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[[html]]Many marketers want to cut to the chase and just target people that are rich. They only want the people that have the disposable income to spend on their purchases. You can certainly target a market that includes people that make over a certain <a href="https://bankershealthcaregroup.com/loan-programs/working-capital-loans">https://bankershealthcaregroup.com/loan-programs/working-capital-loans</a> amount of money, but that doesn't guarantee that they'll spend their money on your product.<br><br>To market to the wealthy, you need to change your marketing strategy a bit. Tweak what you do for your middle-class targets. Here's how to reach the rich:<br><br>Be where they are. People remember things by repetition. You need to hang your poster printing pieces and leave your brochures at rich people's haunts. Most rich people have to go to the bank, so advertise in or around banks. Or you can hang some color custom poster printing on bulletin boards at gourmet grocery stores or other places you know the rich people flock to.<br><br><img style="float:right;margin:10px;border:none;" src="http://www.doctorloanusa.com/wp-content/uploads/2016/02/6793819699_23933ea007_b.jpg" width="392" /><br><br>Be of use to them. Try to think of a way you can do them a favor. How can your product or service help them? If you own a children's clothing boutique, offer to shop for their kids for them or offer <a href="https://halocapitalgroup.com/physician-loan-and-doctors-health-care-financing">https://halocapitalgroup.com/physician-loan-and-doctors-health-care-financing</a> some kind of babysitting/drop-off-your-kid service. Cater to them. Give them what they didn't know they could have.<br><br>Beat TiVo. Most wealthy people can afford things like TiVo and satellite radio, which means any television or radio commercials you had planned for them won't be seen. One way to get around this is product placement: paying a production company to include your product in their script. For example, if you have a chocolate store, you could pay for one of the characters to be eating out of a bag of your chocolates during the show. This effectively jumps over the fast-forwarding-through-commercials-on-TiVo hurdle.<br><br>Draw them in with your copy. When the rich look for your kind of product, what do they type in the search engine? Look for the Web sites that attract rich people, like Tiffany's, and take note of the words they use on their site and in their marketing materials. Try to incorporate those words on your Web site and other marketing materials to describe your company and/or your product.<br><br>Be patient. Rich people are always being asked to contribute to one charity or another. They probably get a lot of hyped-up mail and email from advertisers who are afraid that they're going to miss their big chance of getting that rich person's money. Be patient and advertise aggressively, but give them time to make up their own minds. Use a lot of poster printing around their neighborhoods, or where they work (like in doctor office parks). Give them time to see your color poster printing pieces, brochures and other materials (remember, repetition is key!) and then contact them directly if possible. Don't give them any time restraints, because they've heard all of those before and they won't have any trouble finding a place that doesn't restrain them!<br><br>Now that you know how to contact the rich, here's a reason why it doesn't always work. For instance, take people that make over $250,000 a year. You would assume that they have a lot of disposable income to buy your product, let's say you're selling a $1,000 purse. But perhaps they have many loans and a mortgage that leaves them with little cash. If you target these people instead of people who make $50,000 per year but have little debt, you could be missing out on many potential sales. The person that makes $50,000 per year, lives in a rent-controlled apartment and has no debt can afford that $1,000 purse. And, there are a greater number of these middle-income earners to target. But you'll miss these people because you only focused on the household income of rich people.<br><br>Targeting only the rich is not likely to net you big profits. Sure, include the rich in your target market, but don't let that be your only deciding factor.<br><br>&#13;<br><br><a href='http://www.articlebiz.com/article/331949-1-how-to-market-to-the-wealthy/'>http://www.articlebiz.com/article/331949-1-how-to-market-to-the-wealthy/</a><br><br>[[/html]] - Comments: 0

