u/Salt_Koala1521

Hi everyone,

With the new CGT changes to share trading, buying and selling shares under your personal name has lost much of its appearl. That 50% CGT concession sure was good, but that is going away shortly.

I am on the highest income bracket and have a multimillion dollar share portoflio. My strategy is buy and hold for a few years usually. I am exploring company/trust structure so as to delay tax when I do sell shares. Instead of forking out nearly 50% every time I sell to pay tax (assuming it is successful), it will be 30%. This leaves the rest to be invested.

The complexities of a trust/ company as well as the addiotnal costs, has been off putting to me. However the money that I invest does not need to be withdrawn for personal use and I intend to use it for long term investing.

Can someone shed some light into this?

I have an intrinsic dislike of accountants' fees and promotianal activity

Also - what about discretionary trust with a corporate trustee?

THanks again

Hi all,

I think many of us doctors are quite driven, determined and keen to do a good job. For me, this is key reason why I entered medicine and also a source of pride.

The incentives however in hospitals is sometimes perverse. Most of us are paid by the hour, and there is not huge incentives to work harder, quicker and better, especially when no one is watching and it doesnt add to your career

For the nursing staff, the incentive system is even worse. THey usually move up their ladder just with the time worked, and has nothing to do with merit or graft.

This absence of an effective incentive structure is a key reason why there is so much conflict in the workplace. Nurses want fewer patients, they want to work less and there is very little reward for being super helpful and going beyong to help. The carrot is just not there. The harder you work, the more competent you are, the more helpful you are, you tend to attract even more work. The stick side of things is also toothless. In the public sectior, henioius acts /omissionsn are sometimes required to be booted from the system. The threat of being sacked for most people is just not quite there.

Contrast this to the private hospital system, where nurses can be sacked and it can be quite different. Nurses are more polite, professoinal and helpful towards doctors. Instead of being difficult, being obstructive, and challegning, they can be working as one team, Less of a us vs them doctors attitude.

Navigating office policitics in hospials especially with nursing staff is very diffciult. This is a plce where we are expected to act like saints and behave professionally, but not them. Any misstep, any deviation from that is caught on fast and can be punished disportiontiately.

How do guys navigate this system, where sometimes asking a nurse do their job feels like a begging exercise? Where you are expected to the highest of standards and they can be be held to a far lower standard?

As someone senior and a specilist overseas in a rich western country, working as a clinical fellow here, I would like to share some thoughts.

1. ANPs are definite taking on doctor roles here. They can prescribe, do invasive procedures and manage critical care patients indendpently.
2. ANPs, in my experience, dont have the same dedication or committment to patients or self education. If there is an emergency, they all take their breaks and hardly come to help. I have never hear them quote an article and refer something academic or evdience based. Its invariably, ''this is what we do here'', as if that is more important than thougthfuly individualised care
3. ANPs, - at handovers, I cant trust anything the say. Vast majority of is just repeition, with no sight, and full of factual errors. I really do wonder if they are actually helpful sometimes, because I have to repeat everything they do
4. ANPs may work well in very niche areas where there is little risk of patient harm and where guidelines completely dominate.
5. Dunning-kruger effect seems to be peaking in many of them.
6. Finally, the worst is their complete lack of responsiblity. If doctors F up, then you may not progress, you many not get that training post, you may not get that consultant post, you will not be respected. For them, they seem to have the fun without the responsbility or the accountability. That is a perverse reward system.

I think they act as F1/F2 level at best, but without the humility, the dedication and motivation to become better. For them, it mostly seems like a job, not calling

My experience are are based in two hospitals, one in outer London and the other in Scotland, at foundation trusts , all rated very highly

This budget changes severely impacts me.

I have worked full time when I was at uni, and now more than 6 days a week as a middle aged man

I am in the highest income bracket and I spent a huge portion of any spare time I have into studying stocks and share investing

my strategey is usually hold for 1-3 years and then use CGT 50% discount

I have a multimillion portfiolio due to my frguality, hard work, and skill/luck with investing

THis is a very bad outcoem for me

THough i have to agree that it seems unfair to tax wages much more heavily thant capital gains after 1 year of share investing

thoughts anyone?

HI everyone,

Going to buy a cheap new electric car - like BYD atto or Geely Ex2. Currently a sole trader anaesthetist with a mix of public and private work. Need to also consider taxation issues when selling the car if purchased as a business (sole trader) car. Can anyone shed light on this car purchase?