmacist podcast, I want to again thank today’s sponsor, the American Pharmacists Association. Founded in 1852, APhA is the largest association of pharmacists in the U.S. with more than 62,000 practicing pharmacists, pharmaceutical scientists, student pharmacists, and pharmacy technicians as members. Join APhA now to gain premier access to YFP-facilitated webinars, financial articles, live events, resources, and consultations. Your membership will also allow you to receive exclusive discounts on YFP products and services. You can join APhA at a 20% discount by visiting pharmacists.com/join and using the coupon code A19YFP. For more information about the financial resources we offer in partnership with APhA, visit pharmacists.com/YFP.

And one last thing if you could do us a favor, if you like what you heard on this week’s episode, please leave us a rating or review in Apple podcasts or wherever you listen to your podcasts each and every week. Also, make sure to head on over to YourFinancialPharmacist.com, where you’ll find a wide array of resources designed specifically for you, the pharmacy professional, to help you on the path towards achieving financial freedom. Have a great rest of your week.

Recent Posts

[pt_view id=”f651872qnv”]

6 Ways to Protect Your Cash Flow as a Pharmacist

6 Ways to Protect Your Cash Flow as a Pharmacist

The following post contains affiliate links through which YFP or its team members may receive compensation.

What would you do if your next paycheck wasn’t deposited?

How long could you survive if you just stopped getting paid?

If you’re a recent grad, new practitioner, or potentially even a seasoned pharmacist, the answers might look something like “use a credit card and not long.” This is especially true if you aren’t the only one who depends on your income.

Despite having a good income, it’s not that uncommon for pharmacists to live paycheck-to-paycheck. With massive student loan payments, living costs, lifestyle creep, and other priorities, unless you have substantial savings, having consistent cash flow is essential.

An emergency fund can only buy you so much time if something happens with your job. Therefore, protecting your primary means of income is key.

There are some moves you can make that can help reduce the interruption in your cash flow.

pharmacist network, side hustle, side hustle for pharmacists, make extra money as a pharmacist

1. Have a side hustle

The most obvious way to prevent any significant change in cash flow is to have multiple sources of income. Even if you feel your job or position is relatively secure, there’s always the potential it might not be there. Unfortunately, many community pharmacists have already experienced this with large numbers of brick and mortar stores closing and the decision to downsize pharmacist presence in large companies.

By having a second or multiple income streams, you will reduce the probability of not being able to pay your bills and living expenses even if one source of income becomes affected. This could be as simple as moonlighting at another pharmacy, writing a book, or even creating a legitimate business that makes six figures a year.

If you want some ideas, check out this post 19 Ways to Make Extra Money as a Pharmacist in 2020. You can also check out the YFP podcast as we frequently have pharmacists on the show who talk about side hustles they started.

2. Make yourself indispensable

How many people do you know that work just hard enough to keep from getting fired?

There’s no question that burnout and unfulfillment run rampant in our profession, but does that mean you shouldn’t work hard, take on new challenges, and embrace opportunities?

Make it difficult to get fired.

What can you do to stand out from everyone else? What skills and knowledge can you acquire that make you a linchpin in your company or organization?

I’m not just talking about board certifications and additional credentials, but rather demonstrating the ability to solve problems or reinvent existing systems and protocols that provide value and improve outcomes.

make more money as a pharmacist

I work in a primary care clinic with a focus on type 2 diabetes management. Most of the days are pretty full evaluating patients but I’m fortunate there are a few hours per week given to work on continuing education or to come up with ideas to improve patient care.

Taking full advantage of this time, I studied how to manage very complex diabetes patient cases such as those with suspected LADA, patients who need u-500, best practices for carb counting, and how to optimize the use of continuous glucose monitoring. This has enabled me to become a go-to resource when colleagues or other services encounter difficult cases.

In addition, I have created population management protocols to identify patients with diabetes who are not receiving guideline-directed medical therapy and those at high risk of hypoglycemia.

I then I took it a step further and created an action plan on how our team of pharmacists could intervene and set up appointments to directly impact these opportunities. Because we have been so successful, these practices have been discussed and utilized by other institutions within the organization.

None of these things I described were necessary or required of me in order to maintain good standing in my position. They were gaps and opportunities I identified that would not only improve our current practices but further my skills and value within in my role.

Even if you become a linchpin and still get let go, chances are you will be in a much better position to make a job transition and will be able to better articulate your value to prospective employers.

3. Have adequate disability insurance

With a six-figure income, you are going to have projected lifetime earnings in the millions. Besides losing your job, becoming disabled is one of the biggest potential disruptors in cash flow.

I know what you may be thinking, “As a pharmacist, something pretty bad would have to happen to me to not be able to work.” That may be true. After all, most pharmacists just require their cognitive faculties to be intact, and therefore accommodations could be made in the event of broken bones or limited mobility secondary to an accident.

Remember, you are not invincible!

The Social Security Administration predicts that more than 25% of today’s 20-year-old Americans will become disabled before the age of 67. However, almost 70% of those working in the private sector do not have disability insurance.

Beyond car accidents, think about insidious diseases like Parkinson’s disease, dementia, cancer, or MS. There are a lot of health-related scenarios that could occur at a young age and either force you out of the workplace or reduce the time you are able to work.

Disability insurance for pharmacists is really income insurance. It provides you with money in the event that you are unable to work because of an accident or illness.

Besides being able to afford typical bills such as food, mortgage, utilities, etc, think about your student loans. If you still have federal loans then you don’t have to worry because these are discharged in the event that you become permanently disabled. However, what about private loans? Or ones that you refinanced?

Therefore, unless you already have substantial wealth or have additional income streams and don’t require an income as a pharmacist to live, you need disability insurance.

Even if you have some coverage through your employer, consider an individual long term disability insurance policy. It doesn’t matter where you work or if you change jobs because it follows you and you don’t have to get another evaluation of your health status.

For a more detailed discussion on disability insurance, check out the post Disability Insurance: The Ultimate Guide for Pharmacists.

disability insurance for pharmacists

4. Be ready to make a move if needed

Motivational speaker Les Brown often says “It’s better to be prepared and not have an opportunity then to have an opportunity and not be prepared.”

What if you lost your job tomorrow? Would you be ready to start applying and submit an up-to-date polished CV? Would you be ready to interview?

It’s easy to submit your CV once and then just forget about it for years.

Brandon Dyson, pharmacist and co-owner of TL;DR Pharmacy, wrote about his experience with hiring a part-time employee at an outpatient oncology clinic. Within 6 days, he closed the posting after receiving 49 applications. Well, sort of 49. I say sort of because he mentions a number of applications were not filled out completely, were missing elements such as a cover letter, and clearly did not update their CV.

That is really unfortunate and inexcusable in our profession. Don’t eliminate yourself from the running right from the start by not following directions and being prepared. At the very least, have someone else you trust to review your application and contents if you are not 100% confident.

You can also check out Brandon’s post for more suggestions and tools for getting prepared for your next job.

5. Maintain your license in good standing

This one should go without saying: you can’t practice if you don’t have a license. Well, you can, you just may face fines or even felony charges. For most pharmacists, this means just doing the bare minimum continuing education and any other requirements.

However other situations that could affect your license and ability to practice include complaints made to your respective board of pharmacy or malpractice suits.

You know mistakes can happen. If you work for an employer, they likely offer some protection if you’re functioning within your scope of practice. However, their main concern is protecting the organization, not you.

Besides actual damages, liability or malpractice insurance can help cover litigation costs, costs for representation for board of pharmacy hearings, and lost wages. The latter is particularly important especially if you’re involved in a complicated suit that lasts months and your employer is not assisting.

Coverage is relatively inexpensive (~$12-$20/month). Proliability, Pharmacist Mutual, and HPSO offer policies for pharmacists up to $1 million in liability coverage per incident and $3 million aggregate limit.

6. Grow your pharmacy network

I was recently on LinkedIn and saw firsthand the power of and the difference between having a strong network and having a bunch of weak connections that someone blasts information to.

Whenever someone asks to connect with me, I always ask for the reason they reached out. It’s a great ice breaker and also helps to find some common ground. But what is surprising to me is that the first thing some pharmacists say to me is “I’m looking for a job and trying to expand my network.”

Now there’s nothing wrong with that, but there is usually no attempt to learn more about me, what I do, or how I may even be able to help them. In other words, the primary intention was what they could from me.

pharmacist network, pharmacy network

These are usually the same people that literally blast their CV on a LinkedIn post multiple times per day expecting to get results. Contrast that to someone who is well connected and within hours of them explaining their situation and intention to seek other employment already has multiple leads. That’s why it’s important to make it more about relationships than it is about connections.

Brandon Dyson nicely sums this up: “If you just joined a group and you start asking everyone for favors, you come across as self-serving and desperate. But if you’re already a part of that community, people will go out of their way to help you.”

Whether it’s through LinkedIn, professional organizations at the national, state, and local levels, Facebook groups, or other channels, you should be building your pharmacy network now. Not when you are in a dire position and urgently seeking a job but before you’re actually in need.

I also highly recommend checking out podcast episode 116: Transforming Your Life and Career Through Networking where bestselling author David Burkus shares the science of networking and discovering your hidden networks.

Conclusion

One of your greatest financial assets as a pharmacist is your ability to generate an income. Unless you already have substantial wealth or have multiple streams of income, you’re probably going to be in a tough spot if the next paycheck wasn’t there. Changes in the job market have resulted in less security and many pharmacists have already experienced being laid off or had their hours cut.

Protecting your cash flow is essential to not only paying your monthly bills but also making progress on your savings and long-term financial goals. The key ways to do this include creating multiple streams of income, protecting your existing main income source, and preparing yourself to make a job transition to reduce the time of interrupted cash flow.

Current Student Loan Refinance Offers

[wptb id="15454" not found ]

Recent Posts

[pt_view id=”f651872qnv”]

YFP 119: Ask a YFP CFP®


Ask a YFP CFP®

Christina Slavonik, CFP® at Your Financial Pharmacist, joins Tim Ulbrich for a new installment of the YFP podcast, Ask a YFP CFP®. Christina answers financial questions from the Your Financial Pharmacist community covering topics such as student loans, investing and the inverted yield curve.

Summary

Christina Slavonik, CFP®, is a team member of Your Financial Pharmacist and offers fee-only comprehensive financial planning. In this podcast episode, Christina answers questions from the YFP community in a rapid fire format.

To start, Christina explains that fee-only financial planning means that we’re not getting extra commissions as many traditional firms are. Christina explains that YFP believes the best way to measure non-conflict of interest is to provide fee-only services where clients are only paying for the advice they receive. YFP also upholds to the fiduciary standard where the clients’ best interests are really the focus.

Christina answers several questions from diverse topics such as student loans, investing and the inverted yield curve. Two of the asked questions are below:

Andre asks if he’s sacrificing a lot of immediate short term investment opportunities like having a house or saving for retirement in order to pay off student loans more quickly through refinancing. Christina explains that it really depends on your goals and life plan. While there may be some comprises that have to be made, YFP believes there should be a balance of today and tomorrow so that you’re enjoying your life along the way to meeting your financial goals.