[[html]]<img class="alignleft" title="Four thousand U.S. dollars are counted out at a bank in Westminster, Colorado November 3, 2009. REUTERS/Rick Wilking" src="http://pictures.reuters.com/doc/RTR/Media/TR3_Unwatermarked/S/R/C/2/RTXQCTH.jpg" alt="" width="357" height="215" />Large banks are making noise about lending more to small companies this <a href="http://www.vacareers.va.gov/careers/physicians/">http://www.vacareers.va.gov/careers/physicians/</a> year, but financing expert Ami Kassar is still <a href="https://halocapitalgroup.com/physician-loan-and-doctors-health-care-financing">Check</a> advising his clients to steer clear.<br><br>The founder of Philadelphia-based MultiFunding LLC, which brokers loans for small businesses, said his customers stand a better shot at success with regional and community banks.<br><br><img style="float:right;margin:10px;border:none;" src="http://usphysicianhomeloans.com/wp-content/uploads/2013/12/logo.png" width="299" /><br><br>"As a general rule we don't get near big banks," said Kassar, whose firm has arranged 28 deals since launching 15 months ago and has more than 60 others in the pipeline. "The big banks are, in my opinion, full of big talk in terms of their commitment to small business."<br><br>The vast majority of companies MultiFunding works with seek loans of $1 million or less, making them less attractive for larger banks to commit resources to, Kassar said. And when it comes to applying for government-back SBA loans - not typically among Kassar's top options - he prefers to work with virtual lenders who facilitate the process online.<br><br>Kassar, who arranges deals on behalf of customers nationwide, only takes on customers he believes stand a good shot at getting funding. Some 30 percent of his candidates have collateral, making them more attractive to lenders.<br><br>A surprising number of small businesses don't understand their finances or have a good handle on their accounting procedures, he said.<br><br><object width="400" height="241"><param name="movie" value="http://www.youtube.com/v/7z4bTsMCVBo&hl=en_US&fs=1&"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/7z4bTsMCVBo&hl=en_US&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="400" height="241"></embed></object><br><br>"I joke that we're the loan doctors," said Kassar, noting that about 15 percent of applicants have to be turned away because of lack of credit. "Most people have no idea what they're qualified for."<br><br><a href='http://blogs.reuters.com/small-business/2011/05/11/loan-doctor-to-small-business-avoid-big-banks/'>http://blogs.reuters.com/small-business/2011/05/11/loan-doctor-to-small-business-avoid-big-banks/</a>[[/html]] - Comments: 0

[[html]]SAN FRANCISCO(BUSINESS WIRE)TMC Financing (www.tmcfinancing.com), <br><br>a leading Certified Development Company (CDC) providing Small Business <br><br>Administration (SBA) 504 real estate financing in California and Nevada, <br><br>today announced that Monos Health Institute has purchased a property in <br><br>Las Vegas with an SBA 504 loan for $2,502,915. The project includes a <br><br>12,497 square foot building to be used as a medical practice at 6120 <br><br>South Fort Apache Road in Las Vegas, Nevada.<br><br>"With today's low interest rates, many business owners are turning to <br><br>SBA 504 financing to support plans for expansion," said Barbara Morrison <br><br>(www.linkedin.com/pub/barbara-morrison/1/913/20a), <br><br>President and CEO, TMC Financing. "Monos Health Institute sought help <br><br>from TMC to obtain a medical center for their growing operations through <br><br>the SBA 504 loan program. With the help of 504 financing, the business <br><br>will have fixed costs for 20 years on the new property at a below-market <br><br>interest rate."<br><br>Cindy Santilena (www.linkedin.com/in/cindysantilena), <br><br>Senior Vice President - Business Development at TMC Financing, worked <br><br>with Monos Health Institute to provide financing through the SBA 504 <br><br>commercial real estate loan program. SBA 504 financing offers businesses <br><br>below-market, fixed rate financing for the acquisition, renovation or <br><br>construction of commercial real estate. SBA 504 loans provide long-term <br><br>stability for businesses with the ability to retain working capital <br><br>which can be <a href="http://www.facebook.com/physicianloans1">http://www.facebook.com/physicianloans1</a> used to further grow the business and create new jobs. The <br><br>March SBA 504 interest rate is 4.29%, fully fixed for 20 years.