How Many Days a Week Does a Doctor Need to Work? Calculating Living Costs and Savings Rate When You're Not Aiming for FIRE

A chick doctor opens a thick album packed with photos of memories from travels and time with friends, a lighter wallet set beside it, looking at it contentedly

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Contents
  1. Conclusion
  2. Estimating Your Current Living Costs
    1. Spread Big Purchases into Monthly Amounts
    2. Line Them Up from Largest to Smallest
  3. Looking at the Surplus with the 4% Rule
    1. Your Savings Rate Determines the Number of Years
    2. Add Future Expenses on Top
  4. Earning Power Is Your Biggest Asset
  5. My Savings Rate Is About 40%
  6. Using the Rest for What You Want to Do

"What am I saving money for in the first place?"

It's a question that suddenly comes to mind when the anxiety doesn't go away no matter how much you save.

I'm a freelance doctor, and I could work as much as I wanted. When that's the case, my days off disappear before I notice.

I felt I needed to set a target for how much is enough to earn each month, and I've given it a lot of thought.

In this article, I'll describe how I estimate and set that target amount.

Conclusion

How much you need to earn each month depends on how much of what you earn you save (your savings rate) and how long you intend to keep working. Once you know how much is enough, you can estimate from your hourly rate how many hours you need to work.

In my case, it's about two days a week, and I decide freely how to use the rest of my time. In the end I'm often working anyway, but it feels like free time.

Here's how this article goes:

  • Estimate your current living costs, spreading big purchases into monthly amounts

  • Use the 4% rule and your savings rate to see when you could live without working

  • What earning power is worth, and my own savings rate

  • How to use the rest of your time

Estimating Your Current Living Costs

A chick doctor sits on the floor with small models of food, clothes, a house, and a smartphone lined up, stacking coins in front of each to estimate monthly costs

First, estimate how much you need each month to keep up your current life.

If you check your household budget book or credit card statements, you'll get a rough idea of expenses that change from month to month, like food.

To this, add fixed costs, such as rent, that are withdrawn directly rather than paid by credit card.

A chick doctor lines up a large model house and small models of a light bulb, a faucet, and a smartphone, with coins piled high only in front of the house

Don't forget to include health insurance premiums and pension contributions as well. If you're a company employee, they're deducted from your paycheck, so they're easy to leave out, but they're money you're actually paying.

Spread Big Purchases into Monthly Amounts

A chick doctor, in front of models of a front-loading washer-dryer, a bed, and a small car, slices a large coin thinly and arranges the pieces on small plates, one for each month

What I'd also recommend is adding in big purchases, spread out into monthly amounts.

For example, say you bought the smartphone you're holding right now for ¥150,000.

If you use it for five years, that's ¥30,000 a year, the same as a ¥2,500-a-month subscription. Thinking this way, you can fold one-off purchases into your monthly living costs.

A chick doctor goes around a refrigerator, a washing machine, and a laptop in turn, placing a small plate of coins at the foot of each, every plate the same size

In the same way, look around your home and work out the things that cost a fair amount when you bought them. You can ignore small items; the big ones alone are enough.

For example, a refrigerator bought for ¥100,000 and used for five years comes to ¥1,700 a month. A ¥200,000 front-loading washer-dryer used for seven years comes to ¥2,400 a month.

Line Them Up from Largest to Smallest

A chick doctor looks up wide-eyed at a tall tower of stacked coins, with small models of a smartphone and a front-loading washer-dryer at its feet

I manage my own household finances this way. When I line up my monthly expenses from largest to smallest, number one is rent, at ¥80,000.

Second, surprisingly, is the move-in costs for my home. It's money paid in a lump sum when you move in, but partly because I moved out sooner than I expected, spread monthly it comes to ¥42,000, about half my rent.

After that come health insurance premiums at ¥30,000, AI costs at ¥20,000, and then pension contributions.

A chick doctor, coin in hand, stands beside a pile of moving boxes and watches another small bird with a toolbox install a dishwasher

Other things near the top are my laptop, at about ¥5,000 a month, and my dishwasher.

The dishwasher itself is ¥1,000 a month, but the installation I paid for when I moved comes to ¥3,500 a month, more than three times the cost of the unit itself.

It shows that moving after a short time hits the household budget harder than you'd expect.

A chick doctor stands beside a small kei car with its hood open, watching a mechanic bird at work, smiling wryly as the pile of coins in its palm shrinks

I don't own one now, but a car is also a big expense. In the past, even with tricks like taking it to a cheap shop for its mandatory inspection, a single kei car (Japan's small light-vehicle class) cost me about ¥30,000 a month.

A chick doctor puts a small smartphone on one side of a balance scale and a small TV showing a video on the other, eyes wide at how much more evenly they balance than expected

Spreading things out monthly also lets you compare them with subscriptions. A ¥3,000-a-month phone bill is about the same as the smartphone spread out monthly (¥2,500 a month) or the washer-dryer (¥2,400 a month).

You can see on the same scale that phone bills are surprisingly big.

A chick doctor, partway up an endless staircase of coins, stops just before a single line drawn across it and looks back instead of up

Estimating this way tells you the minimum amount you need to earn to keep up your current life. In my case, it's about ¥300,000 a month, including health insurance premiums and pension contributions.

Incidentally, I haven't included taxes, since they rise and fall with how much you earn.

Looking at the Surplus with the 4% Rule

A chick doctor takes just one small spoonful from a large pile of coins and checks that the pile has barely shrunk

Next is whatever you earn beyond your living costs. For example, if your take-home pay is ¥500,000 a month and your living costs are ¥300,000, you have ¥200,000 left over each month.