Amanda asks, “I’ve heard that given the inverted yield curve as well as many other factors that we may be entering a recession. How can I best prepare? Should I be picking up lots of extra shifts at my 2nd job to boost my emergency savings (currently 3 months) or should I continue focusing on student loan debt?” Christina responds by saying that there will always be recessions. There have been 47 recessions in the U.S. and the average recession lasts about 1 ½ years. She explains that the markets are cyclical and recessions are part of the process. The best way to cover yourself in any situation, whether we’re in a recession or not, is to be diversified in your investments and also your income. Having a second job or side hustle and having an emergency fund with 3 to 6 months of income for emergency expenses are all good practices.

If you have a question you’d like answered, email [email protected] or send us a message on Facebook or Instagram.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast, excited to be here live on Facebook for the first installment of a new segment that we’re doing, Ask a YFP CFP, standing for Certified Financial Planner, where we’re going to be taking your questions on a regular basis going forward, and we’re going to ask those questions to one of our Certified Financial Planners, Tim Baker or joining me this evening, Christina Slavonik. So Christina, thank you so much for joining.

Christina Slavonik: Yes, thanks so much for having me, Tim. I’m excited.

Tim Ulbrich: Excited to do this. We’ve got some great questions that we’re going to answer this evening. And before we jump into those, I know some of our audience and community members with your background you’ve had — you’ve been on the show before — but some may not be, so give us a quick introduction and talk about some of the work that you’re doing over at YFP.

Christina Slavonik: Sure. Well, I’ve been in the industry doing various roles for the past 13 years and really just hit the planning piece the last several years, became a Certified Financial Planner in 2017 and was working with the more traditional side of investment management, which you hear about fee-based and fee-only, this was a little bit of both mixed. And so when I had the opportunity to come on board with Your Financial Pharmacist, it’s a niche. I love working with younger professionals, and it just seems like a great segway into the next stage.

Tim Ulbrich: Well, we’re certainly excited to have you as a part of the team. And you mentioned fee-based, fee-only, we talk a lot on the show about the importance of the credential of Certified Financial Planner but also the importance of being fee-only. Break that down for us real quick. Why is fee-only so important? And what does the credential CFP even mean?

Christina Slavonik: Sure. So fee-only, when that comes to mind is you’re paying us just for the advice. We’re not getting any extra commissions, no extra fees being paid on Assets Under Management, which is how a lot of traditional firms are paid and a lot of advisors. Nothing wrong with that, but we just believe that the best way to measure a non-conflict of interest is to provide that fee-only service, which is you’re just paying us for our advice and being a Certified Financial Planner, we are held to that higher standard, the fiduciary standard, so to speak. And we’re supposed to be holding our clients’ best interests at heart.

Tim Ulbrich: Yeah, and I think one of the examples I use often that is in the pharmacy world, you know, we tend to think that OK, everyone is licensed as a pharmacist, everyone has their doctorate of pharmacy, and therefore, we’re all obligated to act in the best interests of our patients. That’s what we do. And so it was a shocker to me when I first entered into this just over about four years ago to really learn that the industry in the financial planning world is very much not the case, even that really the opposite. And for those of you that want to learn more about this topic of fiduciary, fee-only, we’ve got lots of information on the website. But I think also John Oliver has a great segment on fiduciary and fee-only that I think is worth watching. And he really breaks this down in a way that’s easy to understand. So if you’re not already familiar, we offer fee-only comprehensive financial planning over at Your Financial Pharmacist. As I mentioned, we have two Certified Financial Planners, Christina and Tim Baker. And you can learn more over at YFPPlanning.com. And so we’re going to be taking your questions on a regular basis. Some of the questions that came in this evening came via email, our Facebook group, Instagram, so you can reach us at [email protected] or you can shoot us a question in one of those social media outlets as well. In terms of format, I’m going to rapid-fire these questions to Christina, so I’m going to put her on the hot seat. We have lots of questions, student loans, investing, inverted yield curves, which is the cool term these days, so we’re going to talk about lots of different things. And certainly, if you’re on live now and you have a question, throw it out there and we’d love to answer that as well. You ready?

Christina Slavonik: I’m ready. Let’s get going.

Tim Ulbrich: Awesome. Let’s do this. We’ve got some good questions, so this is exciting.

Christina Slavonik: I’m very impressed with the lineup.

Tim Ulbrich: So Andre — first question comes from Andre, and he has two questions. He’s a new member of our Facebook group, so Andre, welcome to the community. We’re excited to have you. His first question is traditionally, most people pursue PSLF, standing for Public Service Loan Forgiveness, or refinance their student loans. But his question is are there other, non-traditional methods to consider beyond PSLF or refinance?

Christina Slavonik: Yeah, this is a really great question, Andre. So one of the things that we’re seeing more and more is non-traditional method. Some employers are actually offering reimbursement to help you pay off your loans faster in various forms and fashions. So that’s actually something to look into with your current employer. And there’s always the non-PSLF forgiveness. I know some people kind of forget about that one. Of course, you would have to pay the tax hit once that forgiveness is sent your way. It is counted as income on your tax return. But still, it is a forgiveness. And I think some people forget about that kind of forgiveness. Side hustles, you know, other nontraditional ways, I know some people have talked about giving away plasma. I wouldn’t go as far as selling an organ, but hey, you know, the sky’s the limit if you’re that committed to paying off those loans. Cutting certain expenses, just fairly small changes can move the needle in a big way over a sustained period of time.

Tim Ulbrich: Yeah, and one of the things we preach, Christina, you know this in working with clients is that unfortunately, when it comes to choosing a student loan repayment strategy, it’s probably way more complicated than it needs to be. Multiple options in the federal system, income-based repayment, standard monthly payments, extended, graduated, forgiveness, non-forgiveness, PSLF, non-PSLF, and then you’ve also got the whole host of options you see in the private market with refinance.

Christina Slavonik: Right.

Tim Ulbrich: And I think because of that confusion, I know what happened for me in my personal journey, I see with lots of pharmacists, is there’s often that paralysis by analysis where people default into the standard 10-year or maybe go into income-based repayment but wander into that and don’t really think about why or what they’re trying to do. And if you’re talking about six-figure+ student loan debt, we now know the average graduating student is facing about $173,000 on average, which is mind-blowing. But this is not a decision that you want to wander into. And we’ve seen with clients, with individuals, intentionality in this choice can be the difference of tens of thousands of dollars, especially when you consider in the context of the rest of your financial plan. So I would point our listeners, if you haven’t already checked out — shoutout to Tim Church, he did an awesome job on this piece — if you go to YourFinancialPharmacist.com/ultimate, he’s got the ultimate guide to repaying back your student loans. It talks through a lot of those options and gives you additional information. Second question from Andre, Christina, he asks, “Am I sacrificing a lot of immediate, short-term investment opportunities such a house, retirement, kids, etc. in order to pay off student loans more quickly through refinancing?” What are your thoughts on that?

Christina Slavonik: Yeah, that’s always a tough one to navigate, especially when it’s staring at you right in the face. Hard to put a price tag on that clarity and peace of mind, totally get that. But being able to be with an accountability partner that can help you put all these things on the table, it all goes back to your life plan, what goals you have for yourself. And your financial plan should be built around that life plan. Once we kind of get that clarification, it’s much easier to see where the other things will fall into place. And it can be quite a transformative experience, and your priorities become more defined. Some of the questions I ask myself is trying to find that balance, what keeps you awake the most at night? And kind of prioritizing it that way and then working with this through a Certified Financial Planner or a life coach that can help you navigate which path you should take. There’s some compromises that may be worth sacrificing up front. Just some ideas, especially little kids. I don’t know how old your children are or if you’re just planning to have kids, but there’s so many ways you can have fun when they’re young, and you don’t have to spend a whole lot of money. So there’s just different ways to think out of the box when it comes to those opportunities.

Tim Ulbrich: Yeah, and I love the approach that you and Tim take on this that there has to be a balance of today and tomorrow. Right? I mean, we have to take care of our financial house today, but if we do a great job with that for 30 or 40 years and we never enjoy it along the way, then I think we’re losing, right? We have to find this balance between living a rich life today and living a rich life in the future. And I think that happens through asking some of those probing questions that really get at the things, you know, what do you care about most? What are you passionate about? What really gets you excited each and every day? And ultimately, why does this whole topic of money even matter? And I think that’s a great question to ask before you even get into the x’s and o’s of your financial plan. And I’ll never forget, I think it was Episode 032 and 033, maybe 031 and 032, where Tim Baker interview Jess and I, talking about this concept of find your why. When you really start to challenge and say, OK, we’re paying down debt, we’re saving, we’re doing all of these things, but why are we doing these things? What are the things that really matter? And I think that’s what Andre is getting to in this question here. Alright, next one’s a big one. So to Christina from Christina, and it’s a really multi-part question that’s got some investing pieces, student loan pieces, FSA dependent savings account, so I’m going to break this down and collectively, we’ll tackle this one. So Christina asks, “I just started working at a not-for-profit hospital. As soon as that happened, I switched to PAYE, Pay As You Earn, loan and have already submitted my PSLF loan forgiveness employment verification form to the DOE, Department of Education.” Lots of acronyms here in this question. “I maxed out by 403b so that I can hit the $19,000 limit.” The question from Christina is, “Can I also contribute to my traditional IRA? Or is it one or the other?”

Christina Slavonik: Well, my answer is yes, Christina, from Christina, you can contribute to max out your 401k or 403b up to that $19,000 as well as max out an IRA. So the way I like to think about it is one is provided by your employer, the other is provided personally to yourself. So both have maximum limits. The IRA, of course, you can choose between a Roth and a traditional. You can only max one of those out or just a combination of those two. But yes, to answer that question, you can.

Tim Ulbrich: Yeah, so great point. I mean, 401k, 403b, those are employer-sponsored, one for-profit, one not-for-profit. IRA, the I standing for Individual, right? So that’s your individual retirement account. So second part of this, then, is, “I am also a working PRN” — nerdy pharmacy lingo here — so “as needed at my retail job. And I left that at a 6% contribution for my 401k since that is what they match. What happens if I get extra shifts and end up contributing more? Is there a penalty? I tried to calculate and plan on watching it very closely, but I would like to know in the event it happens.”

Christina Slavonik: Well, yeah, it’s good that you’re being proactive and not waiting. You really have until your tax filing deadline of April 15 to make any corrections if you need to. And yes, there is a penalty involved. There’s typically a 6% excise tax as well as some other double taxation issues if you cannot get that amount out in time before you file your taxes. So yes, just keep tracking on both pay stubs, maybe even getting your HR person involved if possible. But yeah, you may just have to totally not contribute to one of those altogether for the rest of the year since the year is almost over and approaching that tax deadline.

Tim Ulbrich: And I think relatively a good problem to be thinking about, right? If you’re worried about exceeding the maximum contribution.

Christina Slavonik: Yes.

Tim Ulbrich: So let’s not lose that fact, Christina, great job on making these contributions. Next part of this is, “There was also a dependent FSA, Flexible Savings Account, offered that I opted into for child care expenses. I’m trying to max as much as possible so that I can decrease my AGI, Adjusted Gross Income, for my PAYE, Pay As You Earn, loan. How do you determine when to file married separate or married jointly?” This is a great question. We get this all the time.

Christina Slavonik: Yeah, it is a fabulous question and one that’s best suited for someone, an enrolled agent or CPA that deals with taxes on a regular basis. There are so many pieces that wag the tax dog. And it’s just hard to give a specific recommendation without seeing the whole situation. Sometimes, it does make sense to file separately when doing the Pay As You Earn as the other spouse’s income does not count. But again, there are other factors to consider as well.