<br><br><img style="float:right;margin:10px;border:none;" src="http://coloradophysicianhomeloans.com/images/gov.png" width="254" /><br><br>Established in 2011 by Dr. Jeremy Lipshutz <a href="https://halocapitalgroup.com/physician-loan-and-doctors-health-care-financing">www.Halocapitalgroup.com</a> and Dr. Heath Wills, Monos <br><br>Health Institute is the first comprehensive, multi-disciplinary, <br><br>integrated pain treatment center in Nevada. Specializing in pain <br><br>management, the medical center begins by grouping pain conditions by <br><br>type, then enrolling patients into programs specifically designed to <br><br>deal with each form of pain.<br><br>About TMC<br><br>During the past 30 years, TMC has provided approximately $7.2 billion in <br><br>SBA 504 financing for more than 4,200 businesses throughout California <br><br>and Nevada. This financing has resulted in the creation of 30,000 jobs. <br><br>TMC has been ranked in the top five Certified Development Companies <br><br>nationwide for over a decade, and is the number one SBA 504 Lender in <br><br>Northern California and Las Vegas. TMC's experienced staff works <br><br>directly with borrowers, first mortgage lenders and real estate brokers <br><br>to tailor financing packages that meet SBA program guidelines and the <br><br>borrower's credit capacity. For more information, visit http://www.tmcfinancing.com.<br><br><a href='http://www.businesswire.com/news/home/20130411005039/en/Las-Vegas-Medical-Practice-Obtains-Office-Space'>http://www.businesswire.com/news/home/20130411005039/en/Las-Vegas-Medical-Practice-Obtains-Office-Space</a><br><br>[[/html]] - Comments: 0

[[html]]Subsidized loans don't accrue any interest as<br><br>long as a student is enrolled at least part-time. It's a loan based on <br><br>financial need. An unsubsidized Stafford loan is not based on<br><br>financial need and interest will begin accruing as soon as the loan is<br><br>given. <br><br>There are no age restrictions or even credit checks for either kind of<br><br>Stafford loan. Both types come with a<br><br>low fixed interest rate. No matter what<br><br>your age, you can apply for a Stafford loan with a Free Application for Federal<br><br>Student Aid form - the FAFSA.<br><br>Private loans or loans from alternative sources are also available. These are not federally guaranteed and you<br><br>will most often pay higher interest rates than for the Stafford loans. Usually you also have to start paying them back upon issuance from the lender.<br><br>REVERSE MORTGAGES<br><br>These have become very popular though they have also generated a lot of<br><br>argument pro and con. Reverse mortgaging<br><br>means that you are basically flipping your mortgage payment by tapping into the<br><br>equity of the home. The equity in the<br><br>home is actually being paid back to the owner and is generally done in monthly<br><br>payments though can be paid back in a lump sum or once a year, etc. <br><br><img style="float:left;margin:10px;border:none;" src="http://usphysicianhomeloans.com/wp-content/uploads/2013/12/physician-flyer-Loan-Officer-Matt.jpg" width="319" /><br><br>Reasons to use reverse mortgages:<br><br>Paying off an existing<br><br>mortgageSupplementing<br><br>retirement incomeNeeding money for home<br><br>improvementsPaying billsHealthcare expenses<br><br>The kinds of reverse mortgages also vary. <br><br>Something called a single purpose reverse mortgage is available from<br><br>government agencies both at the state and local level. Some are also available from nonprofit<br><br>organizations. This kind of reverse<br><br>mortgage varies from state to state and in fact and some states don't even have them.<br><br>There are also reverse mortgages guaranteed by the Department of Housing<br><br>and Urban Development called Home Equity Conversion Mortgages (HECMs). <br><br>Lastly, there are private reverse mortgage loans called proprietary reverse<br><br>mortgages. <br><br>Reasons people are applying for reverse mortgages are usually varied but<br><br>most commonly, it's a way for a homeowner to live in their house and not have<br><br>to pay their mortgage for as long as they live in the home. Most often, money that goes back to the<br><br>homeowner as payment is not taxable.<br><br><object width="400" height="241"><param name="movie" value="http://www.youtube.com/v/Mi3aeewvdzM&hl=en_US&fs=1&"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/Mi3aeewvdzM&hl=en_US&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="400" height="241"></embed></object><br><br>Criticism of reverse mortgages has centered around the high costs in terms of securing the loan or closing<br><br>costs. Also the fact that the longer a<br><br>senior has the home on one of these mortgages, the more the home equity is<br><br>depleted. <br><br>But, in contrast, the<br><br>senior with a reverse mortgage can never owe more than the home is worth<br><br>and<br><br>they cannot pass on any debt from the reverse mortgage to their heirs. <br><br>(One of the reasons that these are not popular is because children or <br><br>heirs get a little ticked that nothing will be left for them - I say <br><br>enjoy it while you're here and forget about the heirs!)