A prenuptial agreement (prenup) is a legally binding contract created before marriage that defines how assets, debts, income, and spousal support will be handled if the marriage ends due to divorce or death.  Freepik
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Prenuptial Agreements Revisited: Why Similar Net Worth Doctor Couples Still Debate Prenups

Understanding the Prenup Question Beyond “You Must Have One”

Author : Dr. Theresa Lily Thomas

Many might have heard of prenups. Legal documents signed before a couple enter into a marriage.?

Prenuptial agreements are legal contracts signed before marriage are often discussed in absolute terms. Legally it is considered as an essential protection or, conversely, as unnecessary if trust exists. However, discussions among high-earning, dual-income couples reveal a more nuanced reality, particularly when both partners enter marriage with comparable assets and professional stability.

While previously these agreements were considered between partners with large generational wealth, it has become much popular in western countries among ordinary couples as well.

A recent discussion about a prenup between a physician and a non-physician partner in a Facebook physicians' community, highlights why prenups remain a debated topic even when financial disparities appear minimal. The post goes like this.

PRENUPS - one again: Would appreciate some responses other than reactive “you MUST have a prenup” statements. Partner 1: non-doc, 300k salary, 2.6 mil in money and assets saved. Partner 2: doc, 600k salary but will go down to 350-400k during child rearing years, 1.5 mil in money and assets saved. I don’t see the point of a prenup in OUR case? We’re very similar in net worth.

Understanding a Prenuptial Agreement

A prenuptial agreement (prenup) is a legally binding contract created before marriage that defines how assets, debts, income, and spousal support will be handled if the marriage ends due to divorce or death. Prenups typically address:

  • Ownership of premarital assets

  • Treatment of income earned during marriage

  • Responsibility for debts

  • Spousal support (alimony) provisions if one person is not working or choosing to stay at home with kids

  • Business or professional practice interests

Prenups do not govern child custody or child support, which are decided by courts based on the child’s best interests, regardless of any prior agreement. Custody of pets can be decided through prenups.

Why Should Prenups be Discussed Between Couples?

1. Default State Laws Already Act as a Prenup

In the absence of a private agreement, state family law determines asset division. Depending on jurisdiction, this may involve community property or equitable distribution rules.

2. Growth of Premarital Assets

While premarital assets are often protected, growth or appreciation during marriage such as interest, dividends, or reinvestment, may be considered marital property in some states. A prenup can clarify how such growth is treated.

3. Income Variability and Career Interruptions

Medical careers often involve delayed earnings, income volatility, and planned reductions during caregiving years. Prenups may be used to define how these fluctuations are considered if the marriage dissolves.

4. Future Unknowns

Commonly cited uncertainties include:

  • Career changes or job loss

  • Health issues affecting earning capacity

  • One partner leaving the workforce

  • Inheritances or business investments

Prenups are designed to address future scenarios rather than present conditions.

Prenups and Physicians: A Common but Not Universal Tool

Physicians are often encouraged to consider prenups due to:

  • High lifetime earning potential

  • Medical school debt

  • Practice ownership

  • Malpractice exposure

However, experts note that prenups are not one-size-fits-all, and their value depends on individual circumstances rather than profession alone.

Most of the members in the community urged the person to get the prenup drafted and done since it would help the couple in the long run.

You only look at a contract when things go wrong. By then it’s too late. People change. Sh*t happens. Get a prenup. It protects everyone. If there’s not issue and you stay happily married, you win. If something happens, you’re protected so you win again.

Another view given by a member of the community was even more practical and involved partners communication ability, which would ultimately benefit the marriage in long run.

Another way to look at a prenup Experienced divorce attorney that posts lots of videos. Says couples that can have the difficult conversations including how to setup a prenup has better track record for success in marriage

Another anonymous member commented, "Agree none needed. Most of the assets will be accumulated during the post marriage period anyway, for which the prenup will not have a role."

The Key Takeaway

Prenuptial agreements are risk-management tools, not predictions of marital failure. Even though the conversation around a prenup before a couple start their marriage might be tad uncomfortable, legal experts suggests that it might be a good way to protect yourself in the future. For couples with similar net worths, the decision often hinges on how much control they want over future financial outcomes versus reliance on existing legal frameworks.

Understanding what prenups do and what they do not do, allows couples to make informed decisions aligned with their financial structure, career trajectories, and legal environment.

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