Tim Ulbrich: And I think for me, that’s the take-home point when I get a question like this is that making sure that those that are in an income-based repayment plan, especially those that are pursuing Public Service Loan Forgiveness, that you understand there can be a difference. And from there, you really dig deeper with an enrolled agent, with a tax professional, because they can look at the rest of your financial plan to understand the rest of your financial situation, understand what might be best. And we’re also grateful that we have Paul on our team, who is an enrolled agent, that can supplement the financial planning services that you and Tim are doing as well. OK, last part here from Christina is, “And for dependents’ savings account that are offered through your employer, is there a max that each person can use? Is it $5,000 per family and only $2,500 per person? Or can one do the full $5,000?”

Christina Slavonik: Sure, this is a really good question and one that we’ve actually seen before. Yes, the maximum is $5,000 to contribute. But really, any person in that family can utilize that. I know Tim Baker has mentioned that there are state-specific rules when it comes to FSAs, but in general, you can use it on qualified expenses for the physical care, the day care, child care, yeah. Just keep the receipts, keep good records of what you actually used it for. And one other side note with that: I know you’re wanting to lower your AGI by doing this. And sometimes, employers will also offer the Health Savings Account component for a high-deductible health plan. Sometimes having a limited purpose FSA will allow you to have an HSA as well, which can increase the deduction you can put towards lowering your AGI, so that’s another way to check into some more tax savings.

Tim Ulbrich: And good news we got back from Christina as a follow-up to this question. She says, “We max out our deductions for a total of $55,000 going into the 403b, TSA, IRAs, DSA, which should bring us to just under $100,000 of Adjusted Gross Income for the year. Thank you for reaching out and for all the help with the group.” I love that because I think that what I see through Christina’s questions is intentionality. And I see her digging in, I see her trying to understand the tax situations, understand what’s going on with the rest of the financial plan as it relates to student loans. And let me encourage those that are listening that they hear 401k, 403b, Roth IRA, FSA, HSA, DSA, and you’re following, great. But for those that are hearing some of those terms for the first time, we have a lot that we’ve covered in the investing realm on the podcast. Episode 072-076 back in fall 2018, we did an entire series on investing for this reason, so I would encourage you to check that out and certainly get more information that will help you with the rest of this decision as you’re looking at loan forgiveness and some of these situations. OK, from Stephanie, this question comes from Instagram: “Recommendations for personal loan lenders for the intention of consolidating credit card debt?” What are your thoughts on that one, Christina?

Christina Slavonik: Sure, well, congratulations, Stephanie, being one of the 2019 graduates. Like many graduates, I’m sure you’ve had your share of transitional expenses, such as the job moving, job search, budget changes. While we can’t generally recommend any specific lender, we do recommend starting with a current banking relationship as the best way to tackle that, including a credit union. They can normally give you pretty good rates. Try being careful. Some things to look out for when consolidating credit card debt is make sure that there may be a minimum that you have to consolidate. And sometimes you may not meet that minimum. So having to make sure you know that. Try not to take more than five years to pay off that loan just because the shorter we can keep that, the better. And know if there are going to be any origination fees or what those flat fees or any flat fees that are involved. Sometimes it’s a percentage of what you consolidate, sometimes there isn’t. And don’t — try not to use the credit cards once you consolidate. I know that’s one of the hardest things, but I’ve seen that happen time and time again. And I know the snowball method — now we’re venturing into Dave Ramsey territory, that’s one of the things he says — once you’re paying off those credit cards, try not to use them. You’re trying to get rid of that debt. So other items to consider, maybe a home equity line of credit is another way to approach that. And revisiting the budget. If you can avoid taking on a consolidation loan altogether, the extra steps are worth it and just finding ways that you can walk through your budget and maybe cut some extra expenses. I do want to give out a shout to Tom Eraz (?), he’s our accounting budgeting nerd at YFP Planning. And he’s helped many, many of our clients with questions just like this, what should I do in this situation? And he’s been very helpful with giving some suggestions.

Tim Ulbrich: To say Tom is a budgeting nerd is an understatement. I mean, he gets jacked up about budgeting.

Christina Slavonik: Yeah, I’ve never seen someone so excited about spreadsheets.

Tim Ulbrich: Yeah, I think he loves helping people in that area. Alright, time to get nerdy, and we’re going to talk about inverted yield curves. And I swear about a month ago, this was like the cool thing to talk about on NPR and the Wall Street Journal. Everybody was talking about inverted yield curves. So Amanda asks, “I’ve heard that given the inverted yield curve as well as many other factors that we may be entering a recession.” So the question is, “How can I best prepare? Should I be picking up lots of extra shifts at my second job to boost my emergency savings currently at three months? Or should I continue focusing on student loan debt? Thank you for your help.”

Christina Slavonik: Sure, Amanda. Yeah. And I know sometimes it’s hard not to listen to the talking heads and the people when they comment on inverted yield curves and what those indicators may mean. Typically, it may or may not say that a recession’s on the way. That’s just one of the indicators that we kind of look at. But again, it’s not something to hang your laurels on. There always will be recessions. I know we’ve had about 47 recessions in the U.S. history. Average one lasts about one and a half years, so just a little bit of feedback on that. The markets are cyclical, so what goes up will go down. That’s just part of the process. But just know that I believe you are already covering yourself the best way you can. Recession or not, it’s always great to be diversified, not just in your investments but also how you have your cash flow coming in to you. So even though you’re picking up those side hustles, working those second jobs, you’re not getting stuck in the 9-5, which is fantastic. Having a second side hustle or flow of income coming through and having that emergency fund already saved up at 3-6 months of emergency expenses for those non-discretionary items. These are great behaviors just to keep consistent during good and bad markets. So never really a bad idea to keep paying towards debt as it overall increases your net worth over time. And just be careful to keep reevaluating your lifestyle creep is a good exercise as well. So very good. Very good.

Tim Ulbrich: Yeah, I agree. When I saw this question, I mean, I think boosting emergency savings and paying down debt is good practice regardless of a pending recession or not. So I think it’s important to think about those foundational items. So Jeff asks, again, kind of along this idea of low interest rates, potentially a pending recession, “How should a prolonged period of extremely low or even negative interest rates be considered in your financial plan?”

Christina Slavonik: Sure, and one thing I like to think about first is where are you at in your life cycle? Are you approaching retirement? Are you a retiree who would have to look at those cash alternatives such as a bond ladder, which is where you can match cash flow with the demand for cash via multi-maturing layerings, and that’s a whole other topic. But yeah, mostly when dealing with young professionals, you’re generally saving for those long-term goals and objectives, so saving for retirement. And the period of a downside should really have little consequence with the long-term strategy, so I try not to get too wrapped up if you see prolonged periods of market drops. Generally, if you’re trying to borrow money, now would be a great time to do that, an extreme or low, negative interest rate environments. And capitalize on the securities and the equities, especially during the down times because you’re buying at a bargain. And so by the time the market does go back up again, you know you’re going to be well ahead if you had decided not to do that, instead take your investment ball and go home. So again, just really determining your objectives and having an investment allocation that matches that objective. Short-term goals, you may need to dial back a little bit, CDs, Money Market funds or whatnot. But yeah, just in general, I wouldn’t worry too much if you have a long-term strategy.

Tim Ulbrich: Yeah, I think that’s an important point: long-term strategy. And building off of the previous question with the inverted curve and looking at interest rates and other things, I think it is hard to take the noise out of it. I mean, I meant to keep them and I forgot to do so, but I’m still that guy who gets a newspaper delivered at home every day. And literally, you know, I was thinking back in December, January, it was like every day, it was the front page of one day the market was going up, the next it was going down.

Christina Slavonik: It’s always going on.

Tim Ulbrich: And the projections of why this was going on, and even though I’ve got a plan and I’m sticking to it, like it’s still hard to ignore the noise, and it starts to have that subconscious effect over time. But I think your point’s a good one here when we talk about negative low interest rates, really think about — the two areas that come to mind, especially for a lot of our community members, would be mortgage interest rates and whether it’s a new home or refinancing on a home, I think now is the time is probably to be looking at that if you haven’t done so in awhile. You know, when you look at a 30-year mortgage, a point on that loan can be really significant on a $300,000-400,000 house and looking at what would be your break-even on a refinance, and then also refinance on the student loans. We preach over and over again that refinancing student loans is not for everyone. So if you’re pursuing Public Service Loan Forgiveness, absolutely not. There’s certain provisions you want to consider and be looking for when you’re doing a refinance. But for those that the math makes sense and they’re really doing all of those things they need to be thinking about, you know, a point or two on your student loans obviously can be really significant. And as we see student loans still at 6, 7, 8% for many graduates, and we’re seeing refi rates continue to come down. I think it’s a good opportunity to look at those. OK, Kelsey asks, back into the student loan category, “Question about re-certifying my IBR income-based replacement income — income-based repayment income. I’m seeing that PAYE and RePAYE may be a better option for those that qualify. I’m due to re-certify for IBR this month. But would changing to PAYE or RePAYE affect anything in regards to qualifying for PSLF in the future? I’m five years in, and I don’t want to mess anything up. I’ve read the horror stories from those who’ve submitted for forgiveness, and they say not to change anything. But I’m hoping to make my payment a little lower this year if I can. Any thoughts, suggestions, or advice?”

Christina Slavonik: Yes. Three words: student loan analysis. This is one of those bigger picture things. So yeah, looking at the bigger picture, definitely changing from an IBR to a Pay As You Earn or RePAYE would not affect qualifying for the student loan forgiveness itself, but you would need to figure out which loans in particular would qualify and how to navigate that process. So that’s probably where people say if it’s not broke, don’t fix it. Stay where you’re at. So I wouldn’t want you to consolidate as that could restart the forgiveness clock all over again since you are five years in. I typically wouldn’t touch it unless you’re willing to do a little more digging and get that analysis done. As a side note, we did have a client that did go through the analysis, and she was in the IBR, went through the analysis program, and we did discover that she would be a good candidate to switch to the PAYE or RePAYE. And we were able to walk her through the steps. So in general, yes, the PAYE, RePAYE, can be more beneficial, meaning it can lower your payments, but it’s hard to say a firm yes or no without looking under the hood of the car, so to speak.

Tim Ulbrich: Yeah, and I think most of the horror stories that I’ve seen and heard and read about have been because of the consolidation piece that for many people, restarted the PSLF clock. Certainly, there’s been some qualified employer issues that have been out there. But I think if you really dig deep on this — and we talked about this in Episode 078 where we broke down is pursuing Public Service Loan Forgiveness a waste? And this really came out of the NPR story that was famous that we still have questions about. Every time we’re speaking, we’re quoting 99% of applicants that were denied. And really, when you dug into that a lot deeper, we talked about that on that episode, you know, many of those were incomplete applications, many people that weren’t in a qualifying repayment plan, and many people that ran into issues around consolidation or other things. And I think it’s important to reiterate here that this program, in terms of those that are actually qualified and eligible for forgiveness, is still relatively new. So 2007, this program was started, meaning 2017 was the first group that was up for forgiveness to take place. And I think the information that people have today and a lot of things we talk about in terms of what you need to be doing to cross your t’s, dot your i’s, is very different than the information that was available before. So I think our take is as we talk about many times when it comes to student loans, look at all your options, do the math, see how you feel about it, and make sure certainly if it’s PSLF that you’re doing all the details that you need to do to make sure you qualify. Alright, last question we have here, of course, somebody, we had to talk about the Dave Ramsey baby steps and the Dave Ramsey program. So Andrea asks — and it’s a good one — “Here’s my question. I’m starting the Dave Ramsey program at my church tonight. What are good points in his program” — so I’m pretty sure she’s referring to Financial Peace University — “that I should really focus on. Are there parts of the program that you disagree with or have a different opinion? I love his baby steps but not knowing exactly where to start.” So what are your thoughts on the Ramsey baby steps and the Ramsey plan?