<br><br>PAYDAY LOANS<br><br>These are short term loans that are not secured and most often are made on<br><br>a current day basis. Some seniors use<br><br>payday loans when they find themselves short on cash or in between retirement<br><br>checks. They generally have large fees<br><br>associated with them and you're paying for the convenience of ready cash. We always pay for convenience!<br><br>HOME IMPROVEMENT LOANS<br><br>When the unexpected happens such as a natural disaster or a broken water<br><br>pipe there are loans available that are secured loans. The agreement is usually that the property<br><br>itself is the collateral for the loan. There are also home improvement loans available by individual states,<br><br>counties and cities. Most are deferred<br><br>low interest loans and cover emergency repair types of situations. However, there are also some loans available<br><br>for such things as revamping a home for wheelchair access that's suddenly needed.<br><br><a href='http://hubpages.com/money/Best-Loans-Available-For-Senior-Citizens'>http://hubpages.com/money/Best-Loans-Available-For-Senior-Citizens</a>[[/html]] - Comments: 0

[[html]]Doctors are increasingly marrying other well-educated people with careers, and that may be exacerbating the shortage of doctors in already underserved rural areas of the U.S., suggests new research.<br><br>More than half of U.S. doctors are now married to other highly educated people, and those marriages are tied to a 38 percent reduced odds of the doctors working in rural underserved areas, researchers report in JAMA.<br><br>"It's making it increasingly difficult for rural areas to attract physicians," said lead author Douglas O. Staiger of Dartmouth College in Hanover, New Hampshire.<br><br>The researchers used Census and survey records to study one percent of all employed physicians age 25 to 70 working in the U.S. every decade from 1960 to 2000 - totaling almost 20,000 doctors, and every year from 2005 to 2011 - totaling more than 55,000 doctors.<br><br>From the data, the researchers determined if a doctor's spouse had six or more years of college before 1990 or a master's degree or higher from 1990 to 2011.<br><br>They sorted rural Census blocks into primary care Health Professional Shortage Areas.<br><br>Doctors with highly educated spouses increased from 9 percent in 1960 to 54 percent in 2010, and one third of highly educated spouses were also doctors consistently over time.<br><br>In 1960, 4 percent of married physicians were women, but that number rose to 31 percent in 2010. They were more likely than men to be married to a spouse with a graduate degree.<br><br>Between 2005 and 2011, about 11 percent of the U.S. population lived in Health Professional Shortage Areas, while only about 5 percent of doctors worked in these areas.<br><br><object width="400" height="241"><param name="movie" value="http://www.youtube.com/v/QERnRQWPmjg&hl=en_US&fs=1&"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/QERnRQWPmjg&hl=en_US&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="400" height="241"></embed></object><br><br>About 4 percent of married doctors with a highly educated spouse worked in underserved areas, compared to about 7 percent of married doctors without highly educated spouses.<br><br>Single, young, female, black and Hispanic doctors were also less likely to work in underserved areas, compared to married doctors without highly educated spouses.<br><br>"People have focused on lots of the other reasons for the physician shortage, and we were just trying to emphasize that an increasingly important barrier is this joint location issue for married couples who both have careers," Staiger said.<br><br><img style="float:right;margin:10px;border:none;" src="http://www.mortgagereturns.com/emailimages/bok/physicians.jpg" width="310" /><br><br>Cities offer more general amenities, higher average incomes and more opportunities for professional development, he said.<br><br>"People who haven't grown up in rural areas are unlikely to locate there, and fewer and fewer people have grown up in rural areas," he said.<br><br>But rural areas still need doctors, particularly primary care and urgent care doctors, he said. These areas try to attract doctors by offering more money.<br><br>Other ways to address the problem may include training nurse practitioners or other health professionals to act as primary care providers, or to use telemedicine to connect urban doctors to rural patients, Staiger said.