Family Office
Health Care and Wealth Care: Parallel Problems

This was serious. I was being asked to make decisions that would impact my life style, my very ability to enjoy life - and I was being told I needed to decide everything right now, despite my worry and feelings of almost abject vulnerability. I felt totally dependent on the expert looking at me with such a solemn, almost threatening stare. “If you don’t follow my advice, you will regret it," he seemed to say between the lines. "I know far more than you; I am the specialist, after all.” I guessed I had better trust him and take the "cure" he was proscribing.
- The patient is often confused and intimidated by medical jargon. The medical profession does little to ameliorate this because the doctor’s valuable time would be taken up with questions and answers.
- The surgeon is no more likely to endorse a non-invasive approach than the alternative practitioner is to recommend an operation.
- If a patient goes online in search education, he finds Internet host to plethora of sites that either feature propaganda from the pharmaceutical industry or spew the rantings of cranks and ax grinders.
- Regulation has strangled much of the choice and authenticity out of the relationship between doctor and patient.
- Fear of litigation dictates much of the exchange between doctor and patient, and so warnings about side effects are both terrifying in their exhaustive detail and delivered in run-together-one-paragraph-of-confusion delivered in less than three seconds.
- Pharmaceutical advertising is absurd to the point of hilarity - or it would be if it didn't touch on such serious matters. And this media manipulation continues without apparent hindrance from the medical drug industry or its regulators.
Uninformed investors
Investors who abdicate responsibility for overseeing their wealth usually end up unhappy and often un-wealthy. But we know that no one reads instruction manuals; not for cell phones, not for investments. The fiscal health of an investor is in peril.
Solution: Find university courses or organizations that have engaging and interactive formats, steer clear of education that is offered by those who have something to sell. The point isn't so much to learn how to make day-to-day investment decisions as it is to learn how to manage an investment advisor.
Complex distribution arrangements
How can an investor know that whether he's getting good advice or just earning commissions for the advisor? Only last year did 12-b-1 fees - annual marketing charges on mutual funds - finally face scrutiny by the SEC.
Solution: Insist on full disclosure on compensation and distribution fees. The investor may find that some suitors lose interest, but those that stick around have at least shown a willingness to be transparent in their dealings with clients.
Misleading online resources
When "wealth management" on Wikipedia is chocked full of brokerage-and-investment firm editorials and other self-serving product descriptions, something is amiss. When certification is an alphabet soup no one dares eat, much less explain, time is ripe for reform and simplification.
Solution: Stick with sites that are more substantive in content, more peer-to-peer oriented and that feature offerings beyond the sponsoring firm’s philosophy.
Overly complex regulation
If banks, brokers, investment advisors, and financial planners are all doing the same thing, why is the regulation different and certification of each so varied? Does acting as a fiduciary mean my advisor will do as I say, even if I am about to make a terrible investment decision? Will my advisor risk my wrath and refuse to let me invest as I wish to?
Solution: Understand what it really means when an
advisor acts as a fiduciary, including at those awkward times
when the advisor steps in to prevent the investor from making
emotional or risky decisions.
Litigious society
It is no surprise that investors get angry when they feel they have been betrayed or cheated. Recourse is so apparent and easy.
Solution: Perform due diligence, specify the
hoped-for-outcome before hiring the advisor; it weeds out the
scoundrels.
Advertising sells
Not too long ago CNBC ran ads for Stanford Financial that tempted the viewer with promises of solid and professional advice. At the time few , viewers had ever heard of Stanford. Now most know that the firm's founder is in custody and accused of cheating his customers out of billions of dollars.
Solution: We all love the Aflac duck, but we should ignore most advertisements or at least be on guard against putting much credence in them.
Leadership
Who leads the investor "movement" that would seek better outcomes for the investor with more honesty and transparency? Even AARP now sells its own insurance program. Few, if any, investors, however, would wish for a Congressional panel to determine what is good for all investors.
Solution: Self-awareness is critical, and the steps
necessary to reach a more successful outcome in investments do
not constitute a ‘movement’ but rather a very personal game
plan. Leadership begins at home or at least in the classroom,
not the boardroom.
Charlotte Beyer is the founder and CEO of the Institute for Private Investors, a New York-based education and networking resource for ultra-high-net-worth families.