Christina Slavonik: Yeah, and Andrea, I’m so excited. I love Dave Ramsey and what he has done in society in general just making people more aware on the forefront that you can get in control of your finances. And this is, I mean, a tremendous, huge first step, especially for those that have had no prior experience getting back to the baby steps, getting into the habit of saving and paying down debt, starting with that $1,000 emergency fund is a really key component to jumpstarting that. And I love the snowball method. That is one thing that we do preach on here is the debt rolldown and how to tackle that debt. We do focus more on the emergency fund part, you know, if you’re comfortable having a $1,000, that’s great. But we try to have at least three months, maybe $10,000 as a buffer, depending on what kind of income you have coming in just to forebode any huge, unexpected things coming your way. And then getting the match in your retirement plan, we think that’s a great thing. I know he preaches that. Getting basic term life insurance, we do recommend just getting basic. There’s no way you can beat that. And then working on what’s the next steps? I know he is a big component of paying down the mortgage. I guess that’s probably one of the places we may deviate a little bit from. And of course, you know, again, what keeps you up at night? It all comes back to that emotional factor. If you feel like paying down your mortgage as soon as possible is the best way to go, but most times, you can be earning a whole lot more putting that extra payments into the market or to another savings goal. You can, however, shave off 10-15 years off of a 30-year loan by just making an extra payment or two each year. So just trying to balance that out. He can be a little extreme in some of the methods he tackles, but again, it’s great. I have nothing bad to say about Dave Ramsey. And he’s really done a great service to many, many people.

Tim Ulbrich: Yeah, I’m not sure, as you know, I went through Financial Peace, Jess and I did, and it was a great experience for us and listened to his podcast for awhile. And I, like you, I think that it provides a great framework. But certainly, there’s nothing that evokes a greater emotional reaction than talking about Dave Ramsey’s baby steps, right? And I think what’s important to remember — and I actually had a chance to go visit Ramsey’s office when I was at the American Pharmacists Association in Nashville a couple years ago and quietly was able to talk to one of their team members who certainly was willing to open up and say, ‘Hey, the reality is Dave’s talking to 5+ million people every day, right? And so when you’re teaching that many people every day, there has to be a simple framework and model.’ And so he’s talking with people that have maybe an income of $20,000-30,000 but of course people that have incomes of $300,000 or more per year. And of course, their situations are going to be very different. But at the end of the day, it’s a stepwise approach, and I think you have to remember that it’s meant for that general audience. I think you also have to remember that it’s predicated on the fact that behavioral aspects related to your financial plan are really what’s going to get many people hung up. It’s not necessarily always the math, but it could be the behavioral piece. And for even the people here listening tonight, I think some people, that model and framework as is may be great to have the discipline, even if it means leaving some of the dollars, some of the math on the table. For other people, maybe that’s not an issue, and they’re going to really adjust, move things around, and create a plan of their own. So I think it very much depends on how much do you need that stepwise approach? How much does that model really resonate with you? And where are you at in the financial planning? Do you really feel like you need that motivation and reminder along the way? I, too, like you — and we talked about this Episode 068, we went back and forth a little bit on the pros and cons of the Dave Ramsey steps, and we hope to have him on the show someday, maybe doing that episode if he were to come on the show, I don’t know.

Christina Slavonik: That would be great.

Tim Ulbrich: But one of the things we talked about, of course, was employer retirement match, which is something that I disagree with him on that. For most people with few exceptions, I think we’re talking about free money. And I think the other thing that you mentioned, the mortgage. I think for some people, paying off the home really makes a whole lot of sense. I think for other people, depending on your interest rate, depending on what’s going on else in your plan, maybe not so much. I think some people are taking that home out 30 years at a low interest rate so they can free up money to do other types of investing, and they’re calculating risk appropriately. Other people maybe not so much. So again, it depends. And I think of course, the big variable and difference is that Dave’s audience is not on average facing $173,000 of student loan debt, right?

Christina Slavonik: Very good point.

Tim Ulbrich: So that’s a very unique factor. And when you think about his framework and model, baby steps, really paying off all debt before you build up a full emergency fund, I think we would agree that some of that needs to be happening in tandem because somebody may be in debt for 10+ years paying off student loans. So great stuff there, Christina. We actually had another question come in that I’m going to read. And just a reminder to those that are on live as well, if you have a question before we jump off, we’d love to answer it. Question relates to PSLF and picking up extra hours at a non-qualifying employer. So question is, “Can you work on the side at a retail pharmacy, which would be a for-profit, non-qualifying employer while enrolled and working with the Public Service Loan Forgiveness employer?” So imagine a situation here where somebody’s working full-time for a not-for-profit hospital, and then they’re picking up extra shifts at a for-profit. Is there extra penalty for making more money from the side retail job? Of course besides it having an impact on your Adjusted Gross Income and therefore, impacting your payments.

Christina Slavonik: Yeah, that’s a good question. And the answer is no. As long as you’re working at a 501c3, the forgiveness should still be OK. I mean, you have many people out there pursuing different side hustles and whatnot just to help make ends meet. And so yeah, the short answer would be no, it shouldn’t affect the PSLF. Is that what was the question?

Tim Ulbrich: That is. I think the other obvious component here if I’m understanding this correctly would be making more money of course would increase the AGI.

Christina Slavonik: It would.

Tim Ulbrich: Which would change the monthly payment, right?

Christina Slavonik: It could, definitely. Yeah. So that is one aspect of that.

Tim Ulbrich: Awesome. Well, Christina, thank you so much. We’re going to be doing this hopefully a lot more often in the future. And just a reminder to the community, shoot us your question that you have, we’d love to have it answered by Christina or Tim Baker, again, our Certified Financial Planners. You can shoot us an email at [email protected]. You can hit us up in the YFP Facebook group or on Instagram as well. And again, as I mentioned at the very beginning of the call, if you’re not already familiar, we offer fee-only comprehensive financial planning over at Your Financial Pharmacist. So you can learn more about that and working with Christina or Tim over at YFPPlanning.com. So Christina, thank you so much. And to everyone else, have a great rest of your night.

Christina Slavonik: Thank you so much, Tim.

Recent Posts

[pt_view id=”f651872qnv”]

YFP 118: What Would You Do With an Extra $1,000 a Month?


What Would You Do With an Extra $1,000 a Month?

On this week’s podcast episode, Tim Ulbrich takes you through an exercise to envision what you would do with an extra $1,000 a month and what steps you could take to make it a reality.

Summary

Tim Ulbrich flies solo on this week’s podcast episode to take you through an exercise to envision what you would you do with an extra $1,000 a month and what steps you would need to take to make it a reality.

The context behind this exercise comes from Andrew Yang, a 2020 Presidential Candidate. Yang proposes the Freedom Dividend, or Universal Basic Income, in which every U.S. citizen 18 years or older would receive $1,000 a month. Your Financial Pharmacist does not endorse Andrew Yang and does not want the focus of this episode to be about politics or the implementation of the Freedom Dividend, but instead encourages listeners to dive into the questions posed,

Tim begins by asking this question: What would you do with an extra $1,000 a month? The more you think about it or write your answers, the more that come to mind. Perhaps you’d put the money toward paying off debt or maybe you’d save it or donate it or invest it. Maybe you’d spread it over multiple competing priorities. Maybe you’d use the additional money to pay off your mortgage sooner. Tim shares several responses to this question from the YFP Facebook group in which he hears dreams, hope, peace of mind, and accelerated financial plans. In these responses, he also hears that some may feel that their goals, hopes and dreams are out of reach.

So, how can you change your financial position so that you have an extra $1,000 a month? Tim encourages a mindset shift from what if to how, from I hope so to how can I, from I wish to one step to make this happen is….

Tim explains that this fundamental mind shift may allow you to explore opportunities to bring in additional income that you may not have thought about before. He also suggests that the focus doesn’t have to be to gain $1,000 extra a month but instead aiming for $100 or $200. Refinancing your mortgage or student loans, taking on a side hustle, working extra shifts or moonlighting, trimming your spending, downsizing your home or selling a car you don’t really need, or asking for a raise are all potential avenues to help increase your income each month.

To close, Tim reshapes theses questions: 1) What will you do with an extra $1,000 a month and 2) When will it happen, what will it look like, and who will hold you accountable to get there? The team at YFP has created a lot of resources to help, including offering fee-only financial planning services with Tim Baker or Christina Slavonik, who are both Certified Financial Planners.

Mentioned on the Show

Episode Transcript

Tim Ulbrich: Hey, what’s up, everybody? Welcome to this week’s episode of the Your Financial Pharmacist podcast. And before we jump into today’s show, I’m excited to announce that we are going to be taking more of your questions on the podcast through a new segment we’re doing called Ask a YFP CFP. Yes, one of our CFPs, one of our Certified Financial Planners over at Your Financial Pharmacist, Tim Baker or Christina Slavonik, will be answering listener questions on a regular basis. So we’re ready for your questions. You can send them in by shooting us an email over at [email protected]. Again, that’s [email protected]. And in the subject line, you can write, “Ask a YFP CFP.” Please don’t be shy. Likely if you’re thinking of a question, I’m sure many others of our listeners are thinking the same.

OK, so for this week, I’m flying solo to talk about two questions, two questions that I’m encouraging every listener to consider. No. 1, what would you do with an extra $1,000 per month? And No. 2, what steps do you need to take to make this a reality? Again, No. 1, what would you do with an extra $1,000 per month? And No. 2, what steps do you need to take to make this a reality?

So let’s start with some important context for where this idea, where these two questions are coming from. And I’m going to intentionally be very brief here as I have no intent for this episode to have a political slant, but rather I want to use an idea that was recently presented by one of the presidential candidates to help spark a conversation. So I’m not, YFP is not, endorsing this presidential candidate or his ideas. So I would ask that you fight the urge to rebuke the idea and rather embrace the exercise. This is a conversation that is not necessarily about the implementation of this candidate’s ideas but rather using this idea as an exercise to dream a little bit, to think about what would it look like if you were to get out of the rut that often we find ourselves in month-to-month and take a step back and dream about the bigger picture and the goals that you have as it relates to your financial plan.

So who am I talking about? What am I talking about? After watching one of the recent presidential debates, there was 10 candidates who were up on stage. One of those candidates was Andrew Yang. And he has out there a proposed Freedom Dividend. And essentially, this is a form of universal basic income, and what he’s proposing is that it would provide all U.S. citizens over the age of 18 with $1,000 per month. So again, that’s called the Freedom Dividend, and it’s a form of universal basic income. And he’s proposing to provide all U.S. citizens over the age of 18 with $1,000 per month, regardless of income, regardless of current financial situations.