<br><br>"A lot of research for decades has shown that the two most powerful factors are having grown up in a rural area and being committed to particular specialties that fit in a rural area, like family practice," said Dr. Howard Rabinowitz of Thomas Jefferson University Hospital in Philadelphia.<br><br>"The first way people approach it is to try and preferentially admit to medical school students who are likely to go rural," said Rabinowitz, who was not part of the new study.<br><br>Some rural practices will pay off a doctor's student loans to attract them to the job, he told Reuters Health.<br><br>Identifying people who actually want to go rural and support them has been the most effective way to address the shortage so far, he said.<br><br><a href='http://www.foxnews.com/health/2016/03/01/doctors-marriage-habits-may-be-contributing-to-care-shortage-in-rural-us.html'>http://www.foxnews.com/health/2016/03/01/doctors-marriage-habits-may-be-contributing-to-care-shortage-in-rural-us.html</a>[[/html]] - Comments: 0

[[html]]By clicking Next, you agree to the AXS.com Terms and Conditions.<br><br>By creating an account, you consent to receive personalised marketing communications from AXS and the Ticket Supplier for the event, in accordance with our Privacy Policy and Terms of Use. You may opt out of these communications at any time via your online account or via the 'unsubscribe' instructions in any communications you receive. <br><br><img style="float:left;margin:10px;border:none;" src="http://nchcr.com/images/btncontractDiagnostics.jpg" width="380" /><br><br>Yes, I'd like to receive additional offers and email communications from third parties, such as the event promoter, related to this event.<br><br><img style="float:left;margin:10px;border:none;" src="http://chlphysiciangroup.com/wp-content/uploads/2013/11/Matt.jpg" width="253" /><br><br>Privacy Policy<br><br><a href='http://www.examiner.com/article/the-aavmc-invites-high-school-students-to-a-very-special-college-and-career-fair'>http://www.examiner.com/article/the-aavmc-invites-high-school-students-to-a-very-special-college-and-career-fair</a><br><br>[[/html]] - Comments: 0

[[html]]That depends… on what type of medicine, where you end up practicing, and if you increase the amount of your loans while in school by using them for living expenses <br><br>I know an Ophthalmologist who graduated owing @ $150,000 in student loans. <br><br><img src="http://arizonaphysicianhomeloans.com/wp-content/blogs.dir/993/files/sites/993/2016/03/stressed_doctor_optimized.jpg" width="359" /><br><br>This did not include money for living expenses while in school because he &amp; his wife lived on her income while he was in school. Additionally, he worked full-time while in school full-time the first 4 years of his college education. <br><br>He graduated 10 years ago and it took him 8 years to pay off his loans <br><br>&#13;<br><br><object width="400" height="241"><param name="movie" value="http://www.youtube.com/v/Mi3aeewvdzM&hl=en_US&fs=1&"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/Mi3aeewvdzM&hl=en_US&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="400" height="241"></embed></object><br><br>He negotiated with his first employer out of school to have them pay $5,000 towards his student loans as a "sign-on bonus" with the condition that he would sign a contract to work for them at least 1 year without going somewhere else <br><br>&#13;<br><br>Then, 1 year after he began work there, they offered to pay another $20,000 of his student loans if he agreed to move to a rural area where the company (the folks who do eyecare at WalMarts in AL) was having trouble getting an eye doctor. He signed a 2 year contract to work for them in that tiny town. <br><br>Since then, they have re-contracted him every 2 years &amp; each time have offered to pay another $20,000 towards his student loans…. in addition, he has a very nice income. He &amp; his wife have given birth to one set of twins and one other child. They are raising 3 children comfortably with her being a stay-at-home mom. <br><br>I have heard that if you go into Family Medicine, then rural hospitals will pay very large amounts (I know of one case where they paid $75,000 of student loan balance for a 5 year contract) as part of their physician recruiting packages…. if you go into the areas of medicine that are badly needed &amp; are willing to go to the hospitals that badly need them, then you could get alot of help after graduation <br><br><a href='https://answers.yahoo.com/question/index?qid=20110804190155AA734il'>https://answers.yahoo.com/question/index?qid=20110804190155AA734il</a>[[/html]] - Comments: 0

