Best Scott Wisniewski Podcasts (2025)

1
Ep 38: When Politics Pause and Portfolios Don't 18:12

Play Pause

3d ago18:12

18:12

It's been over three weeks since the government shutdown began — now one of the longest in U.S. history. By the time this episode airs, Congress may have reached a deal, but the uncertainty surrounding it mirrors the broader unease in today's markets. Inflation, rate policy, and concentrated stock performance have investors questioning what comes n…

1
Ep #262: Over-Contributed? Here's Exactly How to Fix It — IRAs, 401(k)s, and HSAs Explained 23:28

7d ago23:28

23:28

You'd be surprised how often people have an "oops" moment at tax time — realizing they've contributed too much to a retirement or HSA account. It's more common than you'd think, and the rules for fixing it depend entirely on when you catch the mistake. While these situations can cause some frustrating tax complications, the good news is they're alm…

1
Ep 37: Your MedSpa Year-End Business Checklist: What to Do Before December 31st 17:22

10d ago17:22

17:22

As we approach year-end, this is the time to get your MedSpa's financial house in order. From reconciling accounts and organizing your books to checking compliance, payroll, and year-end tax strategies, these next few weeks set the tone for how smoothly your new year begins. Whether you handle most of the details yourself or delegate them to your t…

1
Ep #261: From Residency to Riches: How to Handle Your First Attending Paycheck 15:21

11d ago15:21

15:21

Every year, thousands of new attendings experience the same shock: the overnight jump from residency income to real money. The excitement is real — but so are the risks of complacency, overspending, or simply drifting without a plan. What you do in that first year sets the tone for everything that follows. So today, we're breaking down the four thi…

1
Ep 36: The First-Year MedSpa Owner Playbook: How to Turn Early Success Into Long-Term Wealth 25:07

17d ago25:07

25:07

Every year, thousands of new MedSpa owners experience the same rush — that first wave of real revenue. You go from scraping together savings and startup capital to suddenly seeing tens of thousands of dollars hitting your business account each month (hopefully). The excitement is real — but so are the risks of complacency, overspending, or drifting…

1
Ep #260: What a Fed Rate Cut Means for ER Doctors 14:31

18d ago14:31

14:31

The Federal Reserve's recent decision to cut interest rates has made headlines, and while it may seem like something that mostly affects Wall Street, the truth is these moves ripple through every household and profession. From mortgages and student loans to savings yields and the stock market, Fed policy plays a quiet but powerful role in your pers…

1
Ep 35: Boom, Bubble, or Both? The Truth About AI Investing 15:17

24d ago15:17

15:17

Artificial intelligence is everywhere in the headlines, and many are calling it the biggest boom since the internet revolution. Some compare it to the dot-com bubble, while others see it as a lasting shift that will reshape how businesses, investors, and individuals operate. What's clear is that the ripple effects go far beyond tech companies — the…

1
Ep #259: Boom, Bubble, or Both? The Truth About AI Investing 15:57

26d ago15:57

15:57

Artificial intelligence is everywhere in the headlines, and many are calling it the biggest boom since the internet revolution. Some compare it to the dot-com bubble, while others see it as a lasting shift that will reshape how businesses, investors, and individuals operate. What's clear is that the ripple effects go far beyond tech companies — the…

1
Ep 34: What a Fed Rate Cut Means for Your MedSpa 13:51

1M ago13:51

13:51

The Federal Reserve's recent decision to cut interest rates has made headlines, and while it may seem like something that only affects Wall Street, the reality is that these moves ripple through every corner of the economy. From borrowing and lending to savings yields and consumer confidence, rate changes shape how businesses and households make fi…

1
Ep #258: The Wrong Question About Retirement: Why "How Much Do I Need?" Misses the Point 14:34

1M ago14:34

14:34

We get asked all the time by ER doctors: "How much do I need to retire?" Surprisingly, the answer to that is actually, "You're asking the wrong question." The real question is: How do you build a career and financial structure that doesn't just pay you—but frees you? Assets are only half the equation; the other half is designing a life and financia…

