Ep106: That One Big Beautiful Bill (OBBB): Taxes, Loans, and DPC Eligibility

In this episode, Dr. Disha Spath is joined by his husband Josh Spath to break down the sweeping legislation dubbed “The Big Beautiful Bill,” passed on July 4th—and what it could mean for your medical practice, finances, and future.

From Medicaid and CHIP cuts to student loan shifts and personal tax changes, Josh and Disha unpack the potential ripple effects on physicians, patients, and the healthcare system as a whole. If you're a medical professional trying to stay ahead of policy changes and protect your financial well-being, this one’s for you.

Key Topics Covered:

1. The Big Beautiful Bill: Overview & Impact

• How this newly passed bill could reshape the healthcare and financial landscape.

2. Medicaid & CHIP Cuts: Who’s Most Affected?

• The real-world impact on low-income families, children, and legal immigrants.

3. What the Bill Means for Doctors

• Coverage changes, patient eligibility, and why physicians should pay attention.

4. The Silver Lining: Opportunities in Chaos

• What benefits or reform might come out of the bill's implementation?

5. ACA Health Plan Categories

• A breakdown of Bronze, Silver, and Platinum tiers and how they fit into evolving patient care models.

6. Student Loans: What’s Next?

• Navigating the Repayment Assistance Plan vs. the Standard Repayment Plan.

7. Your Taxes Might Shift Too

• What you need to know about potential changes in personal taxes.

Listener Takeaways:

• How upcoming Medicaid and CHIP changes may affect your practice.
• What legal immigrants stand to lose—and why it matters to all of us.
• How DPC memberships may become more relevant in a post-Bill landscape.
• What to expect in student loan repayment and how to plan for it.
• Why staying informed on healthcare policy is critical for your financial freedom.

 

Connect with Us:

Host: Dr. Disha Spath and Josh Spath, The Frugal Physician

This episode is brought to you by:

Earned Wealth: Earned's unique Doctor Wealth Playbook includes tax planning, investing, insurance, career advisory, and more. It’s a holistic approach from advisors who get the financial pressures of your profession. And for a limited time, Frugal Physician listeners can visit Earned.com/Frugal for exclusive access to this comprehensive planning at a discounted rate.