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American Focus > Blog > Economy > Surgeon almost goes broke on a $665K salary thanks to 1 sneaky financial fee. Ramit Sethi sets things straight
Economy

Surgeon almost goes broke on a $665K salary thanks to 1 sneaky financial fee. Ramit Sethi sets things straight

Last updated: January 11, 2026 6:40 am
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Surgeon almost goes broke on a 5K salary thanks to 1 sneaky financial fee. Ramit Sethi sets things straight
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Jeff, a specialized surgeon, and his wife Susan, a stay-at-home mom, found themselves in a financial dilemma despite Jeff’s impressive annual income of $665,000. Seeking guidance, they reached out to finance expert Ramit Sethi on his podcast, “I Will Teach You To Be Rich.”

Even though Jeff’s take-home pay after taxes is $426,000 a year, they struggled to manage their expenses as they indulged in discretionary spending as their income increased. Sethi highlighted that money anxiety and poor spending habits can affect individuals across various income brackets.

One major issue identified by Sethi was the couple’s reliance on a financial advisor who charged a percentage of assets under management. Sethi emphasized the drawbacks of this fee structure, as it could result in escalating fees as the portfolio grows. He advocated for fixed advisory fees as a more cost-effective approach to wealth management.

In a YouTube video, Sethi mentioned his preference for paying a financial advisor for specific services rather than a percentage of assets. He pointed out that percentage-based fees could erode a significant portion of investment gains over time.

Jeff and Susan had $460,000 in two brokerage accounts managed by an advisor charging a 1.24% fee. Sethi calculated that if they maintained this fee structure for 35 years without further contributions, they could end up paying over $863,000 in fees.

Sethi suggested exploring alternatives like low-cost ETFs or index funds to minimize fees and maximize returns. He also recommended considering robo-advisors for tailored investment strategies aligned with risk tolerance.

For diversification, Sethi advised Jeff and Susan to explore alternative assets like commercial real estate or art. Platforms like First National Realty Partners offered opportunities to invest in commercial properties leased by national brands, providing stable returns without landlord responsibilities. Additionally, fractional ownership of artworks through platforms like Masterworks could offer strong returns with low market correlation.

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In transitioning away from a fee-based advisor, Sethi recommended communicating the decision clearly and transferring assets to a new account to avoid taxable events. Negotiating fees with advisors or opting for flat fee structures were suggested as alternatives.

Ultimately, Sethi emphasized the importance of making informed financial decisions based on individual goals and risk tolerance. By optimizing investment strategies and minimizing fees, Jeff and Susan could secure a more prosperous financial future.

TAGGED:665KbrokefeefinancialRamitSalarySethiSetssneakyStraightSurgeon
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