A doctor spends his entire 20s and a bunch of his 30s either making $50K a year (as a resident/fellow) or generating debt as a student and then he/she finally goes into private practice and makes some actual money. The car purchases are a bit much, but even if they toned it down to $100K for two cars, The payments aren’t that different and those aren’t special cars on that salary.

A reasonable home in decent neighborhoods on the east bench of SLC would easily generate that kind of mortgage payment.

So yeah, people make fun of this, but it’s not that crazy and it does happen.