The 4% rule is useful for looking at this surplus. It's a rule of thumb from studies of past markets: withdrawing up to 4% a year from your savings was unlikely to run them dry.

If you're putting aside ¥200,000 a month, then for every year you work, the amount you could withdraw each month without working grows by about ¥8,000.

A chick doctor climbs a long, gentle slope one leisurely step at a time, heading for a pile of coins at the top

Since you invest what you save, it also grows by the investment returns. Here, to match the 4% rule, I'll keep it simple and assume returns of 4% a year as well.

Your Savings Rate Determines the Number of Years

A chick doctor lines up five pillars of coins of different heights from left to right and compares them, with a small goal flag at the top of the tallest one

The share of your take-home pay that you set aside as savings is called your savings rate. If you save ¥200,000 out of ¥500,000 in take-home pay, your savings rate is 40%.

In that case, your living costs are 60% of your take-home pay, so to cover them with 4% withdrawals, you need assets worth 15 times your annual take-home pay. If returns are also 4% a year, the number of years it takes to get there is determined by the savings rate alone.

A graph of savings rate against years until you can live without working. The higher the savings rate, the fewer the years: about 41 years at 20%, about 31 at 30%, about 23 at 40%, about 18 at 50%, about 13 at 60%, and about 9 at 70%

At a 40% savings rate, it's a little over 20 years. Actual returns could quite possibly exceed 4%, so I think that leaves some margin even after accounting for inflation and taxes.

This graph can also be read in reverse. Decide how many more years you'll work, and you'll know the savings rate you need.

A chick doctor looks down at a thick cushion laid out just before the goal flag, nodding with arms folded, looking relieved

For example, if you want to stop working completely in 10 years, you'll need a savings rate of about 70%. That means you can only spend about 30% of what you earn.

On the other hand, if you keep working at a moderate pace until 60 or 70 and you're in your 30s now, you have 30 to 40 years. In that case, a savings rate of 20–30% is enough. Take a moment to think about what savings rate you need.

I've written about where to keep your savings in a separate article.

Add Future Expenses on Top

A chick doctor lays coins one by one at even intervals along a path running from a light-blue baby bird asleep in a cradle to a university gate in the distance

In reality, beyond simply keeping up your current life, you'll also need money for things like your children's education and retirement.

For example, if you need ¥10 million within 20 years, simply dividing it out comes to about ¥42,000 a month. In practice I assume you'll invest it, so it comes out a little lower.

If you add this on top of your living costs, future expenses are built into your estimate.

Earning Power Is Your Biggest Asset

A chick doctor puts its stethoscope on one side of a large balance scale and is surprised to see it balance a pile of coins as tall as itself on the other side

The 4% rule can also be used in reverse: to see how much in assets a given monthly earning power is equivalent to.

Assets that let you withdraw ¥33,000 a month at 4% a year come to ¥10 million. In other words, the ability to earn ¥33,000 a month is worth the same as ¥10 million in assets.

If your take-home pay is ¥500,000 a month, that's equivalent to ¥150 million in assets.

A chick doctor, with a small gym dumbbell and a basket of vegetables on either side, holds a stethoscope carefully to its chest and smiles calmly

In the same way, you can put a value on cost-cutting that lasts indefinitely. Keeping up ¥33,000 a month in cost-cutting is the same as owning ¥10 million in assets.

So, especially while your financial assets are still small, looking after the health that protects your earning power, and tax savings and cost-cutting that keep paying off indefinitely, are worth doing before investing.

My Savings Rate Is About 40%

A chick doctor drops coins one at a time, alternately, into two piggy banks of the same size, looking contentedly at a single bar laid across the top of both

For my part, I think I'll keep working one way or another, and I'm not aiming to stop working completely. So I don't think I need to rush to save.

That said, I may have big expenses in the future, so I'm saving for those. On top of ¥300,000 in living costs, I aim for about ¥200,000 a month, which is a savings rate of about 40%.

It's a benchmark at which I think I'll be fine even if a few big expenses come along the way.

A chick doctor looks at a row of doors; stethoscopes hang on the two on the left, and through the remaining open doors are views of the sea, mountains, and bookshelves

So how much do you need to earn to reach that savings rate? If you're in a full-time position, divide the pay on your pay slip by your working hours to estimate your hourly rate. If you do one-off locum shifts, simply add up the jobs.

In my case, it comes to ¥500,000 a month all together, so at ¥10,000 an hour that's 50 hours a month, or two days a week even after factoring in taxes. That's enough work, even including the money I'll need in the future.

A chick doctor, carrying a bag for an overnight on-call shift, heads to the hospital at dusk, glancing sideways at a small bird puzzling over a stack of point cards

The only ways to change your savings rate are to earn more or spend less. I think you can just consider which is easier for you to control. For doctors, the hourly rate doesn't change much depending on your specialty, so it simply comes down to whether you work more hours.

Using the Rest for What You Want to Do

A chick doctor leaves the laundry to a front-loading washer-dryer and bounces out the front door with a backpack and camera, off to do what it wants

To sum up so far: estimate your living costs on a monthly basis and decide on your savings rate and how long you'll work, and your working hours follow from your hourly rate. Whether to work more than that is up to you.

So what do you use the rest of your time for?

A chick doctor holds a small bag of coins in one hand and a travel bag in the other, keeping both in balance on a narrow balance beam

My biggest purpose in life is to be able to say "It was a good life" at the moment I die, including both the fun and the hard parts.

Money is just a tool for that. So once I've earned enough, I spend the rest of my time on that.

A chick doctor at the poolside, goggles pushed up on its forehead and a towel over its shoulders, looks refreshed after a swim

I think the answer to "What am I saving money for?" lies not in the money calculations but in how you use the rest of your time.

I've written about what I've used mine for so far in the following articles.