ER Doc Advisor - Financial Planning & Taxes for Emergency Physicians

EP 236: Pay Off Debt or Invest? The Math May Surprise You

This episode is going to get technical — so if you’re not ready to get lost in the math and mechanics of debt, investments, and balance sheet risk, you’ve been warned. But for high earners like ER docs, these seemingly small decisions — like whether to pay down a mortgage early or redirect that cash flow into investments — can have six- or even seven-figure implications over time.

With today’s higher mortgage rates and more volatile markets, the old rules don’t necessarily apply, and what once was considered conservative might now be the riskiest choice of all. We’re going to break down how to analyze these trade-offs, with real numbers and real behavioral considerations that go way beyond “just do what feels right.”

Topics Discussed:   

  • Why today’s mortgage vs. invest decisions are more complex than ever.
  • How higher interest rates shift the math on paying down debt.
  • The true cost of giving up liquidity to pay off a mortgage early.
  • Why low mortgage rates can be a financial advantage.
  • How paying off debt may feel safe but could be financially risky.
  • The role of taxes and retirement accounts in mortgage decisions.
  • Real-life examples showing 6- to 7-figure long-term impacts.
  • Why emotions often lead to costly financial decisions.
  • How to compare risk between debt leverage and aggressive investing.
  • Why keeping a mortgage to invest might not be as smart as it seems.

Resources Mentioned:

Tags:

 

Financial Decisions, Mortgage, Investing, Mortgage Rates,Volatile Markets, Liquidity, Retirement, Debt, Investment Risk, Assetand Liability Approaches, Leveraging, High-Risk Investments, Interest Rates, Market Conditions, financial planning, emergency medicine, ER doc, ER doctor,