Reddit Pulse update

As seen on the 24/7 Wall St. homepage on September 28, 2026.

Reddit Pulse r/fatFIRE
Medicine is falling apart, time to move on?

u/resilientresponsible 103 upvotes 170 comments

The guilt part is what gets you, not the hours. When you see how the decisions actually get made it's impossible to unsee it My cousin left a director role at big hospital system for per diem clinical work about 2 years ago. Took a huge pay cut but says he actually sleep now. With your net worth you can afford to try it for a year and see if the sanity is worth the smaller paycheck

A $16 million net worth on $400k of annual spending is already a finished plan, yet the debate in this thread is whether burnout justifies giving up $1.1 million a year. The real lesson: once the math works, the only open question is what the money is for.