1
Ep 33: The Wrong Question About Retirement: Why "How Much Do I Need?" Misses the Point 13:06

1M ago13:06

13:06

We get asked all the time by MedSpa owners: "How much do I need to retire?" Surprisingly, the answer to that is actually, "You're asking the wrong question." The real question is: How do you build a business that doesn't just pay you—but frees you? In the MedSpa world, profitability is only half the equation; the other half is designing a model tha…

1
Ep #257: Contracts 101 for EM Docs: What to Know Before You Sign 25:47

1M ago25:47

25:47

Every job offer looks different on the surface, but what really matters is buried in the fine print. Sometimes the details that don't make it onto the headline page end up shaping your career more than the pay rate ever could. Today we're going to pull back the curtain and talk about the hidden levers inside EM contracts that can determine whether …

1
Ep 32: Why MedSpa Owners Struggle to Spend After Success 15:00

1M ago15:00

15:00

Most MedSpa owners spend their careers building discipline — pouring profits back into the business, paying down equipment loans, maxing out retirement accounts when possible, and making sure the numbers always work. By the time they reach financial independence, the nest egg (and/or business equity) is there, but something unexpected happens: the …

1
Ep #256: Why ER Doc Savers Struggle to Spend in Retirement 13:37

2M ago13:37

13:37

Most ER docs spend their careers building discipline — grinding through debt, maxing out retirement accounts, and making sure the numbers always work. By the time they reach financial independence, the nest egg is there, but something unexpected happens: the habits that carried them here don't always translate into the next phase. Retirement brings…

1
Ep 31: The Words That Build Trust: Communication Secrets for MedSpas 13:14

2M ago13:14

13:14

Running a MedSpa isn't just about great treatments or the latest technology—it's also about the conversations you're having every single day. From the way you describe a service, to the tone of voice in a social media post, to the reassurance you give during a first consultation, your words shape how clients see and trust you. The most successful M…

1
Ep #255: Decade by Decade: The Real Net Worth Trajectory of Emergency Physicians 24:30

2M ago24:30

24:30

When ER doctors talk about building wealth, the stories often sound like night-and-day—one physician hits millionaire status by 40, while another is still digging out of debt. What explains the difference? It usually comes down to a handful of consistent choices around debt management, savings rates, and lifestyle creep. To see how those decisions …

1
Ep 30: Our Favorite Tax Strategies Under OBBB — These Will 100% Save You Thousands 27:05

2M ago27:05

27:05

If you're a business owner or high-income earner, the difference between a good year and a great one often comes down to what you keep — not just what you make. The tax code is filled with opportunities that go unnoticed by most, especially those who don't have time to dig deep or plan ahead. But when structured correctly, even small adjustments ca…

1
Ep #254: Our Favorite Tax Strategies Under OBBB — These Will 100% Save You Thousands 27:13

2M ago27:13

27:13

If you're a business owner or high-income earner, the difference between a good year and a great one often comes down to what you keep — not just what you make. The tax code is filled with opportunities that go unnoticed by most, especially those who don't have time to dig deep or plan ahead. But when structured correctly, even small adjustments ca…

1
Ep 29: The Equity Sweet Spot: Why MedSpa Owners Can't Afford to Miss It 15:21

2M ago15:21

15:21

When it comes to long-term success, nothing moves the needle quite like exposure to the equity markets. For most professionals, the sweet spot for taking on that market risk happens in their 30s and 40s—when income is steady, savings are growing, and there's still plenty of time to ride out volatility. But for MedSpa owners, that window looks diffe…

1
Ep #253: The Equity Sweet Spot: Why ER Doctors Can't Afford to Miss It 14:38

2M ago14:38

14:38

When it comes to long-term success, nothing moves the needle quite like exposure to the equity markets. For most professionals, the sweet spot for taking on that market risk happens in their 30s and 40s — when income is steady, savings are growing, and there's still plenty of time to ride out volatility. But for ER doctors, that window looks differ…

