The Grow Your Wealthy Mindset Podcast

Episode 191: W-2 vs 1099 for Physicians: Pros, Cons, and the Money Impact

Elisa Chiang Season 4 Episode 191

In this episode of The Grow Your Wealthy Mindset, we take a practical look at the differences between working as a 1099 independent contractor and a W-2 employed physician — and how each option affects your income, taxes, autonomy, and long-term wealth.

Whether you're thinking about locums, considering a new job offer, or re-evaluating your career path, this episode gives you a clear framework to make a confident, informed decision.

 

What You'll Learn

• Why more physicians are now employed

We explore the shift from physician-owned practices to hospital systems and private equity groups and how this change has impacted compensation, autonomy, and burnout.

 

• What it really means to be a 1099 physician

We break down the core advantages (flexibility, tax deductions, higher earning potential) and the challenges (buying your own health insurance, managing variable income, handling self-employment taxes).

 

• The reality of locums benefits

Most locums agencies do not provide traditional health insurance, but a few offer access to group plans or partner benefits.  

 

• The pros and cons of W-2 employment

Predictable pay, employer-sponsored benefits, and built-in support vs. less schedule control and more administrative pressure.

 

• How to choose the right model for your life

We cover the mindset, financial considerations, and lifestyle factors that help you decide between 1099 and W-2 work, especially if you’re striving for more autonomy or aiming to grow long-term wealth.

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Dr. Elisa Chiang is a physician and money coach who helps other doctors reach their financial goals by mastering their money mindset through personalized 1:1 coaching .

You can learn more about Elisa at her website or follow her on social media.

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