Lower drug prices?
2 replies
AUTHOR: mytimetotravel on 2/4/2026
FIRST: R Quinn on 2/5 | RECENT: Jerry Pinkard on 2/5
Customizing the Safe Withdrawal Rate
60 replies
AUTHOR: mytimetotravel on 1/8/2026
FIRST: Winston Smith on 1/8 | RECENT: mytimetotravel on 1/15
The Incredible Shrinking -- Stock Market?
11 replies
AUTHOR: mytimetotravel on 12/16/2025
FIRST: Mark Crothers on 12/16/2025 | RECENT: Kenneth DeLuca on 12/18/2025
Which bond fund?
40 replies
AUTHOR: mytimetotravel on 12/1/2025
FIRST: Michael1 on 12/1/2025 | RECENT: Andy Morrison on 12/14/2025
The 4 Year Rule for Retirement Spending
18 replies
AUTHOR: mytimetotravel on 11/29/2025
FIRST: Edmund Marsh on 11/29/2025 | RECENT: L H on 12/2/2025
How to win at FIRE from the Wall Street Journal
27 replies
AUTHOR: mytimetotravel on 9/2/2025
FIRST: Winston Smith on 9/2/2025 | RECENT: Nick Politakis on 11/28/2025
What would you do if you couldn't drive?
45 replies
AUTHOR: mytimetotravel on 11/23/2025
FIRST: Dan Smith on 11/23/2025 | RECENT: Mark Crothers on 11/26/2025
About those US medical costs....
100 replies
AUTHOR: mytimetotravel on 10/25/2025
FIRST: David Mulligan on 10/26/2025 | RECENT: Dan Smith on 11/20/2025
Disappointed (and annoyed) with Vanguard.
60 replies
AUTHOR: mytimetotravel on 10/21/2025
FIRST: DAN SMITH on 10/21/2025 | RECENT: achnk53 on 10/27/2025
One fund or two?
14 replies
AUTHOR: mytimetotravel on 10/14/2025
FIRST: Randy Dobkin on 10/14/2025 | RECENT: mytimetotravel on 10/15/2025
What is retirement?
59 replies
AUTHOR: mytimetotravel on 9/13/2025
FIRST: Cecilia Beverly on 9/13/2025 | RECENT: Michael1 on 9/16/2025
Don't Discount Luck
31 replies
AUTHOR: mytimetotravel on 7/23/2025
FIRST: Rick Connor on 7/23/2025 | RECENT: Regan Blair on 7/26/2025
Some people are never satisfied
39 replies
AUTHOR: mytimetotravel on 7/10/2025
FIRST: Mark Crothers on 7/10/2025 | RECENT: mytimetotravel on 7/12/2025
A Question for our UK posters
32 replies
AUTHOR: mytimetotravel on 6/27/2025
FIRST: Mark Crothers on 6/27/2025 | RECENT: DrLefty on 6/30/2025
A Nuanced View of FIRE
34 replies
AUTHOR: mytimetotravel on 6/16/2025
FIRST: bbbobbins on 6/16/2025 | RECENT: mytimetotravel on 6/18/2025
Mr. Quinn would be nervous. Would you be?
67 replies
AUTHOR: mytimetotravel on 5/29/2025
FIRST: DAN SMITH on 5/29/2025 | RECENT: R Quinn on 6/3/2025
An Insignificant Sum?
20 replies
AUTHOR: mytimetotravel on 3/26/2025
FIRST: baldscreen on 3/26/2025 | RECENT: David Lancaster on 3/28/2025
Longevity Income?
7 replies
AUTHOR: mytimetotravel on 11/7/2024
FIRST: Dan Smith on 11/7/2024 | RECENT: Kevin Lynch on 11/8/2024
How should I allocate my bond funds?
