Why wouldn't this cost of living hack work for California?

Nurses General Nursing

Published

Right now we live in Florida (put aside that I'm in school to be a PMHNP and that my wife currently works from home as one). If we went back to "bedside" why couldn't we live in Vacaville and commute to San Francisco (we each have about 10 years ICU experience) or live in Carson City Nevada and commute to Sacramento (or at least I could my wife could keep her current home based PMHNP, telemedicine job). In this way we could benefit from the high California pay (currently I make $45,00 no benefits working nights in the ICU) while minimizing the higher cost of living. Actually, I think living in Nevada and commuting to Sacramento might be the better bet even with relatively less pay in Sacramento than San. Fran. Currently, although I only live 32 miles from work in Orlando it takes me about an hour going one direction, but two hours with traffic going home.

Specializes in ICU, trauma, neuro.
13 minutes ago, 2Ask said:

I really liked your idea of doctors and nurses OWNING a hospital. It is visionary. You have mentioned that primary care docs in Florida are dissatisfied with their income, as are nurses. Florida might be the PERFECT place for an idea like that to come to fruition!

https://aapsonline.org/surgery-centers-with-cash-friendly-pricing/

This concept would probably be most congruent with an IP practice state such as Washington with a long history of supporting NP’s and might work best as the “capstone” to a “NP HMO system”. California and Florida have strong industry and MD activism which have largely suppressed NP independence.

Specializes in Psych, Addictions, SOL (Student of Life).
15 hours ago, myoglobin said:

..............he also wants to join ROTC and have it pay for college a thought which disturbs my SO far, far more than even the concept of moving to Kauai.

My Aspies Husband and I fully embrace our son's (17) social life. He has been taught good manners and has strong ethics. While we could easily afford Private school tuition and a car. He wants to do things on his own and is working as a lifeguard this summer. So he can buy a car. (I will probably matching what ever he saves. Once he graduates next year he plans to go Community College as I told him he would not be charged rent as long as he is in school. He is then looking as UCSD and the ROTC Navy route to finish his education. He is interested in becoming a Psychologist or maybe follow in my footstep. He has no interest in what my ASH does which pays very well but as the saying goes "I could tell you what he does but then I'd have to kill you"

My point is you can't isolate a kid and make him grow up in your image. Besides IF he does the UCSD/ROTC route he might very likely be stationed in Hawaii so you all could visit him there.

Hppy

Specializes in ICU, trauma, neuro.
6 minutes ago, hppygr8ful said:

My Aspies Husband and I fully embrace our son's (17) social life. He has been taught good manners and has strong ethics. While we could easily afford Private school tuition and a car. He wants to do things on his own and is working as a lifeguard this summer. So he can buy a car. (I will probably matching what ever he saves. Once he graduates next year he plans to go Community College as I told him he would not be charged rent as long as he is in school. He is then looking as UCSD and the ROTC Navy route to finish his education. He is interested in becoming a Psychologist or maybe follow in my footstep. He has no interest in what my ASH does which pays very well but as the saying goes "I could tell you what he does but then I'd have to kill you"

My point is you can't isolate a kid and make him grow up in your image. Besides IF he does the UCSD/ROTC route he might very likely be stationed in Hawaii so you all could visit him there.

Hppy

I only gave him that advice “ don’t date until done with school” because I’m a social butterfly compared to my son who is a wonderful, smart person, but was raised as an only child, homeschooled. My one relationship in my teens early 20’s brought me to the brink of emotional, and scholastic desolation. Thus, I hope that he can avoid such a fate.

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