So when I heard this, it got me thinking about what would I do with an extra $1,000 per month? So again, regardless of politics and whether or not you agree with this concept of a Freedom Dividend, this is a fun exercise that I think we can walk through together. And for those that want to learn about this concept, we’ll make sure to link to some information in the show notes.

So first question here: What would you do if you had an extra $1,000 per month? So regardless of the source, whether it was the Freedom Dividend, whether it was a major slashing of taxes that were to happen — obviously, that would have to be pretty major — whether it was a significant raise, whether it was investing in real estate, whether it was maybe starting your own business or starting a side hustle, maybe it’s walking into an inheritance. Whatever may be the case, regardless of how this came to be, the question here is what would you do if you had an extra $1,000 per month? And I want you to take a moment and think about this question. Now, for those that are driving, I don’t want you to think too hard. But for those that are listening at home, I want you to write it down. Again, what would you do if you had an extra $1,000 per month? And I think this question is an interesting one. And the more you think about it, I think you’ll find that similar to me, the more ideas that will come to be, the more ideas that will come to mind, dreams will get bigger and the excitement starts brewing.

So would you put it towards one area? Maybe it’s paying off student loans. Maybe it’s paying off a credit card or paying down a mortgage early. Maybe it’s saving for a rainy day or giving or putting more towards investing. So would you put it towards one of those areas, or would you try to spread it out over multiple priorities that you’re working on? I think it’s important to get specific here as when we talk about the second question, which is how will this become a reality? Getting specific will then put you in the mindset to begin to think about what would it look like, what would it feel like if this were to become a reality?

Now, I want you to think about — and as I mentioned, I want you to think about and ultimately ask yourself, how would you feel and how would this accelerate or change your financial plan? So for example, if you were wanting to put this money towards making extra mortgage payments, let’s say you currently have 20 years left on your mortgage and you put an extra $1,000 per month, run a calculator. What would that look like? How would that change your payoff date? And again, how would that make you feel?

So I posed this question to the YFP Facebook community this past weekend. And in short, it really was incredible to see the responses that were out there. And the engagement from that post really told me something about the power of asking questions such as this one, which allows you to dream a little bit about your financial plan. And here’s some of the responses that came in from the group.

Tyson said, “I’d put the $1,000, I’d put a little bit of it towards debt, charity, and save. It would take away the living paycheck-to-paycheck of life.”

Katie says, “We’d pay off medical and student loan debt.”

Isaac says, “I’d use it to kickstart my own company.”
AJ says, “Student loans, helping parents retire, and charity.”

Joe says, “I’d use it to enroll in online education to pursue my dream of becoming an animator. I refuse to go through a traditional school and put myself into a crazy amount of debt.”

Jacob says, “It would lower the risk of financial ruin and allow my wife and I to pursue several business ideas as well as construction projects around the house.”
Debbie says, “10% to my church, 70% to my debt, and 20% to travel.”

Beth says, “To pay off debt, pre-pay bills, home repairs, vocal lessons for a child, dental, vision, and savings. Definitely spend each month in my community,” with a heart.

Hartley says, “The first thing I would do is get a better vehicle. We currently have a quickly falling apart truck he drives to work, and I walk. My work is closer to where we live. Next I’d begin paying off debts, get my credit in order. And third, I’d put opening our business finally into the works.”

Rebecca says, “I’d pay off my house a lot faster and become debt-free sooner.”

Tiffany says, “I’d pay off personal, medical, and student debt, get my son into some activities, buy new shoes I’ve been putting off, put money into new house savings, retirement, and my son’s savings. Probably actually go on a vacation once a year, not cringe when I pay $200 for my son’s inhaler. Lots of stuff.”

Jimmy says, “12,000 a year plus $12,000 for my wife=$24,000 a year straight to debt. We save enough for projects, funds, and travel outside of this, so $24,000 would be a nice chunk to battle all debt and still enjoy the quality of life.”

Joe says, “I’d create more jobs as this would allow me to take more risks with my ideas without threatening my family’s security.”

And Holly says, “I’d pay off my house within three years and then travel and put away more for retirement.”

Robert says, “I would invest it in real estate.”

And Denise says, “If I had $1,000 per month, I would get long-awaited treatment for my injuries I had to put on hold while helping three injured daughters with medical issues. They are nearly grown, and treatment would allow me to have longevity and start working on dreams I could not work on while raising six children into adulthood alone, working two and three jobs, putting myself through school with minimal child support. Yes, I would heal first, then get an e-commerce business more profitable to fund my philanthropic endeavors.” Wow.

Do you hear what I hear in these responses and in reading between the lines when we asked the question, what would you do with an extra $1,000 per month? I hear dreams. I hear a sense of hope and excitement. I sense peace of mind that $1,000 would take off the edge, help people get caught up, help accelerate a plan or help to invest in starting a business. I hear people getting out of the month-to-month mindset and rut that is so easy for all of us to get stuck in, myself included. I hear people that have intentional goals in mind, who have thought of this. But I also hear in a sense that some feel those goals, hopes and dreams are out of reach, that there’s no different path than the one currently being taken. That short of something like the Freedom Dividend, these goals aren’t going to become a reality, which takes us to our second question. The first being we discussed what would you do with an extra $1,000 per month? The second question is how can you change your financial position so that you have an extra $1,000 per month?

So now that we have a sense of what the goal is with an extra $1,000 per month, I would challenge you to shift the mindset from ‘what if’ to ‘how,’ from ‘I hope to’ to ‘how can I,’ from ‘I wish’ to ‘what’s one step I can take today to,’ from ‘I hope the Freedom Dividend comes’ to ‘I’ll figure out my own Freedom Dividend, and if it comes, it will be a bonus.’ There’s a fundamental mindset shift in those statements. One that is a sense of waiting, one that’s a sense of hoping and dreaming but also has a sense that it may not become real. The other being a sense of action, a mindset of making that dream a reality. So again, how can you get an extra $1,000 a month is the second question that we’re reflecting on. Of course, we aren’t necessarily talking about a clean $1,000 per month. Maybe it’s that, but this is one example. Maybe it’s starting with $100 or $200 a month and going from there. As John Ackhoff says, one of my favorite authors and he that wrote the book “Start,” you just have to start. So maybe it’s $100. Maybe it’s $200. Maybe it is $1,000 that’s going to make this become a reality.

So how can you get an extra $1,000 per month? I want you to think about that question, reflect on that question, and write it down. Maybe it’s refinancing your mortgage or your student loans. We’re in historically low interest rates, and maybe that’s an area you haven’t reevaluated. Perhaps you bought a home, let’s say a year and a half, two years ago, at an interest rate of 4.5%. You might be able to get that down lower to 3%. Maybe you have student loans that are at 6-8%, and if refinancing is a good fit for you, there may be significant savings there that can happen month-to-month. So maybe it’s refinancing your mortgage or student loans. Maybe it’s starting a side hustle or a business. Maybe it’s picking up extra shifts with your employer if that’s an option or even moonlighting at another institution. Maybe it’s trimming your spending, and these be small cuts here or there, cutting the cable or lawn service. Or maybe, maybe it’s a more dramatic move like downsizing the home, selling the car, offloading the boat. Maybe it’s asking for a raise besides accepting cost of living adjustments. Really evaluating what value do you bring to your employer and really asking for appropriate compensation for that if you feel like that’s warranted. Maybe it’s spending a little to earn more, such as investing in real estate. But rather than just one of those, likely it’s a combination of one or more of these factors or others that I didn’t even list in that short list. I hope it’s a combination of both growing the income, growing the top line and cutting expenses because I think that’s where the magic happens. While cutting is good, I think cutting without a mindset for growth can be a dead end. And I think that’s important to say again: Cutting has its place. Cutting is important, and it can be good and it can be necessary, but cutting without a mindset for growth can be a dead end, can have a ceiling to what you’re able to achieve.

As with almost anything in life, I think this comes down to finding a balance. Here, we’re looking for that balance between what would it mean, how would it feel, what would it look like for you to achieve this goal that we’re talking about of what you would be doing with an extra $1,000 per month and balancing that against what would you be giving up. For example, if $1,000 per month is what you’re going to put toward paying off the mortgage and that would change your payoff time from let’s say 25 years to 15 years, so you cut 10 years off and you decide that in order to make that a reality, you’re going to pick up extra shifts and cut expenses to grow the top line, cut expenses, the question is, is it worth it? Is that extra time invested, that extra money earned and what comes potentially with a sacrifice of time, is it worth it to cut 10 years off your mortgage? And I think the answer is it depends. It depends on how much you value your time, how important it is to pay off the home early, and how much you enjoy the things that you’d be giving up. There’s no right answer here.

So let me wrap up our time together by reshaping the questions we started with and then letting you know how we, the YFP team and the YFP community, are here to help. So remember, we started with the question, what would you do with an extra $1,000 per month? And we followed that up with how can you change your financial position so that you’d have an extra $1,000 per month? So instead of what would you do with an extra $1,000 per month, I would encourage you to shift that to what will you do with an extra $1,000 per month? One implies a hope, a wish, a dream that may or may not become a reality. The second is a different mindset of a plan of making that come to be. And second, not just how you can change your financial position, but when will that happen? What will it look like? And who will be keeping you accountable in that process?

So in terms of YFP, how are we here to help as a team and as a community at large? First, we’re here to support you through a host of resources that we have on our website, everything from free guides, calculators, extensive blog posts on a variety of topics, your weekly podcasts such as the one that you’re listening to here right now. Our mission at YFP, you’ve heard us say it before, is to help you as the pharmacy professional on your path towards financial freedom. And we talk about that term financial freedom all the time. And for each person, I think that can mean something very different, something unique, and I’m hopeful that through this exercise today, you’re one step closer to determining what financial freedom means to you. Second, we can help you through our Facebook group, which is now more than 4,000 pharmacy professionals that are committed to helping one another on this journey towards financial freedom. This community is there to help, whether it’s to answer a question that you have or to give you a place to share a win or keep you accountable on your own journey. So if you’re not already part of the community, I hope you will join us over at the Your Financial Pharmacist Facebook group. And third, we at Your Financial Pharmacist offer fee-only comprehensive financial planning that is customized to the pharmacy professional. So whether you want to pay off your student loans, whether you want to make the right investment decisions, or you simply want to build a solid financial plan, our certified financial planners Tim Baker and Christina Slavonik are here to help you get your income working for you. And you can learn more about that at YFPPlanning.com. Again, that’s YFPPlanning.com.

So as we wrap up this week’s episode of the Your Financial Pharmacist podcast, we need your help in spreading the news about the revolution that is happening among pharmacy professionals that are committed to taking control of their financial future. And you can help us with this by helping others find our show that we release each and every week. And you can do that by leaving a rating and review in Apple Podcasts or wherever you listen to your podcasts. As always, thank you so much for joining us, and we look forward to having you join us again next week. Have a great rest of your week.

Recent Posts

[pt_view id=”f651872qnv”]

YFP 117: Three Bold Predictions for the Future of Pharmacy


Three Bold Predictions for the Future of Pharmacy

Blair Thielemier, PharmD, founder of BT Pharmacy Consulting and creator of the Pharmapreneur Academy, joins Tim Ulbrich on this week’s podcast episode. Blair shares about how she unexpectedly lost her full-time job as a clinical hospital pharmacist when she was 6 months pregnant, how she dove into entrepreneurship with MTM consulting, and her three bold predictions for the future of pharmacy practice.