11 replies
AUTHOR: mytimetotravel on 10/10/2024
FIRST: Randy Dobkin on 10/10/2024 | RECENT: mytimetotravel on 10/12/2024
What I Saw With Meals on Wheels
17 replies
AUTHOR: mytimetotravel on 9/5/2024
FIRST: baldscreen on 9/5/2024 | RECENT: mytimetotravel on 9/15/2024
Do You Own a Safe?
42 replies
AUTHOR: mytimetotravel on 8/23/2024
FIRST: Jeff Bond on 8/23/2024 | RECENT: stelea99 on 8/29/2024
A CCRC is not an Assisted Living facility
32 replies
AUTHOR: mytimetotravel on 7/9/2024
FIRST: Jonathan Clements on 7/9/2024 | RECENT: kt2062 on 8/12/2024
How is a CD a bond?
6 replies
AUTHOR: mytimetotravel on 7/17/2024
FIRST: Dan Smith on 7/17/2024 | RECENT: Rick Connor on 7/17/2024
THESE DAYS, IT SEEMS every other article on retirement talks about a neat division between the go-go, slow-go and no-go years, with retirees moving seamlessly from one to the next.
I don’t remember seeing anything about these stages back in the late 1990s when I was contemplating early retirement. Instead, when I quit full-time work in 2000 at age 53, I just wanted to travel before I got too decrepit.
I did travel—extensively—right up until 2017,
LATE LAST OCTOBER, I was one of the first to move into the new building at my chosen continuing care retirement community, or CCRC. Now, more than five months later, I’m more confident than ever that I made a good decision.
I’m in my mid-70s, single and childless, with relatives 3,000 miles distant in both directions. Both bathrooms at my old home were up 15 stairs. Aging in place was not a good option.
I’D JUST ARRIVED IN the charming, car-free village of Murren in the Swiss Alps, and was trying to find my B&B on the helpful signpost near the station. Stepping back for a better view, I tripped over the curb, with my backpack pulling me further off-balance. I went down with my left wrist under my hip.
Two wonderful British couples rushed to my assistance. One pair took my backpack to my B&B and the other escorted me back down the mountain to a doctor’s office.
I DON’T REMEMBER when my hearing started deteriorating. I suppose it came on gradually. I definitely remember when I developed tinnitus—ringing in the ears—and it was tinnitus that sent me to an audiologist in 2012.
She confirmed the information I’d already found on the internet: There’s no cure for tinnitus. While I would always miss the complete silence I’d previously enjoyed, at least mine was a tolerable background hum, unlike some horror stories I’d read.
ONE REASON I WAITED so long to sell my house was my extreme reluctance to move all my belongings. I didn’t want to deal with the hassles involved—because I’d gone through that less than a decade earlier.
In 2013, I had the house renovated. I replaced almost all the flooring, with hardwood downstairs, carpet upstairs and tile in the bathrooms. I also updated the kitchen cabinets. That meant, of course, that every single thing in the house had to be moved.
I NEVER PLANNED TO retire at age 53. I wasn’t an early adopter of the FIRE, or financial independence-retire early, philosophy. In fact, I didn’t start saving seriously until my late 30s, when I left my first husband and finally realized that—unlike pensions in my native U.K.—my U.S. pension didn’t come with an annual cost-of-living adjustment.
Instead, three developments in the late 1990s led me to consider quitting. First, I was no longer enjoying my job.
IF MEDICARE’S A MAZE, its Part D drug plan is a maze within a maze, with no one good path and plenty of so-so choices, along with a couple of potential “gotchas.”
Until 2006, Medicare offered no coverage for outpatient drugs, so today’s situation—however imperfect—is certainly an improvement. It’ll improve even more for people with high drug costs in 2024 and 2025, as I’ll explain at the end of this article.
What if you have Medicare Advantage,
I GREW UP IN ENGLAND, with health-care coverage provided by the National Health Service, so I’m extremely sympathetic to people calling for “Medicare for All.” Still, I do wonder whether they realize that Medicare is neither cheap nor simple. My medical costs in 2021 were more than $10,000, with half of that for a single drug. And it would have been even more without the $3,000 a year kicked in by my former employer.
