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.

You come out with a pile of educational benefits to devote toward your future and good health care for life, as well as the best general trades school training the world has to offer.But over the years, and especially through reading so many horror stories here, I've come to believe that you (and others like you) are really asking the wrong question.

Many of our tenants are in healthcare-doctors and nurses and admin-others work for the city we do not see those sectors as vulnerable.