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Tips for Physicians on Buying a Home the Right Way

By James M. Dahle, MD, FACEP | on October 13, 2015 | 9 Comments
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Tips for Physicians on Buying a Home Right Away

Even when purchasing a home makes sense, it is critical to realize that a home purchase is mostly a consumption item, not an investment. Larger homes require more money to heat, cool, maintain, furnish, landscape, insure, upgrade, and clean. Try to buy a home closer to what you truly need rather than everything you could possibly want. Although a mortgage lender may approve you for a home costing four to five times your gross salary, you would do well to make sure your mortgage is less than two times your gross income. So if you make $250,000, the general rule is that your loan amount should be less than $500,000.

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ACEP Now: Vol 34 – No 10 – October 2015

In recent years, many lenders have started offering “physician mortgage loans.” These are loans that banks will give to a physician that allow them to avoid private mortgage insurance (PMI). PMI protects the lender against you defaulting without your putting down a standard 20 percent payment. These loans usually also offer special underwriting that will allow you to close with just a contract rather than proven earnings and may take your student loans into special consideration. It is important to realize that these lenders aren’t doing you a favor out of the goodness of their hearts. These loans have slightly higher fees and interest rates than comparable conventional mortgages. The banks are also well aware that your risk of default is very low and hope you will then use their bank for your banking, investment, and insurance needs. A physician loan can make sense but only if you are using the money you would have used for a down payment for a better financial purpose, such as paying off high-interest student loans or making retirement account contributions. If you aren’t already using 15–25 percent of your attending gross salary to build wealth (ie, saving or paying off debt), then purchasing a home, with or without a physician mortgage loan, probably isn’t a great idea until you get your financial house in order.

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Topics: Early CareerEmergency PhysiciansPersonal FinanceResident

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About the Author

James M. Dahle, MD, FACEP

James M. Dahle, MD, FACEP, is the author of The White Coat Investor: A Doctor’s Guide to Personal Finance and Investing and blogs at http://whitecoatinvestor.com. He is not a licensed financial adviser, accountant, or attorney and recommends you consult with your own advisers prior to acting on any information you read here.

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9 Responses to “Tips for Physicians on Buying a Home the Right Way”

  1. February 8, 2017

    Phil Reply

    Is there a general rule of thumb of either equity position and/or number of years into a given mortgage term (either 15 or 30 year) when you lose the benefit of the mortgage interest deduction?

    Or to state it another way, one “loses” the marginal tax benefit that comes with a mortgage when your principal payments increase (and interest payments decrease).

    • February 8, 2017

      James M. Dahle, MD, FACEP Reply

      Not really. It’s a bit complicated in that some people never had a tax benefit if their total itemized deductions are less than the standard deduction. Others might still be able to consider the last penny of mortgage interest they pay as deductible if they have enough other itemized deductions.

      But when a low interest rate mortgage gets down into a five figure range, you’ve got to start wondering if it is worth keeping that mortgage around. A 3% $100K mortgage only provides $3000 in interest a year to deduct, so perhaps a tax benefit of about $1000 for a typical doc. Yet in order to get that you might be making payments of $20-40K or more a year. The improvement in cash flow might be worth giving up the deduction.

  2. March 8, 2017

    Luke Smith Reply

    I, like many rookie buyers apparently, had no idea that a mortgage payment should be significantly lower than your rent. It made sense when I read your breakdown of where rent money goes though. I bet that taking the time to choose a real estate agent who really has your best interests in mind would be a good way to ensure that you are really getting the deal you want.

    • March 9, 2017

      James M. Dahle, MD, FACEP Reply

      Unfortunately, most realtors are exceptionally good at selling homes and not so good at analyzing whether you would be better off renting instead. Not to mention there is no incentive for them to do so. It’s like going to a barber and asking if you need a haircut. You need to make that determination either by yourself or with the assistance of an unbiased advisor.

      I also find it interesting that your website has the name of a real estate firm in it. I’ll bet most people reading your comment here on ACEP NOW would not have assumed you worked in the real estate industry. Lack of that sort of disclosure is unfortunately very common in the financial services industry.

  3. July 18, 2017

    Derek Dewitt Reply

    My wife and I are looking to buy our first home but don’t know where to start. I like that you recommend multiplying the mortgage by 1.8 to get a more accurate account of what you’ll be paying. We’ll have to keep this in mind when looking for houses and possibly change our approach if renting ends up being much lower than that number. Thanks for the tips!

  4. September 2, 2017

    Gloria Andre Reply

    Thank you for your post

  5. September 9, 2017

    Rachel Frampton Reply

    You are so right. A mortgage should be way lower than the average rent. If you are paying the same price than buying a home may not be for you. That’s why it’s so important to find a real estate agent who is willing to put your needs over their commission.

  6. November 19, 2017

    Gary Parker Reply

    I am completely agree with @Rachel-Frampton. Because when you are purchasing a home, it is critical to realize for others that a home purchase is consumption item, not an investment. It is a dream of somebody. Thanks for sharing it with us.

  7. August 6, 2018

    Richard Davis Reply

    I agree most first time home buyers are hesitant to buy a new house because they think that a home purchase is mostly a consumption item, not an investment. However, it is always great to have a house that you can really call your own home. Great blog by the way. Thanks for sharing.

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