Thanks to developments in medical science, people are living longer than ever. That's the great news. Now for the hard reality:  Longer lifespan brings with it greater economic needs. For instance, according to this New York Times article, “Planning for Retirement? Don't Forget Health Care Costs”, the average couple retiring today can expect to spend in the neighborhood of $240,000 on health care costs alone in their post-retirement years.

That figure becomes pretty distressing when I see that about 90 percent of the dentists over 55 who come to my Transitions workshops have saved $300,000 or less, meaning that most of them are on a path to bankruptcy within a few years of retirement – even after accounting for the sale of their practice.

In fact, according to stats the ADA released a few years ago, only about six percent of dentists retire with enough to maintain the lifestyle they have created for themselves. And remember, we're talking about people who are among the top earners in society.

So how do you get yourself into that exclusive "Six Percent Club?" There are three key steps to follow:

1. Pursue excellence at all levels. That means clinical excellence, which is about continual education and growth so you can do more, value excellence, which is about getting more patients to say yes to what you can do, and economic excellence, which is about optimizing practice protocols to give you the right cash flow for today and tomorrow.

2. Develop a strategic spending plan, not a budget. A budget is a restrictive way of looking at things. I'm talking a spending plan where you allocate your resources in the right way. A plan that makes paying toward your future a priority, through your retirement plan and investments, as well as through strategic reinvestments in the practice that increase its value and its ability to support you.

3. Create a calendar plan that works for you. Time is just as important as money, and the right calendar plan should support your ultimate goals. That means spending the right proportion of time working in the practice, on the practice, and outside of the practice. Those proportions will change over the years. And if you do it right and create the mix that feels comfortable, you may find that you want to continue in the practice well into "retirement." (And it may not just be you that wants that. I can recall having wives offer to pay me if I could advise their dentist husbands on how to practice at least part time, so they could get them out of the house for awhile.)

But if it's a matter of working about 80 days a year, doing the cases you love, in a practice you love, and earning enough to keep you economically healthy throughout your life, who wouldn't want that? You'll stay young forever.



Comments

Commenter's Profile Image Barry Polansky
February 4th, 2013
Retiring with dignity is a hot topic these days. I would also suggest loving your work...because if you resent the work or the patients...you will need more money to take care of the health problems you will create from not living a truly happy life. In line with what Imitiaz said--- loving your work (passion) is a byproduct of mastery, so pursue excellence for your own health and well being. The second thing I would add is to pay attention to your health NOW. Exercise and eat properly NOW...because THEN it will get pretty messy and very expensive...(sound like advice you might give a patient, huh?) That last piece of advice is as sound as it gets--but science shows we have a hard time visualizing ourselves NOW and THEN. Barry Polansky
Commenter's Profile Image John Sweeney
February 5th, 2013
Well Said Imtiaz and Barry. couldn't agree more. Another thing is that being a great steward and learning to manage finances responsibly, free us to pursue our ultimate practice vision rather than being stressed about our circumstances on a day to day basis. I firmly believe that financial stress is one of the biggest roadblocks to dentists pursuing great dentistry. Because, it allows fear to creep in and it affects everything. From the way dentists treatment plan to the decisions they make on participating with insurance or not. And, whether or not to attend CE continuums. When we can go into a treatment room and give our patient our best knowing that it's ok if they don't accept treatment, that even if they leave and say we are too high, etc., that our practice will thrive and we can pay the bills even if they say no. Ironically, when we can approach things in this manner, most of them say yes. It's like that old saying, when I really need them to say yes, they say no. But when I don't need it, they say yes. funny how that works out many times. In Dr. Pankey's book, he talks about how important it is for healthcare professionals/dentists to be financially responsible. He didn't believe that dentists who were stressed out about finances could be as true to their patients and the treatment planning process. I think about this often and try to keep it in mind when making any financial decisions.
Commenter's Profile Image Barry Polansky
February 6th, 2013
John--your comments are right on---I started at the Pankey Institute in 1985---that's a long time ago even though it feels like yesterday. I was stressed and broke. I remember hearing the words of Harold Wirth that you expressed in your comment. I listened to the wisdom---I took care of the financial and survival issues first (like taking in O2 before handing the mask to anyone else)---I became unreasonably selfish --- then things worked out so I could concentrate on doing the better dentistry. Thanks for the conversation. Barry