About Today’s Guest

After graduating with her Doctor of Pharmacy from the University of Arkansas for the Medical Sciences in 2011, Blair unexpectedly lost her full-time income as a clinical hospital pharmacist in 2014. She was asked to serve as an independent Medication Therapy Management Consultant Pharmacist, a niche position that was entirely new to her at the time but would be instrumental to her future success and entrepreneurial journey. For the past three years, Blair has been focusing on elevating the profession of pharmacy through advanced clinical services. In 2015, she founded a pharmacy consulting business BT Pharmacy Consulting, LLC and currently trains and coaches other pharmacists looking to start their own consulting businesses through an online e-course and membership site at the PharmapreneurAcademy.com. In April 2017, she launched the first online pharmacy conference in the industry. In 2018, based on the success of the first summit, she hosted a five day encore event in partnership with the National Community Pharmacists Association’s Innovation Center. The Elevate Pharmacy Virtual Summit featured pharmacists of various backgrounds practicing pharmacy at the peak of the profession. She is also the author of the Amazon bestselling book How to Build a Pharmacy Consulting Business.

Summary

Blair Thielemier, founder of BT Pharmacy Consulting and the creator of the Pharmapreneur Academy, joins Tim Ulbrich to discuss her three bold predictions for the future of pharmacy practice.

First, Blair shares how she lost her full-time job as a clinical hospital pharmacist in 2014 when she was 6 months pregnant. She describes that she felt disillusioned when she was working as a clinical pharmacist; she didn’t love her job but was terrified to lose it. Now that she had, she didn’t know where to turn. She started working with independent community pharmacists and fell in love with doing MTM. In 2015, she built BT Pharmacy Consulting, a MTM consulting business that works with independent community pharmacies that are doing MTM programs and helping get clinical programs set up. Blair enjoyed it and wanted to grow the business.

Blair says that pharmacists are experiencing a “career climate change” and sees that the job market is shrinking or is becoming saturated, there are more graduates coming into the workforce, older pharmacists are being pushed out due to ageism or because of their high salaries, and new graduates are forced to take lower paying jobs because they have no choice. She explains that pharmacy is currently a product centric business which is a commodity. She says that what isn’t a commodity is the drug knowledge and skills that pharmacists have. Blair explains that pharmacy needs to shift to a service centric system and has to be rebranded. The questions pharmacists need to ask themselves are, “How can we add value? What do patients want? How can I leverage what I know and create programs people want?”

Blair then dives into her three bold predictions for the future of pharmacy. Her first prediction is that dispensing of medication and the distribution process have a high likelihood of becoming automated. She says that instead of fighting this, new revenue streams need to be added like services. She also explains that pharmacists can shift away from dispensing medications and that there are opportunities in preventative medicine.

Her second prediction is a shift to an appointment based model. Blair shares that innovative community pharmacists are already doing this, but her vision is that pharmacists can help counsel on health, wellness and prevention.

Blair’s third prediction is that pharmacists will be embedded in every primary care setting. She explains that primary care physicians have issues with medication related quality metrics that pharmacists can help with, such as medicine reconciliation, pharmacogenetic tests, and creating aligned programs.

Blair then discusses her Business Blueprint in the Pharmapreneur Academy that teaches the places pharmacy entrepreneurs can make the biggest impact, identify pain points and learn how to start conversations. There are modules for narrowing opportunities for pharmacists to three pathways: physician/office, pharmacy/clinical and patient pay.

Mentioned on the Show

Mentioned on the Show

Tim Ulbrich: Hey, what’s up, everybody? And welcome, as I have a special guest with me today, Dr. Blair Thielemier, who you may have heard from before on the podcast, episodes 039 and 089. We’re going to have her share some of her story for those of you that may not be familiar with her work. But we’re also going to spend most of our time talking about her bold predictions for the future of pharmacy practice. Obviously, a timely topic as we’ll outline here in a few moments. She’s got some great ideas about where we’re heading as a profession into the future, so much so that she was hosting a webinar recently on this topic and as we’ve found out, it’s not just Ralph that breaks the Internet, it’s also Dr. Blair Thielemier that breaks the Internet. So Blair, how are you doing?

Blair Thielemier: Doing well, yes. That was a blessing and a curse, I guess.

Tim Ulbrich: It was the first thing I thought of when you sent out some of those messages about, we had over 1,100 people register and we literally broke the Internet. My boys love “Ralph Breaks the Internet” movie, but certainly obviously I think that shows the importance of this topic, and it’s something that we need to continue having a conversation about as a profession in terms of what are some of the challenges that we’re facing as a profession but also what is some of the innovation that’s happening in the profession? With any challenge comes opportunity for innovation, for entrepreneurship, and I think certainly this is the case for us here in 2019, and so we’re going to talk about your bold predictions and then also what people can begin to do to think about how they can put themselves on the path towards being a part of that innovation. So why don’t we start, again, you’ve been on the podcast before, episodes 039 and 089, so we’ve talked a little bit about your journey, the Pharmapreneur Academy, but some listening may not know that story in terms of how you got started in pharmacy but then also how you jumped into starting your own consulting firm and then the academy. So why don’t you take us through some of that.

Blair Thielemier: Yeah, so I was one of those people — we’ve been hearing about Walmart cuts, we’ve been hearing about Walgreens closing — I was one of those people that my position was eliminated. And this happened back in 2014, so this was awhile ago. I was about six months pregnant with my daughter at the time, and I got the news: “Mrs. Thielemier, we regret to inform you that your position is being eliminated. All your benefits are being removed, and you’re cut back to peer in status.” So you know, at that time, being six months pregnant, I was like, “Oh my goodness, what am I going to do?” And I was really disillusioned. It was like one of those things that I talked about on the call last night was as much as I didn’t really love my job and what I was doing, I was still terrified of losing it. And I think a lot of us can relate to that too. It’s like even if you’re lucky enough to have a position right now, you may not be feeling fulfilled, you may not be 100% satisfied. But then also you’re scared of what’s on the other side of that. So I was forced into entrepreneurship. I didn’t go willingly. What happened afterwards, though, it definitely changed my life because I started working with these independent community pharmacies and then in 2015, I built this MTM consulting business where I was going out, working with independent community pharmacies, doing their MTM programs and helping them get set up with clinical programs. I enjoyed that so much that I said, “This is going to be something I want to do. I want to grow this business. How do I do that?” And that’s where this really led me to this billable pharmacist services. What are the opportunities that we have for building innovative programs leveraging our existing clinical skills, so that really led me to MTM consulting and eventually billable pharmacy services in the ambulatory care setting as well.

Tim Ulbrich: And so we’ll talk later on about your academy as I certainly think that’s a great example of a community that is really being innovative in their approach and that you’re really fostering that innovation and sharing of ideas as people I would say kind of moving this next evolution of our profession. And while you were kind of forced into it, I think there’s many that are listening right now or certainly I’m sure many that were on your webinar as well that are finding themselves maybe in a position of I haven’t had my hours cut, I haven’t lost my job, but I feel this itch — right? I mean, it’s called the entrepreneurial itch — I feel this itch to do something different or to supplement what I’m doing or I really see this problem that could be solved, and I really feel like I have a solution, but I don’t necessarily know where to start. I don’t know what it looks like and I’m scared and all of those questions that come from that. And we’ll talk about those here in a few minutes. One of the things I love — and I’ve shared this with you before, I’ve shared with others, and I have a lot of respect for the work that you’re doing — is I think there’s so much negativity right now in the profession. And what I love about your approach is that I think you are honest with what the data says. I mean, if we look at the data around the market and in terms of where we’re at with jobs and the reality of some positions getting cut and others losing hours, I mean, those are facts, right? And we’re certainly seeing new graduates that are struggling in some areas, but with you, the conversation doesn’t stop there. And that’s what I’m excited about here today is that it’s about, OK, so what are we going to do about it? How can you as a pharmacist potentially reinvent yourself, re-pioneer the work that you’re doing, what’s the skill set that you’ve been given, what are the opportunities that area head? And as you and I both know, when it comes to any great movement, idea, or business, it always comes down to solving a problem and in finding a solution and a solution that is one that people care about. And I think as we look at some of the challenges we’re facing today in terms of the dispensing process and automation and PBMs and all these things, two ways of looking at that. One is certainly it presents a problem; the other is there’s great opportunity for innovation. So what do you make of the climate today? I mean, just to rattle off some of the facts that come to mind, we think about some of the announcements we’ve heard around Walgreens, around Walmart, Kroger and Harris Teeter cutting hours. I was recently reading the AACP Graduating Student Survey where about 22% of graduates said they strongly disagreed or disagreed with the statement that they would reenter pharmacy school if that were to be their choice all over again. We know the average student loan debt is $173,000. So it’s easy to look at all that and say, “Wow, we’re dealing with a lot.” I mean, what do you make of that data and also the opportunities that we have going forward?

Blair Thielemier: So I call this career climate change, and I think it’s occurring right now for several different reasons. I think Tim Baker said on the recent Your Financial Pharmacist podcast that pharmacy’s really right-sizing right now. So what I’m seeing is the job market shrinking or at least becoming saturated, more and more people graduating, older pharmacists being pushed out of their positions due to ageism or just too high salaries and then new graduates who are graduating being forced to take these lower paying positions because they don’t have a choice. They’re drowning in debt. $175,000 in student loans is absolutely insane. And so there’s not a lot of other options. So what I see in pharmacy having this kind of product-centric business model is it’s a commodity, right? What isn’t a commodity is our drug knowledge, is our medication management knowledge, our pharmacokinetics and pharmacology and biochemistry. How can we leverage and take what we already know and already understand, how we’re trained so differently from any other healthcare provider, and create programs that people actually want? You know, I think that pharmacists, we don’t articulate our value very well.

Tim Ulbrich: Yes.

Blair Thielemier: And a lot of times, it’s like, well I’m the medication expert. Well how does that really help anyone else, you know? That almost makes it sound like you’re the most important person in this scenario when really, it should be the person in front of you, so whoever you’re wanting to help and wanting to buy this service. And so that’s really what I’ve tried to shift the idea and rebrand pharmacy as like how can we actually add value? What are the quality metrics that physicians in primary care are being graded on now in the new pay-for-performance model? What are things that payers want in terms of preventative services for patients? What are things that patients want? You know, anti-aging and help with nutrition and weight management. So shifting this idea of like people are going to come to the pharmacy when they’re at their very most sick to what can we actually do before those people get to that point and what are some programs we can create that will help them that are innovative, that are entrepreneurial? Because my great-grandfather was a pharmacist in Chicago in the 1940s, and I think that kind of getting back to our roots, the drugists back then, they were entrepreneurs. Like they had to market and sell their services. They built the industry mostly on independent community pharmacies. So this whole idea of a chain pharmacy is a relatively new concept, but as we’re seeing kind of the job market right-size, as Tim said, what are other opportunities and what are other avenues that we can still take our drug knowledge, take our clinical skills, and apply them to things that people actually want, programs that people want to buy?

