2026 Is Half Over. Check the Instruments.
The math stopped me cold like a sponge count that comes up short at closure. June 3rd was the exact halfway point of 2026, which puts us officially closer to 2050 than to 2000. I sat with that between patient notes and felt the ambient dread you get when a lab value comes back worse than expected.
For most people that’s a passing curiosity. For physicians it hits differently, because our financial clocks run behind everyone else’s.
We started this race late. Residency consumed our late 20s, fellowship (if that was part of the deal) swallowed another one to three years on top of that, and the average physician doesn’t write their first real attending paycheck until age 30 or later. Our college roommates in finance or engineering had a decade of compounding head start. That gap doesn’t close by accident.
So, mid-year gut check: where should you actually be?
Early 30s, fresh attending: student loans need a concrete payoff or refinance plan, not just an autopayment you ignore. Disability insurance needs to be locked in while you’re still healthy and unrated. Max the 401(k) and execute the backdoor Roth IRA conversion before any taxable account gets a dollar.
By your 40s, net worth should be tracking toward one to two times your annual gross income. Your HSA, if you have access to one through a high-deductible plan, deserves to be invested rather than spent. At this stage, knowing your savings rate matters as much as knowing your RVUs. Most physicians who reach financial independence sustain a 20-25% savings rate for 15 to 20 years, and they stay consistent through the market’s worst runs.
Pushing 50, the math shifts. Tax positioning and sequence-of-returns risk deserve more attention than raw accumulation. Roth conversions start earning their keep. The problem, almost universally, is lifestyle creep: the second home, private school tuition, the upgraded car that arrived without a real conversation. Each one quietly absorbs income that could have compounded instead.
2050 is 24 years out. For many of us, that’s precisely when retirement lives. The halfway point of 2026 is a decent enough excuse to look at the instruments and see where the altitude actually is.
Thanks for stoppy by!
Jorge Sanchez, MD
Naples, Florida
The Sunday Best (06/14/2026)
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