There's be no Fed, and we'd still be on the gold standard, you'd shop for your own health care and it would be competitive, and tuition would costs would be within reach; on and on where the free market has been manipulated because "we" demanded it and then we blame capitalism when it doesn't work out the way "we" wished it did. 

The female patients and visitors ALL had better nails than this hard working nurse and they all had had more expensive cell phones.Knowing I was taking care of them, while paying for their manicures (and health care) with my taxes, really contributed to my burn out.   

I'm also a high earning W2 health care professional and a 401k is a great way to lower taxable income. 

Many in the medical field though are frustrated with pay systems and healthcare reimbursements.. its not all wine and roses :)  but the folks I know in medicine like you say do quite well and are intelligent enough to invest wisely. 

There is no harm in trying out but you should never lose your job if brings your good income and build Social security and healthcare benefits for you.At this internet age, you can work from home and do multitasking, you shouldn't be losing your job for new venture.

I have the added cushion of having government healthcare (I'm a Navy vet), so I'm covered there, though my wife is not.

How are you handling health care?  

Most people in Clarksville do not commute to Nashville because for the longest time Fort Campbell provided the base of the economy (it still does), but Hankook Tire, Amazon (5000 jobs in Nashville), Trane and other health care companies have made Clarksville a more diverse and affordable place to live.  

The health care seems nice though.What changes do you see in the future, if any?

We have a large health care sector with Children's, Riverside, Ohio Health, Grant, THE Ohio State University and Mount Carmel.