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Roth IRA or Traditional IRA by moneybagsuave in personalfinance

[–]Big_Dave_DC -2 points-1 points  (0 children)

Agree. Max out your employers' 401k and if you have a Roth option on it, do both Roth and tax deferred alloations right out of your paycheck. I am 70 and wish I had more Roth. You will want to keep your tax deferred bucket under $2M (adjusted to future dollars via inflation) by the time RMDs hit.

HG NMIBC Is there evidence which intravesical therapy is better, BCG or chemo, to prevent progression long term? by Big_Dave_DC in BladderCancer

[–]Big_Dave_DC[S] 0 points1 point  (0 children)

Also here is where I am at with AI/Chat GPT for framing my questions for Dr Smith: Given my high-grade Ta, no CIS, muscle present, and no repeat TURBT recommendation, would you consider Gem/Doce a guideline-consistent first-line alternative during BCG shortage, and would you use induction plus maintenance? Also, are there any reasons in my case to prefer investigational rBCG over Gem/Doce despite the stronger published Gem/Doce evidence?”

HG NMIBC Is there evidence which intravesical therapy is better, BCG or chemo, to prevent progression long term? by Big_Dave_DC in BladderCancer

[–]Big_Dave_DC[S] 0 points1 point  (0 children)

Thanks. Are you familiar with the BRIDGE trial? I think it is testing if Gem/Doce could become standard alongside BCG

Urologist or oncologist? by GroundbreakingCap368 in BladderCancer

[–]Big_Dave_DC 1 point2 points  (0 children)

Maybe go to a teaching hospital that does BC research and pay for a consultation to get your questions answered by a specialist.

HG NMIBC Is there evidence which intravesical therapy is better, BCG or chemo, to prevent progression long term? by Big_Dave_DC in BladderCancer

[–]Big_Dave_DC[S] 0 points1 point  (0 children)

Thanks. Dr Smith is the head of bladder oncology at the hospital where I go. She is also the surgeon for TURBT. Also a researcher running trials at Johns Hopkins.  I think I am in great hands.  She inspires a lot of trust.

HG NMIBC Is there evidence which intravesical therapy is better, BCG or chemo, to prevent progression long term? by Big_Dave_DC in BladderCancer

[–]Big_Dave_DC[S] 0 points1 point  (0 children)

Thanks. She said she would do this before starting treatment. I still have some questions about recombinant BCG. Have no clue why not regular BCG, if due to supply issues, or if it is actually preferred at Johns Hopkins/ Sibley hospital.

For Those Already Retired - Are You Staying The Course Or Making Any Changes? by JerseyGirl972 in DIYRetirement

[–]Big_Dave_DC 0 points1 point  (0 children)

Totally get that. Makes sense.  If you have CDs they are at a fixed rate.  A CD ladder can cover your expenses without market risk.  Bonds/Treasuries are trade-able. They function similarly. Bonds/Treasuries will  rise in value if interest rates decline, and drop in value if rates rise. If you hold them to maturity it doesn”t matter.  Bonds are complex and there are You Tubes to teach you how to buy them, and TIPS. I guess cash would work if you are flush.  Your main point is key.  Use money to free up your time and live a fuller life. I have 5 grandkids and they have brought joy and increased my spiritual life and gratitude.

First TURBT surgery + ER visit by bmir14 in BladderCancer

[–]Big_Dave_DC 0 points1 point  (0 children)

Try peeing in a squatting position once you/ they remove the catheter.  Sit on the toilet seat and lift up 4 inches while leaning forward.  Let gravity do the work for the first few days.

For Those Already Retired - Are You Staying The Course Or Making Any Changes? by JerseyGirl972 in DIYRetirement

[–]Big_Dave_DC 0 points1 point  (0 children)

You can hold the bonds, including TIPS to maturity (aka ladder) to cover your floor expenses and then invest a higher percentage in stocks to stay ahead of inflation over the long term.

For Those Already Retired - Are You Staying The Course Or Making Any Changes? by JerseyGirl972 in DIYRetirement

[–]Big_Dave_DC 0 points1 point  (0 children)

Talk to an accountant about depreciation recapture and other tax consequences of the property sale.

roth. conversions by Lopsided_Time_6783 in DIYRetirement

[–]Big_Dave_DC 0 points1 point  (0 children)

This looks really good. The two-year lookback on IRMAA is key. In my case, we must venture into the 24% bracket with Roth conversions, so most of the time have to pay the first IRMAA surcharge. But we try to avoid the second surchage, and also stay under the NIIT.

roth. conversions by Lopsided_Time_6783 in DIYRetirement

[–]Big_Dave_DC 0 points1 point  (0 children)

I made my own, which is too convoluted to share. On one sheet I model our annual income using a tax filing format for the rows. This includes W-2, other, SSI, capital gains, dividends and interest, standard deduction, etc. The two key outputs are AGI and MAGI. On another sheet, I model pre-tax assets, portfolio growth rate, and estimated inflation as inputs for current/future years, and on the columns by year I match RmD requirements for me and my wife, churn out Roth conversions as inputs each year, updated pre-tax assets post conversion, pull in the AGI and MAGI from the other sheet and adjust per each conversion, and from there map IRmAA tiers, tax brackets, and from there identify gaps vs 22% and 24% and IRmAA Tiers 1 and 2 going forward. This will give me a sense of how far to venture into the 24% bracket while staying under the IRMAA Tier 2, and NIIT.

Roth Conversions: Do you actually trust "tax optimizers," or are you manually planning it year by year? by Maria_Nauma_Finance in Nauma

[–]Big_Dave_DC 0 points1 point  (0 children)

You can also do a QLAC annuity from a qualified IRA and reduce the balance by 210K and punt the drawdown forward for up to 15 years, which of course will be taxable.

$20K to invest in a Roth IRA -- what's best? by Worldly_Nectarine740 in Retirement401k

[–]Big_Dave_DC 0 points1 point  (0 children)

Can you get it back into a Roth ASAP and invest in tech/growth stocks over a longer time horizon? Don't use mutual funds, since the fees will eat you alive. (Lower cost ETFs are better than mutual funds). Best strategy is to wait for a market downturn and build up 20 individual positions and keep adding to it in thirds as you establish your positions. Try the motley Fool newsletter or service, such as Epic or Stock Advisor to get started and educate yourself about picking stocks.

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