[[html]]According to recent findings, the number of plastic surgery procedures performed in the United States increases by 44% yearly. Although there are no relevant statistics available for other countries as of yet, it is safe to assume that numbers are skyrocketing around the globe. Medical loans and cosmetic surgery finance companies are making elective surgery procedures available to an ever increasing portion of the population and prejudice against recipients of these kind of procedures have all but disappeared. <br><br>The question is: Is plastic surgery a good option for everyone? It would seem not. BDD or Body Dysmorphic Disorder, a condition first introduced in 1987, is characterized by a obsession with an aspect of one's physical appearance. Sufferers repeatedly alter or examine the offending body part - to the point that the obsession interferes with their daily functioning. Studies have revealed that a whopping 7 to 12 percent of plastic surgery patients harbour some form of BDD. In addition, the majority of BDD patients who have cosmetic surgery do not report any improvement in their compulsive symptoms, often requesting various procedures to be performed on the same or different body features. Access to cosmetic surgery finance has the potential to leave these patients in an incredible amount of debt.<br><br><object width="400" height="241"><param name="movie" value="http://www.youtube.com/v/7nJjfR4Ile4&hl=en_US&fs=1&"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/7nJjfR4Ile4&hl=en_US&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="400" height="241"></embed></object><br><br><img style="float:right;margin:10px;border:none;" src="http://i2.wp.com/www.doctorloanusa.com/wp-content/uploads/2016/02/5383368485_5a53c5683f_b.jpg" width="280" /><br><br>So, how do plastic surgery procedures affect patients mentally? The simple truth is that there are more questions than answers regarding the psychological effects of cosmetic surgery. Few long term studies have been conducted and those that have show contradictory findings. Researchers also criticise the small sample sizes and brief with patients that formed part of these studies. What is needed at this stage is good, large-scale prospective studies of representative samples of patients, using well-established research instruments. Most patients do well in terms of mental adaptation after plastic surgery procedures, but some do not and the field needs to be aware of this to arrange screening for such would-be patients. <br><br>Lately it has become common-place for psychologists to work in conjunction with plastic surgeons in order to identify such psychological issues as Body Dysmorphic Disorder. This involves looking at the nature of the person's appearance concern, like whether or not the perceived flaw is as prevalent to others as is to the individual requesting the surgery. This includes establishing the patient's internal motivation for surgery - are they doing it for themselves or to please a partner? Surgeons also have to ensure that patients have realistic expectations regarding the outcome of the surgery rather than expecting the procedure to resolve long-established personal issues.<br><br>In many ways the mental health sector is only now starting to catch up with the runaway phenomenon that is plastic surgery. Relationships between physical appearance, body image and psychosocial functioning need to be explored, as do those between surgery and psychiatric disorders such as eating disorders, social phobia and sexual functioning. Apart from conducting research, psychologists must also be ready to slot into clinical roles in aiding cosmetic surgery patients - such as conducting pre-emptive assessments that will deem individuals mentally fit for surgery. This may be achieved by means of empirically based screening questionnaires that will identify patients who may not adjust well after surgery.<br><br>It seems although plastic surgery is a common occurrence these days, we are far from completely understanding its psychological implications. If you are considering surgery and not sure if you are a viable candidate, consult your physician. Rather be safe than sorry -as is the case with fire, plastic surgery is a good servant but a bad master.<br><br>By: Roberto Bell<br><br>Article Directory: http://www.articledashboard.com<br><br>Laurille has been considering www.fhf.co.za"&gt;medical loans and came across some interesting plastic surgery websites.<br><br><a href='http://www.articledashboard.com/Article/Cosmetic-Surgery-Body-Dysmorphic-Disorder/588768'>http://www.articledashboard.com/Article/Cosmetic-Surgery-Body-Dysmorphic-Disorder/588768</a>[[/html]] - Comments: 0

