What’s Your Medical Mindset?

Many assumptions go into any kind of financial plan. One of the biggest is the amount needed to cover health care. Lots of financial planners, and retirees-to-be, approach it from a law-of-averages angle: if there are no chronic conditions present, simple assumptions about premiums, out-of-pocket costs, and inflation rates are made.

Your Medical Mind

When you think about it, though, few people are actually “average” when it comes to buying healthcare. Jerome Groopman and Pamela Hartzband, M.D., wrote Your Medical Mind: How To Decide What’s Right For You. Their book explains wide variations in how we choose to purchase medical services.

Therefore, a thorough financial plan would take into consideration one’s general level of health, first, but also focus on two questions:

1. Are you a healthcare minimizer or maximizer? Healthcare minimizers get basic minimum preventive care. Maximizers are looking to healthcare providers to address nearly any symptom that arises.

2. How much do you favor alternative over conventional medicine? 

​If we were to take the extremes of each answer, we would have 4 results for your medical mindset: 

Conventional minimizer – Getting basic preventive care through the traditional healthcare system.

Conventional maximizer – Seeing many practitioners, frequently, in the traditional healthcare system.

Alternative minimizer – Preferring to get preventive care through non-covered providers such as acupuncturists, shamans, non-traditional therapists, or care in foreign countries

Alternative maximizer – Seeing many alternative (non-covered) practitioners or purchasing many alternative medical products. 

Most people are some combination of each. For planning purposes, though, a conventional minimizer is going to need very little set aside compared to the alternative maximizer. They will have very few expenses covered. Some estimates are that the alternative maximizer may need as much as $300,000 more set aside to cover their lifetime medical expenses at retirement.

Before I knew better, I was one of the professionals making average assumptions for all clients. After asking more about their preferences and choices for their care, I have learned everyone is different. Practically no one is “average.” Make sure you have a plan, and a planner, who don’t assume you are.

Holly Donaldson

Holly P. Donaldson, CFP® writes and consults on the psychology of money. Her fee-only, product-free financial planning practice focuses on increasing financial self-efficacy for those seeking a financial navigator to help them make good decisions. She is the author of The Mindful Money Mentality: How to Find Balance in Your Financial Future (Porchview Publishing, 2013) and publisher of the award-winning monthly e-letter, "The View From the Porch." With a fully virtual practice in Seminole, Florida, she primarily serves clients located in the Tampa, St. Petersburg, and Clearwater areas. Holly will also work with clients who are a good fit located elsewhere in the United States.

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