1
Ep 28: The $2 Million Paradox: Why MedSpa Owners Feel Like They're Still Not Winning 14:42

2M ago14:42

14:42

Imagine profiting $1.5 to $2 million a year… and still feeling like you want to walk away. On the outside, it looks like a dream business—clients love you, the brand is strong, and the numbers look great. But behind the scenes, the pressure, decisions, and constant demands tell a very different story. In this episode, we'll unpack why that disconne…

1
Ep #252: Doomscrolling vs. Doom Planning: The Hidden Traps in Life and Money 15:08

3M ago15:08

15:08

Sometimes the smallest changes in our environment can dramatically shift the way we think, choose, and live. One subtle adjustment to something we use every day can break old patterns, quiet distractions, and help us act with more intention. And the interesting thing is, these changes often go far beyond the original purpose—they can influence how …

1
Ep 27: The 5 Levels of Financial Wealth for MedSpa Owners 14:53

3M ago14:53

14:53

Most conversations around money focus on either how to make more or how to spend less — but what if we zoomed out and looked at the entire journey? Today, we're breaking down a framework that maps out the stages of financial growth in a way that's deeply relevant to MedSpa entrepreneurs. It's not about formulas or hacks — it's about clarity, perspe…

1
Ep #251: The 5 Levels of Financial Wealth: Where Are You Now — And What's Next? 18:22

3M ago18:22

18:22

Today's episode offers a different lens on money — one that goes beyond income, account balances, or net worth. We're exploring the stages of financial life that shape how we live, spend, save, and feel about money. It's not just about how much you have, but what that money is doing for you — and what it's freeing you from. Let's get started.…

1
Ep 26: Booked But Not Busy: Fixing the No-Show Problem 9:41

3M ago9:41

9:41

Cancellations and no-shows: they may seem like occasional inconveniences, but their ripple effects can hit harder than you think — from revenue gaps to strained teams and chaotic schedules. Whether you're brand new or already established, how you handle these moments speaks volumes about your systems. So today, we're unpacking the hidden cost of ca…

1
Ep #250: Health Insurance Hacking for the Early Retired 14:25

3M ago14:25

14:25

If you're thinking about early retirement, there's one cost that tends to catch high earners off guard. The paycheck may stop, but your expenses certainly don't — and one of the biggest line items is health insurance. What many don't realize is that how you fund your lifestyle in retirement can dramatically affect what you pay for coverage. In toda…

1
Ep 25: The 12 Financial Vitals Every MedSpa Owner Should Track 13:42

3M ago13:42

13:42

On today's episode, we are going over 12 vitals designed to take a pulse on both sides of the equation: how your MedSpa is performing and how that performance is showing up in your day-to-day life on the personal side. Some are financial, some operational, and a few might hit a little deeper. But taken together, they paint a clearer picture of whet…

1
Ep #249: The Student Loan Shake-Up: Who Needs to Panic (and Who Doesn't) 15:04

3M ago15:04

15:04

You've probably seen some student loan headlines recently. Pending your situation, you may be thinking this doesn't affect you — and you could be right — but if you've got federal student loans, are in public service, are a parent considering college costs for children, or just trying to figure out your next money move, this change could impact you…

1
Ep 24: From Speculation to Law: What Made It Into the Big Beautiful Bill 20:31

3M ago20:31

20:31

The One Big Beautiful Bill has officially passed, and it's packed with massive updates to your tax life — from permanent brackets and deductions to brand-new accounts and surprising repeals. We're talking about a $6,000 deduction for seniors, big wins for business owners and 1099 earners, and a powerful SALT + PTE combo that high earners need to he…

1
Ep #248: From Speculation to Law: What Made It Into the Big Beautiful Bill 20:55

3M ago20:55

20:55

The One Big Beautiful Bill has officially passed, and it's packed with massive updates to your tax life — from permanent brackets and deductions to brand-new accounts and surprising repeals. We're talking about a $6,000 deduction for seniors, big wins for business owners and 1099 earners, and a powerful SALT + PTE combo that high earners need to he…

