Today, we’re unpacking how capital gains actually work in the context of ER income, and why small strategic choices can make a disproportionate difference over time.
Topics Discussed
- Why capital gains often matter more than your tax bracket suggests.
- How gains quietly stack on ER income and raise true tax rates.
- The hidden risk of holding appreciated assets too long.
- The trade-off between diversification and permanent tax costs.
- When “doing nothing” with legacy positions becomes the bigger risk.
- How income choices affect the taxes you’ll pay on future gains.
- Why small planning decisions can change outcomes by tens of thousands.
Resources Mentioned:
Tags:
ER docs, emergency medicine, capital gains tax, investment planning, portfolio risk, tax strategy, high income physicians, NIIT, taxable brokerage accounts, asset allocation, wealth management, tax optimization