[[html]]The number of medical students going into primary care has been dropping over the past 2 decades. One reason for this move towards specialty medicine is the issue of compensation. Physicians in specialty practice typically make much higher salaries than those in primary care or family medicine. I don't mean to suggest that physicians are greedy, but rather that most have enormous debt to pay off and families to care for. Some physicians that might have otherwise chosen primary care choose to specialize because they don't feel that the salaries are high enough to help them pay off their debt.<br><br>One reaction to this decrease in the number of primary care physicians has been the addition of "mid-level" medical professionals, such Physician Assistants and Nurse Practitioners. Unfortunately, even among these medical professionals specialization is becoming more common.<br><br><img style="float:left;margin:10px;border:none;" src="http://whyphysicianhomeloansfail.com/wp-content/uploads/2014/04/itunes-logo.jpg" width="386" /><br><br>With a shortage of primary clinicians, the first to suffer are the poor (both urban and rural) and the homeless. These populations become medically underserved with fewer and fewer clinicians to turn to.<br><br><img style="float:right;margin:10px;border:none;" src="http://www.mortgagereturns.com/emailimages/bok/physicians.jpg" width="310" /><br><br>For those medical professionals who desire to work in primary care (especially with underserved populations) but fear that they cannot afford to, there are scholarship and loan repayment programs to help!<br><br><a href='http://hubpages.com/money/National-Health-Service-Corps-Scholarships-for-Medical-Professional-Students'>http://hubpages.com/money/National-Health-Service-Corps-Scholarships-for-Medical-Professional-Students</a><br><br>[[/html]] - Comments: 0

[[html]]<img style="float:left;margin:10px;border:none;" src="http://usphysicianhomeloans.com/wp-content/uploads/2013/12/physician-flyer-Loan-Officer-Matt.jpg" width="319" /><br><br>Of any graduate professionals, from vets to lawyers to engineers, doctors tend to accumulate the greatest levels of student debtand by no small margin. Despite that, the solutions available to medical residents and fellows are poorly publicized, and can be less than adequate. Medical school students generally graduate with upwards of $200,000 in federal debt, and varying amounts of private student loan debt. So what really are the best options for doctors in training? <br><br>Average Federal loan interest rates for medical students tend to hover between 5.5% and 7.0%. On a typical repayment plansay, the 10-year standarda resident will struggle mightily to afford the monthly obligation ($2,000+) without some serious belt tightening. Thus, many ill-advised borrowers will take the easy, but costly, route of putting their loans into forbearance during training. Income-based repayment plans are also a feasible alternative and can reduce your payment in the short term, but taken alone, they do little to help you out over the life of your loans. While either of these choices are theoretically doable, there are a couple of alternative options which will dramatically lower the out of pocket cost required to retire this debt. The first one I'll discuss is a federal program known as Public Service Loan Forgiveness, or PSLF.<br><br>Loan Forgiveness<br><br>Public Service Loan Forgiveness is a dream come true for some doctors. It promises full forgiveness on your federal loans after 10-years of monthly repayment on an income-based plan, assuming that borrower has been working full time at a non-profit entity. The main appeal is that those 10-years could include residency and/or fellowship, meaning that low (generally $250-$500/month) payments based on a residency or fellowship salary would still help you in progressing towards the required 10-years. This makes PSLF particularly alluring for doctors with longer residencies or fellowships, and larger loans balances. The main hurdle with PSLF is in the name: "public service." <br><br>Most doctors will simply not qualify for the program, as it contains strict conditions for what constitutes public service. Physicians must keep in mind that while they may physically work in a non-profit facility, if their paycheck comes from a private group, they do not qualify. Generally, PSLF is a program most applicable to doctors who foresee careers in academia or plan on practicing in underserved areas. Secondly, as a federal loan program, it can be subject to change. <br><br>Student loan debt has been a politically charged issue in the last decade or so, and repayment schemes have been haphazardly proposed, changed, and discarded by Congress. Having been enacted in 2007, the