1
Ep 23: Don't Fear the 401(k): A MedSpa Owner's Blueprint for Retirement Plans 16:54

4M ago16:54

16:54

Retirement plans might not be the first thing on your mind when running a MedSpa—but they might be one of the smartest investments you can make in your business. Beyond being a financial benefit, they can shape your culture, boost retention, and even unlock tax advantages you didn't know you qualified for. If it feels overwhelming or like something…

1
Ep #247: Rethinking the 60-40 Portfolio 14:04

4M ago14:04

14:04

As retirement planning evolves, the old 60/40 rule is starting to feel outdated—especially for emergency physicians eyeing early retirement and facing decades of life beyond medicine. With longer life expectancies, volatile markets, and the growing relevance of crypto and international diversification, building a resilient portfolio requires new th…

1
Ep #246: Caught in the Middle: Practicing Medicine During Corporate Uncertainty 12:06

4M ago12:06

12:06

If you're an ER doc, there's a lot happening behind the scenes in healthcare finance that could directly impact your day-to-day. A recent story caught our attention that ties into some of the broader trends we've discussed in the past — and it's worth unpacking. It involves ownership models, shifting priorities, and what it all means for the future…

1
Ep #245: What If You're Wrong? The Risk of Paying Off the Wrong Debt First 12:59

4M ago12:59

12:59

Emergency physicians often juggle multiple financial goals—from building wealth to eliminating debt—but choosing where to direct extra payments isn't always straightforward. Should you attack your student loans or put more toward the mortgage? Each path has trade-offs in risk, flexibility, and long-term impact. In this episode, we break down how to…

1
Ep 22: Everyone's Opening a MedSpa… But Are They Thriving? 9:58

4M ago9:58

9:58

The MedSpa industry might look crowded at first glance, but the real competition isn't in how many clinics surround you — it's in how well you operate. While others focus on appearances and volume, long-term success comes down to delivering consistent results and exceptional client experiences. In a space where many businesses underperform, quality…

1
Ep #244: Emergency Medicine Meets Early Retirement: The Social Security Playbook 14:37

4M ago14:37

14:37

Social Security might be the most universally recognized piece of the retirement puzzle, but that doesn't make the decision around it any easier. Whether you're planning to claim early or wait it out for a bigger monthly check, the debate is louder than ever—especially for high-income ER docs who might not "need" the benefit right away. Is there a …

1
Ep 21: Is Your Accountant Helping You Build Wealth—or Just File Forms? 11:00

5M ago11:00

11:00

Running a MedSpa comes with plenty of visible expenses, but some of the biggest financial wins happen behind the scenes. One of the most overlooked drivers of profitability isn't a fancy machine or a high-end service—it's a strategy. And the best part? It's entirely within your control. Let's explore the kind of moves that don't just treat symptoms…

1
Ep #243: The Financial Personalities Of Emergency Physicians 2.0 16:31

5M ago16:31

16:31

Ever wonder why some people obsess over every financial detail while others just want someone to handle it all for them? Money isn't just about math — it's deeply tied to how we're wired. In this episode, we're diving into how your personality shapes your financial decisions — and why knowing yourself might be the key to getting (and staying) ahead…

1
Ep 20: Own It or Owe It? Navigating MedSpa Equipment Financing 16:13

5M ago16:13

16:13

Every MedSpa owner reaches a moment where the next big decision isn't about treatments or clients — it's about capital. The equipment you choose (and how you pay for it) can quietly shape the trajectory of your entire practice. But what seems like a simple financial choice often hides deeper implications. Before you sign anything, there's a convers…

1
Ep #242: Ankle Sprains & Asset Strains: Common Injuries in an EP's Financial Life 17:01

5M ago17:01

17:01

You ever scroll through the list of emergency department visits by sport? It's more surprising than you'd expect. The activities racking up the most injuries aren't necessarily the most extreme or dangerous—they're just the ones people do the most. Which got us thinking… what if we looked at ER doctor personal finance through the same lens? Not jus…

