Health Before Wealth: The Fitness Shift High Earners Need

For high-performing doctors, physical fitness is often the first thing to fall off the calendar. The workload is intense, the stress is real, and family responsibilities don’t pause. Even when health is valued, fitness can start to feel like another obligation—something that should happen, but rarely does.

The problem isn’t knowledge. Most physicians already understand the benefits of exercise. The real issue is mindset, consistency, and making fitness fit real life—especially in demanding seasons.

This episode focuses on how to shift fitness from a burden into a lifestyle that supports energy, longevity, and a 10-out-of-10 life.

Why Fitness Gets Ignored (Even by Successful People)

Fitness often becomes “non-urgent” because the consequences of neglect don’t show up immediately. Skipping a workout today doesn’t create a crisis tomorrow. But over time, the gap between how you feel and how you could feel expands—and eventually becomes hard to ignore.

That delayed consequence creates a dangerous trap:

  • work feels urgent
  • family feels urgent
  • financial obligations feel urgent
  • fitness feels optional

    …until it isn’t.

The longer you wait, the more difficult it becomes to rebuild the foundation.

Longevity Isn’t Just About Living Longer—It’s About Staying Capable

A longer life isn’t the goal. A stronger, healthier life for longer is the goal.

Fitness isn’t just weight, aesthetics, or discipline. It’s:

  • mobility
  • cardiovascular capacity
  • strength
  • resilience
  • energy
  • independence later in life

A powerful concept discussed is that the goal is not just lifespan, but health span—being capable, active, and present for the years that matter most.

The Two Biggest Roadblocks: Time and “Where Do I Start?”

Most doctors struggle with two things:

  1. Time

    Many schedules are genuinely overloaded. But the solution often isn’t “find an hour.” It’s learning to build fitness into reality using small, repeatable actions.
  2. Starting Point

    If you’re not already training for something, it can feel unclear where to begin. That uncertainty leads to inaction, and inaction becomes the default.

A practical solution is to treat your own fitness the way you would treat a patient:

start with an assessment, establish baselines, and make small changes consistently.

The Smallest Start Is Still a Start

One of the most important mindset shifts is this:

If you can’t start with an hour, start with 10 minutes.

Ten minutes of movement done consistently beats a perfect plan that never happens. The compound effect matters in fitness the same way it matters in wealth.

Some simple examples that actually work for busy schedules:

  • walking at lunch instead of sitting during breaks
  • short “micro workouts” before leaving for work and after coming home
  • standing or walking during tasks you already do daily
  • tracking steps, hydration, sleep, and movement using wearable tools

Fitness doesn’t need to begin with a dramatic overhaul. It begins with consistency.

You’ll Either Spend the Time Now or Spend the Time Later

A sobering truth: neglecting fitness doesn’t remove the time cost—it just delays it.

You can invest time into health now, or you may be forced to invest time later through illness, chronic conditions, reduced mobility, or recovery.

The most painful part is that the later time cost often comes when you least want it—when you’d rather be present for family, travel, and freedom.

Make Fitness Social, Fun, or Purpose-Driven

Not everyone is wired to love the gym. That’s fine.

Fitness becomes sustainable when it’s built around something you enjoy or something that matters:

  • hiking
  • surfing
  • cycling
  • martial arts
  • climbing
  • team activities
  • endurance events
  • skill-based movement goals

Sometimes it doesn’t even need to be “fun.” Sometimes it’s about a challenge, an identity shift, or a personal goal that pulls you forward.

Either way, movement becomes easier when it has meaning.

Environment and Community Shape Your Results

One of the biggest accelerators in fitness is having the right people around you.

When fitness becomes normal in your community:

  • it stops feeling like a chore
  • it becomes part of your identity
  • it becomes easier to stay consistent

This also influences family culture. When kids and spouses see consistent movement as part of daily life, wellness becomes the standard—not the exception.

The Real Goal: Fitness That Supports the Life You Want

Fitness isn’t separate from your life. It fuels it.

When fitness improves, it often spills into everything else:

  • clearer thinking
  • better sleep
  • improved stress response
  • higher energy
  • stronger presence at home
  • greater confidence in decision-making

The point isn’t perfection. The point is building a lifestyle where fitness supports your future instead of competing with it.

If you’d like to learn more about this topic, watch our episode of Wealth Mavericks where we discuss this further: https://youtu.be/unQwpDUC9Mk?si=Hz4s-WIFT7R5CpYy