Tim Ulbrich: Yeah, and as you mentioned, I think that’s a stark difference. Even though it goes back all the way to the roots, it’s a stark difference for how many of us were trained. And we’re seeing an evolution that’s happening in PharmD education to have more of those entrepreneurial types of training and skill set. You know, I firmly believe that every graduate today needs to come out ready and prepared to know how to justify a position that they’re in, which means aligning yourself with quality metrics, which means communicating value, which means making yourself an integral member of the team, all the things. But if we think back to our PharmD training, that wasn’t what we were doing, right? I mean, we packed knowledge into our brain. And I know for me, graduating in 2008, we were walking out into a market that was basically, you as the graduate were calling your shots. So whether we can consciously or subconsciously admit it, I think there very much was a climate that I was a part of and others where you didn’t necessarily have to figure out how to justify and learn some of those skills. And I think we certainly are seeing a shift of that, and it reminds me — I don’t know if you’ve read the book, “End of Jobs,” but I recently read it. And it talks about how to your point about a commodity and kind of shifting from where we are to where we are today, he talks about this concept that here we are today, really in an age of entrepreneurship. And I really believe that the term ‘entrepreneurship’ I think for many pharmacists makes them feel very overwhelmed, you start to think about the Mark Zuckerbergs, the Elon Musks of the world, maybe one that hits a little bit home for us, the TJ Packers of the world, some that it’s unattainable, I have to start my own business. But it’s really about the entrepreneurial mindset, whether you’re starting your own thing or you’re working for a big-box pharmacy, that’s the skill set, as he articulates in that book, that’s the skill set that today’s graduate needs. And I think a lot of the work that you’re doing and we’ll talk about here at the end as well the Academy members I think is really starting to address that mindset and skill set. So let’s jump into your bold predictions. So three bold predictions for the future of pharmacy. And No. 1 here is we’re talking about this concept of the dispensing of medications and the distribution process and the likelihood of much of that becoming automated in the future. So tell me more about your prediction here.

Blair Thielemier: Right, you talked about my boy. That’s Elon Musk. So I am a big fan. I mean, I love everything he does.

Tim Ulbrich: So he sent a Tesla into space. What do you got? Are you going to send something pharmacy-related into space then or what?

Blair Thielemier: That’s a good idea. I mean, I did bury a time capsule of these three predictions, so maybe I should shoot one into space as well. But yeah, this is my time capsule of these three predictions. If you saw that silly Facebook video of me, I ran ads too, I was burying this time capsule in my backyard with my three predictions for the future of pharmacy. So yeah, the first one was definitely that dispensing, the process, a lot of it can be automated. So you mentioned we’re seeing the tech model and technician verification. We’re only a few steps removed of that even being remote verification and things like that. So my thing is instead of fighting this, instead of saying, “No, we are hanging onto dispensing, we’re hanging onto our current product-centric business model,” looking at, OK, let’s just say what would happen if we let that go and free up time for other types of services? So what I’m suggesting is shifting or at least adding a new revenue stream so it’s not just dispensing services only is the only way that pharmacies make money. So dispensing plus services to make money. And so that’s what I mean by shifting from the product-centric to a service-centric business model.

Tim Ulbrich: So one of the things — to play devil’s advocate to that, you know, I think of the recent workforce survey. I think it’s 44-45% of all practitioners are in the community setting and most of them in a traditional chain setting, maybe a smaller portion in an independent setting, so when you think about that much of the workforce — and certainly, as you mentioned, we’re seeing some right-sizing correction of that potentially, and then you think about what’s happening with Amazon’s acquisition of PillPack, the challenges we’re having with PBM pricing and transparency and a lot of medications being dispensed in terms of under-reimbursement of what it costs them to do that, so the sustained ability of that business model I think is very much in question. So one of the counterarguments, which I think is great that we’re having this discussion here is so what is the timeline of this? You know, my wife and I have this conversation all the time that her and I order pretty much anything we can first on Amazon. So I’ll be the first to admit that I am probably, my kids, me, are probably not walking through the doors of a pharmacy to get my medication unless that looks different in some way, shape, or form, which I think is kind of what you’re getting to in terms of some of the clinical services and add-on things to the dispensing process. But how far away do you think are we from that? And then what does that mean for 44% of the workforce?

Blair Thielemier: So that’s a great question. And you know, I think what we’re seeing too is this shift away from the dispensing model. I mean, we’re talking maybe in the near future the possibility of 3D printing medications in your own home. So if that is a possibility and the Walgreens are going away or at least moving into more like a mail-order type of model, what can we do in the community, in the local community setting to add value to patients? I mean, people aren’t getting less sick. People aren’t taking less medications.

Tim Ulbrich: That’s right.

Blair Thielemier: There’s opportunities in preventative services as well. I think that the interest is growing in things like nutrition and functional medicine, and those are things that are not easily scalable. I mean, Amazon’s not going to figure out how to help you with a personalized DNA recommendation or pharmacogenomic report anytime soon. So where I see pharmacy is having this opportunity to shift and create new revenue streams and also create new jobs is going back to this less scalable model, which is helping patients more one-on-one.

Tim Ulbrich: Yeah, and I think it’s your second bold prediction around really the evolution from a product-centric service to a clinical service and more specifically, appointment-based model. So tell us more there about what you’re envisioning for the future. And I find it interesting you say less scalable because I would agree at a surface level from dispensing, but from an impact level, especially if you think of value-based contracts and where things are going, that’s where I really feel like you start to make true inroads into being a valuable member of the team that sticks. So tell us about the appointment-based evolution model and what you see there in the future.

Blair Thielemier: So I think that innovative community pharmacies are already this to a point. So looking at, like I mentioned, things like functional medicine, helping counsel people on health and wellness and adding these preventative type services. The biggest thing I hear people say about cash-based services is my patients won’t pay for that. And what I think is interesting about this is from a community and population health standpoint is the same patients that are coming into your pharmacy that are on six or more medications with two or more chronic diseases aren’t exactly the same people that are going to be enrolling in your weight management and your anti-aging functional medicine or BHRT programs. So we’re actually talking about a new customer, a new patient, that you can attract and bring into your pharmacy world. So there’s a time and a place for MTMs, for Medicare beneficiaries, but for the most part when we’re talking about preventative type services, especially cash-based services, I’m talking more the younger patient, catching them 15-20 years before they develop these chronic conditions.

Tim Ulbrich: You know, what I like about that idea and that thought is when you think of market share, you’re now talking about expanding the market of people who would traditionally walk in the doors of a pharmacy, right?

Blair Thielemier: Exactly.

Tim Ulbrich: We’re talking about not just sick care, but the other side of that spectrum. And I think we would all agree, we’re trained to be ready to help in that area in terms of prevention. And we can’t forget the assets and the strengths that we have. You know, I think it’s easy to stop the conversation at the distribution side, but one of the arguments for the brick-and-mortar pharmacy is obviously accessibility, you hear that over and over and over again how accessible pharmacies, how accessible pharmacists are in both hours, in terms of location. So I think there’s certainly the assets that are there and then also back to your point about what is and is not a commodity, I think that’s an excellent discussion for us to brainstorm and think of further because as you think about logistics companies and people like Amazon and PillPack and others, they’re looking at scalability and automation of processes, right?

Blair Thielemier: Right.

Tim Ulbrich: So what is currently happening that is valued by payers that can’t be replaced by that, and how can we grow and scale that and align that with value-based contracts and other things? And as I mentioned to you before we jumped on, we’re working on implementing a new community-based pharmacy course for our Masters students here at Ohio State, and while we tend to lump together community-based practice, I think we’re really doing a disservice when we often do that. I mean, the spectrum of innovation that is happening in community-based practice is really unbelievable and I think we tend to start and stop the conversation around big-box pharmacies and dispensing lots of medications, but there’s really a lot of innovation, as you mentioned, in the community space. And we can’t forget, even though we’re seeing great innovation in the hospital inpatient setting — what is it, 99.9%, whatever percent of time people are spending out in their community at home, whether that’s in their community, at their place of worship, but that’s where they are. So we can meet them there and provide services. No. 3 here, which I think is a really bold vision around where we’re going to see pharmacy going, has to do with pharmacists being positioned and placed in primary care settings. So tell us here what you see for the vision.

Blair Thielemier: So you know, I said on last night’s webinar really, if we’re looking at pharmacy practice in September 2029, my vision is to have an embedded clinical pharmacist in every single primary care practice. So a few things that I have to work with is primary care is — they are having issues with medication-related quality metrics that pharmacists can help with. From a quality care coordinator standpoint, they are having to do medication reconciliations. They now have access to these pharmacogenomic tests with not really sure how to use them, how to integrate them into their practice. So they’re getting more and more data and more and more information, but being able to put it together and create a program that aligns with the quality metrics, that aligns with what the payers want to see as well in the new pay-for-performance thing, they don’t have a member on their team that can do that. And I think that’s where the pharmacist can really come in and a lot of value. So a lot of times, pharmacists in the hospital settings will be on the team that’s making sure that we’re meeting the quality metrics on the hospital team. So did the patient get an antibiotic started within two hours of admission with a diagnosis of pneumonia? That’s one of those things. Or on metoprolol after a STEMI. So looking at pharmacy from a quality standpoint, it’s like how can we add value for payers and physicians’ offices by focusing on quality? That’s where I think we can make the biggest impact. And so I always share that my mom is actually a nurse practitioner, works with a clinic, like an FQHC, and she goes to a lot of primary care conferences. And one of the ones she went to last year in D.C., she came back and she said, “Everyone is talking about pharmacists and speech therapists in primary care.” And so that just made me feel good. It’s like oh, well, I can get behind that.

Tim Ulbrich: Absolutely.

Blair Thielemier: And someone said recently that there was a Florida pharmacists meeting. They actually sent a representative from the American Medical Association to the pharmacists meeting, saying, “Hey, guys, we want more pharmacists trained up to work in primary care, to work with physicians. Let’s try to figure out how we can make this really happen.” And so that’s exactly what we’re doing in the Academy is building business models around preventative services in community pharmacy, in building business models around consulting programs in primary care.

Tim Ulbrich: And I think if you think of that vision of having a pharmacist in every primary care provider across the country, and as I’m sure you’re also aware, the incoming AACP president mentioned a similar vision for the future, and when I think about impact and where things are going from a pay-for-performance and where you have a pharmacist positioned to be able to impact those quality metrics and how they’re intervening in a way that is post-diagnosis but before a patient shows up at the pharmacy, right, where you’re often kind of working back issues and challenges, so I think there’s a huge role there and where we think about, again, pay-for-performance contracts. And I think scalability, you think about OK, the infrastructure is there, there’s opportunity there across the country, but just as quick as you can begin to think and brainstorm, the objections start coming out and people shoot down that idea, right? So how do we scale this when we have NPs and PAs that are a cheaper resource and their enrollment is increasing, they have billing privileges and so forth. How do we scale this when every state has different regulations and requirements around collaborative practice agreements? And the list goes on and on, right? And I think that what we’re doing here is beginning a conversation to say, well, that’s obviously not going to happen tomorrow, but there’s some best practices in cases that are happening, that you build momentum, just like any other model. You know, I think about I’m sure the history of NPs in clinics and how they evolved to be commonplace and depended upon. I’m sure a similar conversation was happening 15, 20, 25 years ago with similar objections. So what do you say to some of those objections that people may point at and say, “It’s not realistic, Blair. It’s not going to happen.”

