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Beware the “up to”

As a not-so-recent graduate of a medical fellowship program, I often get spammy job offers via email, text, LinkedIn messages, etc, some of them with promises of eye-popping income. A memorable add mentioned over $800,000 annual compensation for a position in Caribou, Maine. It was telling that I was getting it for at least a year before it stopped, and if you were the brave soul who took up the job then please get in touch, I would like to hear how it’s been!

Often, the number is not mentioned at all. Those jobs have a clear advantage in terms of the institution, geographic location and time commitment. All others fall into two categories: “up to” and “guaranteed”. A decade-plus of reading Nassim Taleb’s writing has taught me to avoid the up-to and value the guaranteed.

Many people focus on “benefiting from disorder”, but this is in fact the basic asymmetry behind Antifragile, which Taleb touched on even earlier in his books. Cap the losses and yes, stay open for high — ideally unlimited — upside, but avoiding ruin takes precedence.

The up-to/at-least dichotomy is broader than job postings. “Up-to” precedes many numbers and sometimes, fair enough, it is important to mention and valid in the conversation. But sometimes — often? — it is uttered under the breath and while clearing throat to yell out a large number that is meant to impress, change minds, open up hearts… and wallets.

“You could earn up to $900,000 per year”, if you see 40 patients per day five days a week with 10 days off for the entire year. Extrapolate to other areas of life as need.

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