for the record, guys...middle class = primarily white collar wage-based workers. that covers a LOT of ground. the upper class only covers about 1% of the population, so even people in the hundreds of thousands of dollars in annual household income can very easily be considered upper middle class.
$200k/year will likely mean only about 120k-130k take home. take from that all the random ass expenses that come with being a medical professional, the insane cost of housing, huge college loans, and i think that you will find it's much less than you would think it is. obviously, this is a lot better off than many people are, but it's not as ridiculously rich as some people make it out to be.
when it comes down to it, unless you ACTUALLY have money to burn, spending 100k+ on a car is simply not a smart financial choice. just because you can technically "afford" it, doesn't mean that it's the right thing to do. kudos to Loose for knowing the value of money. i am familiar with the sacrifices that people in the medical field have to make in order to get where they are, and i have nothing but respect for their work and the rewards they reap. in the end, you're definitely only as rich as you allow yourself to be. overspending your budget is VERY easy to do no matter what your income level.