WCI #449: Unions, ACATS Fraud, Vesting, HSAs, and ETFs: What Doctors Need to Know
White Coat Investor Podcast
Dr. Jim Dahle of the White Coat Investor
4.9 • 2.3K Ratings
🗓️ 11 December 2025
⏱️ 43 minutes
🧾️ Download transcript
Summary
Today's episode tackles a wide mix of practical questions. We explore the pros and cons of unions for doctors, how to protect yourself from ACATS fraud, and what you need to know about vesting rules. We also dig into an asset allocation question, upcoming changes to HSA plans in 2026, and whether it makes sense to exchange a mutual fund for its ETF counterpart. It's a packed episode with insights you can put to use right away.
Today's episode is brought to us by SoFi, the folks who help you get your money right. Paying off student debt quickly and getting your finances back on track isn't easy, but that's where SoFi can help — they have exclusive, low rates designed to help medical residents refinance student loans—and that could end up saving you thousands of dollars, helping you get out of student debt sooner. SoFi also offers the ability to lower your payments to just $100 a month* while you're still in residency. And if you're already out of residency, SoFi's got you covered there too.
For more information, go to https://www.whitecoatinvestor.com/Sofi
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00:00 WCI Podcast #449
01:19 Unions in Healthcare
05:43 ACATS Fraud: What You Need to Know
16:43 Vesting in Employer's Retirement Accounts
19:42 Rebalancing vs. Paying Capital Gains
27:33 HSA Eligible Healthcare Plans
34:34 Swapping Mutual Funds for ETFs
Transcript
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| 0:00.0 | This is the White Coat Investor podcast, where we help those who wear the white coat get a fair |
| 0:04.8 | shake on Wall Street. We've been helping doctors and other high-income professionals stop doing |
| 0:09.6 | dumb things with their money since 2011. This is White Coat Investor podcast number 449. |
| 0:19.4 | Today's episode is brought to us by SOFI, the folks who help you get your money right. |
| 0:23.8 | Paying off student debt quickly and getting your finances back on track isn't easy. |
| 0:27.3 | That's where SOFI can help. |
| 0:28.9 | They have exclusive low rates designed to help medical residents refinance student loans. |
| 0:33.8 | That could end up saving you thousands of dollars, helping you get out of student debt sooner. |
| 0:37.9 | SoFi also offers the ability to lower your payments to just $100 a month while you're still in residency. |
| 0:43.5 | And if you're already out of residency, SOFI's got you covered there too. |
| 0:46.9 | For more information, go to SOFI.com slash white code investor. |
| 0:50.2 | SoFi student loans are originated by SOFI Bank, a member FDIC. Additional Terms and Conditions |
| 0:54.4 | Apply NMLS 696891. All right. Welcome back to the podcast. We are grateful you're here. We're |
| 1:03.4 | grateful for what you do. If you had a rough day today, I'm sorry. Know that you're appreciated, |
| 1:08.7 | that your work matters. |
| 1:15.8 | If you're headed to a rough day, I guess you don't know it any better than I do, but I hope that's not the case. |
| 1:17.2 | Keep your head up. |
| 1:18.6 | You can get through this. |
| 1:20.0 | All right. |
| 1:22.4 | We're going to start by talking about unions. |
| 1:28.0 | I got an email from a PA and CT surgery and a longtime subscriber. |
| 1:32.3 | She says, I'm currently involved in forming a union in Oregon for APPs. |
... |
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