Blair Thielemier: Oh yeah. I mean, I’ll state all the objections for them. We’re too expensive, we’re not providers until federal Medicare, physicians won’t want to work with me because we’re challenging their turf, they don’t want to see pharmacists add these clinical services or get prescriptive authority or whatever. For every objection, there are pharmacists working in primary care centers right now, and there are physicians saying, “This is helpful to me. It’s helping me be more productive, it’s helping me be more profitable. It was not what maybe I thought it was like in the beginning before we started this pilot program, but now I just want to keep adding to this pharmacist. Like we’re looking for more pharmacists to join the team now.” So that’s what really keeps me going is yes, there are absolutely challenges. There’s state scope of practice challenges, there are federal challenges around billing for pharmacist services in primary care. But for those challenges, we’re still seeing pharmacists doing it, and we’re still seeing them getting great results and having a lot of positive feedback from providers. And part of that I think is having the confidence and being able to go out and pitch your services. And that’s what I’ve really built with this new course in the Pharmapreneur Academy. It’s called “The Pharmapreneur’s Business Blueprint,” and what it does is it teaches you the places you can make the biggest impact, but it also helps you to identify those pain points. It’s like, yes, there’s these challenges here. What are some ideas for overcoming them? And how to start these conversations. So a lot of pharmacists say, “Oh man, I’d love to reach out to my local physician and see if we can collaborate on something, but I just don’t know what to say.” I’m like, “Well, you never know if you don’t ask.” So we’ve got literally scripts for cold calling, like calling up the practice and saying, “Hey, can you meet for a lunch? Or I’ll bring donuts one day and we can have a conversation about this.” So the way that I like to talk about it — because like you mentioned, there’s so many different innovative opportunities — is narrowing them down to the three paths. And we call these the three pharmapreneurial paths. So the first path is the physician’s office path, and in the course, say you’ve chosen to do the physician’s office path, you’ll only go through that module track for the physician’s office path. And it helps you put blinders on. It’s like, yes, there’s a lot of opportunities in functional medicine and cash-based stuff, but I’m on the physician’s office path.

Tim Ulbrich: Which is so important when you’re getting started in anything, right?

Blair Thielemier: It really is.

Tim Ulbrich: Because it’s very easy to go in any direction.

Blair Thielemier: And then your second is like the pharmacy clinical service path. If you’re an independent pharmacy owner and you’re looking at how can we add services here in the pharmacy. And then the third would be the patient pay path. So it’s really kind of like a choose-your-own-adventure of like put your blinders on, just take the first steps to call your potential leads. We have like a framework that we use for customer development interviews that walks them through the four A’s of selling your services so that you can feel like you’re selling and able to articulate your value with confidence, and it doesn’t feel sleazy selling like sales pitch-y.

Tim Ulbrich: And I’ll mention this link again at the very end before we wrap up, but if you go to YourFinancialPharmacist.com/academy, YourFinancialPharmacist.com/academy, that will take you over to learn more about the Pharampreneur Academy, and you can also get $50 off your first month of membership. So again, YourFinancialPharmacist.com/academy. So Blair, I’m thinking of — back to earlier in our conversation, we had mentioned a lot of things we feel like we don’t traditionally get in a pharmacy education, and it feels to me a lot of what we’re talking about here in terms of marketing and selling and justifying and aligning with quality metrics and communicating and practice management and business infrastructure. And I know you just recently went through a renovation — or not a renovation, but an evolution of your course. Talk us more through why you did that, what were you seeing, and the need for some of the additional content that you added.

Blair Thielemier: So whenever I was first building the course, it was all about information around billable pharmacist services. There’s no clinical anything in the Pharmapreneur Academy. It’s focused solely on business models. And what I was building in the beginning is what pharmacists were saying they needed, which was information on CPT codes and diagnosis codes and note templates for the EHR, for documentation, things like that. So over the past four years, I had created that stuff, and then I realized pharmacists were getting stuck in the overwhelm. They were getting stuck in that how do I put blinders on and focus? I want to do all these things at once. So I went back, and what I’ve created in the beginners’ blueprint is this model, this framework that you can go through, and it helps to lead you to the right decision for your business. So I said last night, a lot of people start their business with a logo and a business card.

Tim Ulbrich: I’ve talked about that before, yes.

Blair Thielemier: I am so against business cards. No. I’m not against them, but I think that that’s not the first step. That’s not even like in the first 10 steps of building their business.

Tim Ulbrich: No. Yep, agreed.

Blair Thielemier: So it’s really about identifying which path you’re on, which is essentially identifying your target market or your ideal customer avatar if you’re familiar with that language. So what we do in the beginning is walking through those. We talk about essentials of each paths and timelines because the timeline for starting a program in a community pharmacy setting is much shorter, actually, than starting a program in a physician’s office or really getting momentum in a cash-based service. So looking at timelines, if you need to add a revenue stream like yesterday, it might not be a good idea to try to build a functional medicine cash-based business if you don’t have 6-12 months to build up your clientele. So it helps you avoid these common missteps.

Tim Ulbrich: Yeah, and I think as you and I have talked about many times before, I think when somebody’s excited about a business idea, whether that’s a side hustle or they’re going to jump ship and do something different or work two jobs, whatever, there tends to be the falling back on well, I need to get my corporation set up, and I need my business card, I need my website. And I think sometimes you just have to start, taking one step towards developing the framework, the solution to the problem that you’re working on. It may mean seeing a patient without having a full process fleshed out. There’s so much to learn as you go through that process that will inform what ultimately the business will look like in the future. So who are you seeing that’s coming to the Academy and contributing to the group? Is it people that are looking to start a side hustle? Is it people that are already in their own business and kind of spinning their wheels? Those that are looking to jump to start their own business? What’s the variety of folks so those that are listening might have a better idea of who is a good fit for the Academy and what you’re working on?

Blair Thielemier: Yeah, that’s a great question because what we have tried to create is this kind of peer-led conversation around here’s the opportunities that are out there — and I encourage the Academy members to introduce themselves, to talk about the opportunities that they have in mind. So you know, the most recent post that I responded to this morning was two different pharmacists who had said that they felt like their biggest opportunity was to collaborate with local physicians offices, that they’d actually been approached by local physicians offices about these types of services but just didn’t really know how to implement them and how to put these programs together. So mostly, I would say it’s independent pharmacists who are looking to build these types of practices, whether it’s reaching out to a local private practice physician to go to work in their office or it’s partnering with a local chiropractor to offer nutrition or pharmacogenomic testing in their office. Generally, it’s the individual person. We do have some independent pharmacy owners in there as well who’s looking at OK, I’ve got this pharmacy, but now we are wanting to reach out to physicians and collaborate or offer like point-of-care testing services or tobacco cessation programs or whatever. And they’re looking at how also do I train my staff members to be able to sell these services and offer these services so that I’m not the only person that’s doing them? So we’re seeing a lot of owners also use it to train their staff members as well in these opportunities for these clinical programs. So I’m excited about that too.

Tim Ulbrich: So last question I have for you is September 2029, so we’re going to have hopefully a similar conversation. I don’t know if Facebook Live will be a thing or not, whether we’ll be doing podcasting or whatever.

Blair Thielemier: It will be holographs or something or holograms like on our watches.

Tim Ulbrich: Who knows at that time? What will we be talking about? I mean, do you think that we as a profession are going to face the next 10 years with confidence and really reinvent ourselves and in some way, redefine the role? Or do you think we’re going to see a significant shaping the other way and kind of an evolution towards maybe even further separation of the profession in terms of what an inpatient pharmacist role looks like and a pharmacist who’s in an ambulatory setting? What do you see happening even beyond that 10-year mark?

Blair Thielemier: So really interesting. Someone commented, it was in the Pharmacist Moms Facebook group, and I was talking about this subject and switching from this product-focused business model. And she had mentioned that the banking industry went through similar changes back in the 1800s when their primary method of revenue was selling gold and silver. And when we moved away from the gold standard, they didn’t really have a business model anymore. And they kind of transitioned to now these services and in financial services that what we now think of as the banking industry, if you went in to ask them to buy gold or silver, they’d probably look at your like you were crazy.

Tim Ulbrich: Yeah.

Blair Thielemier: So I’m excited about that. I’m excited about starting these conversations, about reimagining what pharmacy looks like and how do we rebrand pharmacy? So most of the pharmacists that I talk to, they’re like, I want to get my patients off medications. And that’s so counterintuitive because, you know, everyone comes in like, oh, you must be rich because my medications are so expensive. Like no. Anytime somebody asks me for a recommendation for an over-the-counter stool softener or something like that, I’m like, well how much water do you drink? Like that’s usually how I start the conversation is like, let’s talk about water and let’s talk about fiber and let’s talk about all these things. And your last-ditch effort might be an over-the-counter product. So I think a lot of pharmacists can identify with that is that we’re not pushing medications. We’re pushing to get people off medications. We’re looking at how can I — this person’s on 11 medications. How can I combine some of these? Which of these are being used to treat side effects of other medications? How can we get them on the most optimized medication regimen and the least amount of medications as possible for this patient? That’s the conversation I think we’re going to be having in 10 years is like, well, I took my patient from 10 medications down to four. You know? And that’s where I believe we can add value. That’s something that the patients want to see, that’s something that the payers want to see. And physicians, they’re going to be getting better outcomes. They’re going to be seeing reduced readmission rates for their patients. And hospitals, that’s what they’re going to need as well.

Tim Ulbrich: Yeah, and it would be interesting to see — I mean, you used deprescribing as an example, but even more consistent reimbursement for deprescribing, right?

Blair Thielemier: Yes.

Tim Ulbrich: Because I think counterintuitively, obviously you’re reducing revenue to the pharmacy, which is an area I think about if you think about pharmacists in every primary care provider across the country, you know, in theory, that really changes the interaction of a patient coming to a pharmacy. Right? Because you think about ideally, a pharmacist’s role post-diagnosis and then being involved in the prescription process, that really changes a lot of what now is time spent at the pharmacy kind of working back with the physician or providers or you think about a traditional medication therapy management visit, ideally, a lot of that could be happening at the point of prescribing. So how do those intersect and work with one another? What impact do they have on one another? I think what you and I both agree on is that we need more opportunities for constructive, innovative dialogue about what does the future of the profession of pharmacy look like? And I think that there’s unfortunately kind of two camps: one of extreme negativity without constructive dialogue and brainstorming and one of somewhat of an optimistic, idealistic standpoint that doesn’t necessarily acknowledge some of the challenges that are here today. And I think we need both, and we need a space where at Pharmapreneur Academy, at Your Financial Pharmacist, at colleges of pharmacy, at national organizations, in communities that we can have a conversation about hey, if we were to rethink, reinvent pharmacy, all ideas on the table, what might that look like? How could we get reimbursed for it? And what’s the value that we can bring as a profession? And I think that often, these conversations start with a lot of baggage and a lot of loaded opinions, and so I know one of my hopes here today in continuing is to stimulate a conversation and get people thinking more about what the profession holds. So thank you so much for joining. Thank you for your three bold predictions. And again, if you want to learn more about the Pharmapreneur Academy, go to YourFinancialPharmacist.com/academy. You can learn more about what’s involved in the academy, what the community is all about, and what you’ll get. Again, YourFinancialPharmacist.com/academy. And you can get $50 off your first month. So Blair, thank you so much for joining.

Blair Thielemier: Thank you so much for having me.

Recent Posts

[pt_view id=”f651872qnv”]