February 11, 2021
4 min learn
Supply/Disclosures
Disclosures:
Bhatia and Mandell report no related monetary disclosures.
Many millennial physicians have recognized about bitcoin and different cryptocurrencies for years.
The truth is, it might not come as a shock if a few of our resident readers have approached their graduate medical training workplace and requested to have their resident wage paid in bitcoin as a substitute of U.S. {dollars}.
If Dr. Bhatia had the foresight in 2010 when he was a PGY2 orthopedic resident to commerce a Saturday evening’s leisure funds of $100 for $100 value of bitcoin, his funding can be value over $310 million as of this writing.
Prefer it or hate it, 2020 was the 12 months bitcoin turned mainstream, largely as a result of individuals “holding” bitcoin — cryptocurrency Web slang for buy-and-hold — as an inflation hedge, large investments from establishments like insurance coverage corporations and huge asset managers, in addition to extra formal clarification from the IRS acknowledging bitcoin as a taxable asset. On this month’s column, we focus on the meteoric rise of bitcoin and clarify why physicians ought to take into account having a small portion of their wealth uncovered to this novel asset class.
Bitcoin, blockchain know-how

Sanjeev Bhatia

David B. Mandell
Bitcoin, the flagship cryptocurrency, emerged in 2008 when Satoshi Nakomoto, an unknown particular person who could also be multiple individual, printed a white paper that proposed bitcoin and its decentralized blockchain know-how as an innovative solution to the double-spending downside digital currencies have been experiencing with the arrival of on-line transactions.
Double-spending is when cash is spent in a single location after which redundantly additionally spent elsewhere as a result of poor recordkeeping, gradual processing or fraud. With blockchain, all transactions are added to the tip of earlier timestamps based mostly on proof of labor, thereby making a decentralized historic report that can’t be modified. The idea in financial terms has been so revolutionary that some cryptocurrency purists liken Nakomoto to Sir Isaac Newton, Thomas Edison and different revolutionary figures in historical past.
Meteoric rise, future danger
A key function of bitcoin that distinguishes it from different currencies, comparable to government-issued currencies just like the U.S. greenback, is that solely a finite variety of bitcoins will be created. As such, some have likened bitcoin to a digital type of gold, one other commodity with restricted provide.
When bitcoin first appeared on the scene in 2009, it was hardly a good forex. Its seminal second got here in 2010 when a bitcoin miner in Florida carried out the primary recognized transaction by shopping for two Papa John’s pizzas for 10,000 BTC (bitcoin).
From 2010 to this writing, bitcoin value has ranged from $0.00008 to $31,000. Regardless of its dramatic rise in valuation, there have been many well-publicized crashes alongside the best way, together with in Fall 2017 when bitcoin misplaced nearly 60% of its worth in a matter of weeks, going from $19,783 to under $7,000.
Components that affect valuation
Components that affect bitcoin valuation embody the adoption fee for transactions, institutional funding practices and international regulatory insurance policies. In 2020, the variety of people holding greater than 1,000 bitcoins exploded as many establishments started to acknowledge bitcoin as a retailer of worth from COVID-19 stimulus spending.
Nobody is aware of how excessive bitcoin’s worth could go or when future flash crashes might happen. Nonetheless, some have theorized that, if bitcoin continues to be accepted as a type of forex or funding, value targets for 1 BTC theoretically might method $370,000 to $500,000 by 2030, barring any main setbacks.
Regardless of excessive bullishness by some, there’s super danger in investing in cryptocurrencies. For starters, not like currencies which might be backed by the federal authorities or gold reserves, bitcoin is only a digital asset linked to an internet pockets. As such, there’s super potential for on-line theft via hacking with no attainable recourse via companies just like the Federal Deposit Insurance coverage Corp.
For instance, Mt. Gox, a Tokyo-based cryptocurrency alternate that operated from 2010 to 2014, famously misplaced 850,000 BTC for its clients after it was hacked in February 2014 and subsequently went bankrupt. On the time, that sum represented 6% of all bitcoin in circulation, which might be value $26.3 billion as we speak. There’s additionally vital regulatory danger with cryptocurrency investments, notably if governments determine to outlaw their existence as a result of competitors with nationwide currencies.
Suggestions for publicity
Regardless of its unsure future, many institutional and high-net-worth traders are more and more sustaining a small quantity of publicity to bitcoin given its valuation potential.
To purchase cryptocurrency, you first should open an digital pockets on a good alternate, comparable to Coinbase or Gemini Belief Firm, that are the 2 largest U.S. cryptocurrency exchanges. As a result of the IRS requires bitcoin holders to report cryptocurrency transactions on their tax returns, you’ll want to keep as compliant with these transactions as can be finished with different investments and work together with your tax advisor on all reporting points.
Regardless of its unsure future, bitcoin is an asset with vital upside potential. Like different establishments and Fortune 500 corporations, doctor hodlers could wish to focus on taking up a small quantity of bitcoin publicity with their monetary skilled.
References:
- Bitcoin: A Peer-to-Peer Digital Money System. Nakomoto S. https://bitcoin.org/bitcoin.pdf
- Bitcoin’s Worth Historical past. www.investopedia.com/articles/foreign exchange/121815/bitcoins-price-history.asp
- Mt. Gox. www.investopedia.com/phrases/m/mt-gox.asp
- Wealth Planning for the Trendy Doctor and Wealth Administration Made Easy can be found free in print or e-book codecs by texting HEALIO to 47177 or at www.ojmbookstore.com. Enter code HEALIO at checkout.
For extra info:
Sanjeev Bhatia, MD, is an orthopedic sports activities medication surgeon at Northwestern Medication in Warrenville, In poor health. He will be reached at sanjeevbhatia1@gmail.com.
David B. Mandell, JD, MBA, is an lawyer and founding father of the wealth administration agency, OJM Group, www.ojmgroup.com. You need to search skilled tax and authorized recommendation earlier than implementing any technique mentioned herein. He will be reached at mandell@ojmgroup.com or (877) 656-4362.