jclarksnakes said:
Many of the 45+ year old physicians I know seem to be doing very well.
The operative phrase (no pun intended) is "
seem to be."
Depending on specialty and personal factors, that lavish lifestyle may be the very thing that keeps them from FIRE, or at least limits their FIRE to a much more modest lifestyle than they thought they wanted.
When I got to about age 40, I started to realize that many of my senior colleagues who just plodded along in practice well beyond age 65 fell into a few basic groups:
a. Those who truly loved the calling so much that they felt like saints when they were seeing patients (maybe 1%), and would die with their stethoscopes in their ears
b. Those whose personalities made them certain they were indispensable (a hard delusion to maintain as you age in this profession)
c. Those who lived large right along and, well, really couldn't afford their perceived necessary lifestyle on savings alone
d. Those who had nothing else to do, having lived a single-channel life since age 18.
I decided that none of the above were appealing that an ERBob style ER was best for me (even before I read his fine book). So, I started saving after my last loan repayment (better late than never), did some serious introspection about who I was, what I loved, and all that. Goal: continue practicing in a very part-time way, good financial manners, and a new era of exploration, freedom from work hassles and personal growth. We'll see.
Back to your original point: looks can be deceptive.
Shooting for FIRE in 3 years or so, around age 60.