What If Your Paycheck Disappeared Tomorrow?, Ep 30

Imagine waking up tomorrow and not being able to work, no more surgeries, clinic, or call shifts. For most physicians, your ability to earn an income is your single greatest financial asset, yet few stop to consider how vulnerable it is. If you’ve never heard of “own occupation” disability insurance or assumed your employer coverage is enough, this episode is your wake-up call.

Hosts Chad and Tyler explain why disability insurance isn’t just another box to check; it’s a cornerstone of financial security, especially early in your career. Whether you're still in medical school, knee-deep in residency, or just landed your first attending job, they unpack the real-world scenarios that could derail your income and why coverage matters more than you think. They even dive into misunderstood details like Roth IRA withdrawals, 401(k) loans, and the tradeoffs of different insurance riders.

By the end of this episode, you’ll not only understand why disability insurance is crucial, you’ll also know what kind to get, when to get it, and how to avoid the most common (and costly) mistakes. Because protecting your income isn’t pessimistic, it’s smart.

Looking for help with Disability Insurance, Physician Banking, Student Loan Refinancing, Physician Mortgages, Contract Reviews, and more? Check out our "Best of the Best" sponsors page to find a list of the professionals Chad & Tyler team up with for their clients.

You will want to hear this episode if you are interested in...

• (00:00) Why they recorded the episode from a hotel room.
• (01:39) Using Roth IRA funds for a first home.
• (06:51) Comparing Roth withdrawals to 401(k) loans.
• (09:50) When med students should buy disability insurance.
• (13:32) Making disability premiums manageable in training.
• (17:03) Is disability insurance truly necessary?
• (24:09) GSI policies vs. fully underwritten ones.

Your Roth IRA Isn’t a Down Payment Strategy

We get why people look to their Roth IRA when buying their first home; it feels accessible, and technically, the IRS allows up to $10,000 of gains to be withdrawn penalty-free for a qualifying first-time purchase. But that move comes with big trade-offs. You're not just taking money out; you're giving up the compounding, tax-free growth that makes the Roth so powerful over time. For physicians, especially, whose earnings potential compounds alongside their investments, pulling from a Roth early is almost always a step backward.

Instead, we suggest exhausting smarter options first, like physician mortgages that offer zero percent down and avoid private mortgage insurance. If you're tempted to touch the Roth, it’s likely a sign that the timing of your purchase might be too soon. The takeaway: your Roth is a long-term asset. Treat it that way.

Disability Insurance Isn’t Optional - It’s Foundational

Too many physicians treat disability insurance like an afterthought, something to handle later when they’re making more or finally “settled.” But the risk of becoming unable to work, even temporarily, is real. And unlike life insurance, the odds of needing disability insurance during your working years are much higher. That’s why getting coverage early isn’t just smart, it’s essential. The younger and healthier you are, the better your pricing and options. Wait too long, and even a small health issue could disqualify you or lead to costly exclusions.

We also dig into how to make this work on a resident’s budget. Graded premium s