1
Ep 19: Big Tax Changes Ahead—The Beautiful Bill Passed, So Let's Talk Strategy 31:07

5M ago31:07

31:07

The House officially passed the One Big Beautiful Bill Act—so today, we're diving into what actually made it into the bill. If you listened to our earlier episode, you know we were taking some educated guesses, but now we've got real answers. This bill is packed with changes—some extensions, some brand-new provisions—and while it's not law yet (it …

1
Ep #241: Big Tax Changes Ahead—The Beautiful Bill Passed, So Let's Talk Strategy 31:47

5M ago31:47

31:47

The House officially passed the One Big Beautiful Bill Act—so today, we're diving into what actually made it into the bill. If you listened to our earlier episode, you know we were taking some educated guesses, but now we've got real answers. This bill is packed with changes—some extensions, some brand-new provisions—and while it's not law yet (it …

1
Ep 18: The MedSpa Partnership Playbook: Structuring Ownership Legally and Profitably 14:06

5M ago14:06

14:06

Owning a MedSpa is one of the most exciting—and complex—ventures in healthcare and aesthetics. It blends medical oversight with high-end consumer services, but navigating the legal structure, especially in CPOM-restricted states, is crucial. Understanding how to separate and structure the clinical (PC) and business (MSO) sides of the practice isn't…

1
Ep #240: Don't Wait for the Will: The Case for Giving While Living 20:31

5M ago20:31

20:31

When it comes to passing on wealth, the traditional approach has been to wait—save everything, then hand it off through a will. But what if the most meaningful impact happens before that moment? Giving while you're still here—intentionally, strategically—lets you see the effect of your support, guide the outcomes, and build deeper alignment with yo…

1
Ep 17: Startups, Scaling & Success: A MedSpa's Financial Journey 18:27

5M ago18:27

18:27

The MedSpas that win financially aren't just the busiest ones — they're the ones that evolve their financial systems and thinking along with their growth. Today, we're discussing 5 distinct stages MedSpas likely fall in — each phase with its own challenges and opportunities. Knowing where your business stands is the only way to clearly see where yo…

1
Ep #239: Tax-Free for Life: Stacking Roth and HSA Strategies for Your Kids' Future 17:45

6M ago17:45

17:45

We all know the Roth IRA is a powerful tool for setting our kids up financially, especially when they're earning early and you can stash away a few thousand dollars for decades of tax-free growth. But what happens when your child hits that in-between stage—say, age 19 to 25—still on your health insurance but no longer a tax dependent? That's where …

1
Ep 16: Uncertain but Not Unprepared: What 2026 Tax Changes Could Mean for Your MedSpa 17:59

6M ago17:59

17:59

If you've been hearing rumblings about tax changes in 2026, you're not imagining things — we're heading toward one of the biggest tax shifts in decades. The Tax Cuts and Jobs Act of 2017, which shaped much of our current tax system, is set to expire unless Congress takes action. But right now, lawmakers are locked in a high-stakes budget battle, an…

1
Ep #238: Waiting on Washington: Why Your 2026 Tax Bill Hangs in the Balance 18:07

6M ago18:07

18:07

If you've been hearing rumblings about tax changes in 2026, you're not imagining things — we're heading toward one of the biggest tax shifts in decades. The Tax Cuts and Jobs Act of 2017, which shaped much of our current tax system, is set to expire unless Congress takes action. But right now, lawmakers are locked in a high-stakes budget battle, an…

1
Ep 15: From Stuck to Booked: Real Strategies to Get More Clients in Your MedSpa 17:27

6M ago17:27

17:27

Running a MedSpa is no small feat — and if you're feeling like you're doing everything right but still not seeing the growth you hoped for, you're not alone. Whether you're in your first year and struggling to bring in a steady stream of new clients, or you're more established and just feeling stuck, this is a common — and frustrating — place to be…

1
Ep #237: Comfortably Stuck: How "The System" Keeps High Earners From Building Wealth 14:36

6M ago14:36

14:36

Today, we're going to dive into a mindset shift that every high-earning professional needs to hear, especially our ER doc families making strong incomes. It's tempting to think that a $400K household is financially invincible. But the truth is: the system isn't designed to make you wealthy. It's designed to keep you comfortable. And comfortable, if…