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Should Physicians Invest in Cryptocurrency?

— This doctor thinks now is the time

Ƶ MedicalToday
A LEGO miner minifigure holds his pickaxe on a gold Bitcoin coin on top of a PC motherboard.

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In 2009, I came across a white paper written by describing a digital currency based on a peer-to-peer network, completely independent of central banks, autonomous, decentralized, and digital, which would provide access to finance and banking to the masses.

This "magical internet money," as it was described at the time, would come to be known as Bitcoin.

The reason that this paper was so revolutionary was that it was prescient of what the internet did for information in the early 1990s.

First, Yahoo organized information, then companies such as Google revolutionized "search," followed by e-commerce (Amazon), social media, and the cloud. Multiple applications were developed on the internet. Plus, the smartphone allowed instant, easy access to information on anyone, anywhere, at any moment.

So this is what I believe that Bitcoin will do in the finance space: to give economic freedom, access, and opportunities to the world previously unable to participate.

Bitcoin, conceived in October 2008, is one of the first applications of the blockchain. It was designed to address the shortcomings of our current financial system. It's the digital currency that has sparked so much controversy among the financial, technological, and physician community in the 12 years since its inception.

Current issues around Bitcoin involve the following questions:

  • Is it a bubble?
  • Is it a scam?
  • Is it a fraud?
  • Is it used for illegal activities?
  • Is it just a fad going to zero?

Why Am I a Physician in the Crypto Space?

Bitcoin is a very exciting technology, with huge asymmetric risk-reward potential. I have bought and held crypto since 2012, and I believe that crypto is the next "internet-like" opportunity. Still, the bigger question is: Should physicians be considering cryptocurrencies as investments, and if so, how much of their portfolio should be composed of this new asset class?

This article will give some background into the economic theory that our current financial system is based upon its shortcomings, the role of Bitcoin, and implications for a new financial system.

The Current Financial Crisis

Financial crises are not new to society. Recessions and depressions have plagued societies since the dawn of civilization. Countries including Europe, South America, and Asia have experienced unstable currencies over the last century. Many of its citizens have experienced wealth confiscation through taxes and hyperinflation caused by central bank manipulation.

As a result of this, in June, El Salvador became one of the first Latin American countries to adopt Bitcoin as legal tender to combat the inherently unstable currencies issued by their central banks. And many countries, such as Argentina, Panama, and Paraguay, are following suit.

The challenge with central bank-controlled currencies is that these financial crises are happening more frequently, with more severity and more unpredictability, resulting in disproportionate wealth gaps between the rich and poor, as the recent COVID-19 pandemic demonstrated.

At the heart of it is a sound financial system. A system that allows for the efficient and effective exchange of goods, products, and services. In order for a financial system to function, the currency must be inherently stable. Therefore, currency (money), in order to function properly, has to primarily function as a medium of exchange, a unit of account, a store of value, and a standard of deferred payment.

The Federal Reserve Act of 1913 was passed to establish the Federal Reserve as the central authority to oversee monetary policy to establish economic stability.

This act gave rise to central banking authority allowing manipulation of interest rates and the money supply. Through the Mandrake mechanism, central banks are allowed to print and lend money that is not backed by anything except the credit of the government (fiat), all at the taxpayer's expense.

This setup inherently favors:

  • Business owners and investors over wage workers
  • Knowledge of the proper use of capital and debt
  • Knowledge of the tax code
  • The wealthy, with greater and greater access and ease of access to capital
  • Inflation over deflation

When Nixon removed the dollar off of the gold standard in 1971, this changed the U.S. dollar from an asset (backed by gold) to a credit instrument (an IOU backed by debt). As a result, wage earners and savers lose out in the form of higher taxes, trading their time for depreciating currency, and inflation.

As a result of this current financial system, we see more and more financial crises and a widening wealth gap.

Additionally, our school system prepares us to take "jobs" in the working world, when all of the jobs are being exported overseas, being automated, and being replaced by artificial intelligence. A lack of financial literacy along with obsolete paradigms is a cause of the widening wealth gap that we see today.

The Role of Bitcoin and Cryptocurrency

The aim of Bitcoin was to address all of the shortcomings of our current financial system and to create a society based on sound money and finances.

In order for Bitcoin to be fully functional and usable in society, we need to address the following questions:

  • Is it a security?
  • Is it an asset?
  • It is a unit of account?
  • Is it a store of value?
  • Is it a medium of exchange?
  • How can it be used if it is extremely volatile?
  • How can we curb illicit activities?

Some of these and other questions are being addressed by the U.S. Securities and Exchange Commission and policymakers worldwide. Still, we have to clearly define the answers to these questions in order for this technology to have utility in our society.

As an investor since 2012, I've seen Bitcoin evolve from a pure speculative play to a store of value.

Some of the exciting trends that are lending credibility to the space:

  • Venture capital fundraising has increased significantly. We've seen tremendous institutional adoption of Bitcoin since 2017, which is partly responsible for its meteoric rise to $60,000 in early 2021.
  • Many companies such as Tesla and MicroStrategy have added Bitcoin to their balance sheets, and many companies are following suit.
  • Apart from huge interest from venture capital and hedge funds, a recent development is that pensions and colleges are considering adding Bitcoin to their balance sheets for growth, as well as hedging against future economic uncertainty.
  • Many high net-worth and accredited investors are starting to add this new "asset class" to their personal portfolios.
  • Bitcoin has given rise to decentralized finance, where anyone in the world with a smartphone and internet connection can participate in the global world without needing a standard bank. You can lend your own cryptocurrency, stake your crypto for yields >5%, farm, and mine cryptocurrencies at far greater returns compared with the current nominal yields of <1% seen in traditional banking.

The next evolution and development has been in the field of non-fungible tokens (NFTs). Developers and programmers are using NFTs to develop the next phase of the internet using the Ethereum blockchain ecosystem. NFTs are currently being used in music, gaming, sports, social media, and entertainment, but the future holds exciting promise when mixed with wearables and artificial intelligence, and when virtual/augmented/mixed reality come into the picture.

The recent IPO of Coinbase in April and pending Bitcoin exchange-traded fund approval will give more credibility to the space. Bitcoin will have to compete with current political and financial incumbents bent on keeping the status quo, as well as compete with central bank-issued digital currencies. Bitcoin and other cryptocurrencies will also have to contend with extreme volatility in the future in order for it to have any utility as a medium of exchange.

Even though we are 13 years out from the inception of Bitcoin, I believe that we are still very early in the game. As with any nascent technology, we will continue to experience extreme volatility, and just as with the internet, there will be winners and there will be losers. However, the underlying blockchain technology is at the heart of its tremendous potential, and regardless of who wins, the ecosystem is here to stay, will continue to grow and evolve, and will change industries at a magnitude and scale faster and greater than what the internet did.

Note: These are the personal views and opinions of the author and should not be construed as investment advice.

Christopher H. Loo, MD, PhD, is a physician and the author of How I Quit My Lucrative Medical Career and Achieved Financial Freedom Using Real Estate.

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