future of PSLF is far from assuredno borrower has even received the 10 year forgiveness yet. The program's political livelihood is also in question, at least for doctors. It was originally conceived primarily as an option for undergraduate borrowers, and law makers likely never envisioned six-figure earning physicians qualifying for tax-payer funded forgiveness. The program has already seen several challenges: President Obama's budget for 2015 contained a proposal for capping the forgiveness amount at $57,500. The measure did not make it into the final budget, but is hardly a good omen for the future of the program. On the surface, PSLF is an amazing opportunity for residents or fellows to lower their payments in residency, and end up with a big chunk of forgiveness. <br><br>Unfortunately, only a relatively small set of doctors will likely wind up qualifying, and even those that do, need to be aware of the potentially serious uncertainties surrounding the program's future.<br><br><img alt="2015-05-13-1431550801-451691-MedicalStudents.jpg" src="http://images.huffingtonpost.com/2015-05-13-1431550801-451691-MedicalStudents-thumb.jpg" width="425" height="282"/><br><br>Refinancing<br><br>The second option available to those with medical school debt, is to refinance the loans; same idea as refinancing a mortgage. To put it bluntly, interest rates on federal loans are not good. The possibility of being eligible for PSLF is the only real reason to even keep your loans with the federal government at all. Refinancing offers two benefits relative to keeping the loans: a lower interest and greater flexibility with repayment terms. Considering the typical size of a graduating medical student's loans, even a moderate reduction in interest rates can have disproportionate effects. The main hurdle for housestaff trying to refinance their loans has been the unfortunate truth, that very few institutions are willing to refinance $200,000 in loans for someone earning $40,000-$60,000. Sometimes close relatives may be willing to cosign, but by and large, up until now, refinancing has only been available to attending physicians who are earning six-figure incomes. <br><br><img style="float:right;margin:10px;border:none;" src="http://www.physicianloans.com/images/loan_points.gif" width="256" /><br><br>To remedy this situation, there are programs that have been launched dedicated to the unique financial circumstances of house officers. It allows a resident or fellow to refinance any amount of federal or private student loan debt (well, there is a minimum of $5,000), and pay only $100/month all through training. This offers borrowers seemingly the best of both worlds, as the monthly payment is substantially reduced, while also decreasing overall interest accrual. These $100 monthly payments last for the entire duration of training, plus the first 6-months as an attending physicians. At that point, the borrower will begin on whatever standard repayment term was selected when they initially refinanced (terms offered are 5, 10, 15, or 20 years). If you assume a $220,000 initial debt level, and a federal interest rate of 7.00%, a resident stands to save over $50,000 in interest costs by refinancing to a rate of 4.75%. To summarize, this amounts to an assuredly lower interest rate, a minimal monthly payment, and great deal more spare cash on hand during a time of relatively limited means. <br><br>So there you have it. Forbearing your loans through all of training is more of an "out of sight, out of mind" option, but can result in a dramatic snowballing as interest piles up. PSLF offers a very attractive potential savings route. And loan refinancing seems to be the best choice for anyone else. All things considered, if you're looking to optimize your repayment, it is difficult to imagine a situation where leaving your loans untouched through training is the best option.<br><br>Aryea Aranoff is the Chief Operating Officer at DRB Student Loan, a marketplace lender and FDIC-insured bank offering low rate student loan refinancing to working professionals and parents with PLUS loans. DRB Student Loan is a leader in this space offering some of the lowest rates in the country on its student loans. As of February 2015, DRB Student Loan expanded its student loan refinancing program to residents and fellows.<br><br>Biggest Money Mistakes 20-Somethings Make<br><br>Buying A Round Of Drinks At The Bar <br><br>You know you can't afford it. You might as well be burning your money. <br><br><a href='http://www.huffingtonpost.com/aryea-aranoff/dealing-with-medical-scho_b_7278270.html'>http://www.huffingtonpost.com/aryea-aranoff/dealing-with-medical-scho_b_7278270.html</a><br><br>[[/html]] - Comments: 0