WE HAVE A MEDICAL profession apparently wedded to the notion that quantity trumps quality. That’s why, although I have no problem with being dead, I have serious concerns about the process of becoming dead. I have no wish to linger for months attached to tubes, or to disappear for years into the mists of dementia.
I have few childhood memories, and I wouldn’t swear to the accuracy of those I have. Still, one from my teens has remained with me.
I EXPECTED TO SPEND early 2017 blogging about my fourth round-the-world trip, which I’d just completed, and planning my next journey. Instead, I spent much of the year on the couch with a heating pad, in between assorted medical appointments, everything from acupuncture to meeting with an infectious disease specialist.
Eventually, I got a definitive diagnosis—I had a form of rheumatoid arthritis—and, in early 2018, an effective medication. But I had been forcibly reminded of something I’d first learned 10 years earlier,


Comments
That is part of my plan too, but as Dana points out, we may be unable to implement it. A massive stroke, for instance. As back up I have both a Do Not Resuscitate order and a MOST (Medical Order for Scope of Treatment, POST in some states), plus a friend with my Healthcare Power of Attorney who is very good at saying no. Even with a dementia diagnosis timing will be an issue.
Post: How do you prepare for the long term care cost as retiree?
Link to comment from June 25, 2026
First, part of the entry fee is considered pre-payment of medical expenses. In my case (Type B CCRC), the cost of Assisted Living and Skilled Nursing is below market rates because of this (but above Independent Living). Second, a non-profit CCRC is required to spend at least 5% of revenue on charity care to maintain that status. Support for residents who run out of money counts towards the 5%. We also have a charitable foundation dedicated to the same thing. Note the qualification at mine of "through no fault of their own". I imagine that if you are found to be maintaining a stable of Ferraris or to have been gambling on prediction markets there might be an issue. I have seen more dubious qualifiers - read the agreement carefully. I am in North Carolina. My CCRC's wait list was over 1,200 households last I heard. You need to get on a list or lists well ahead of time - deposits are typically small and refundable.
Post: How do you prepare for the long term care cost as retiree?
Link to comment from June 22, 2026
Ditto, although less dramatically. My house was three bedrooms, two and a half baths and 1,530 sq. ft. My CCRC apartment has two bedrooms, two baths, a den and balcony and 1,660 sq. ft. I also bought some new furniture. While I made quite a few donations I'm not acquisitive and didn't have a whole lot of "stuff" to get rid of.
Post: Thinking about downsizing? Think seriously
Link to comment from June 22, 2026
Way back, when I was in my 40s, the megacorp offered employees Option 1. I figured I would likely be paying premiums for over forty years for something I might never use, and passed. Since then companies have abandoned the business, and premiums for remaining policies have risen. I do not regret that decision. Instead, I have implemented David's suggestion. In my mid-70s I moved to a non-profit CCRC that promises to keep me if I run out of money. It has been in operation for over 30 years and has an extensive wait list. Of course, this plan might be derailed by some black swan event, but that is true of any plan.
Post: How do you prepare for the long term care cost as retiree?
Link to comment from June 21, 2026
I agree that 600 sq. ft. Is small. My Independent Living apartment is 1,700 sq. ft., really bigger than I need. But I don't see what is wrong with exercise classes, crafts and board games. I very much appreciate having a gym at the end of the corridor. At one time I took tai chi, now I'm taking dance classes. I don't play them myself, but bridge, mahjong and billiards are very popular here.
Post: Close to Everything I Need
Link to comment from June 21, 2026
As I've posted before, I think moving to a CCRC was one of my best ever decisions. You mention "maximum independence". I am in "Independent Living", and I still have a lot of independence: if I'm missing some I haven't regretted it. I still drive and I go where I want, when I want. On the other hand, I do no cleaning and no maintenance, and a lot less cooking. I have new friends and enjoy new activities. I stayed in the same town, but moved much closer to the center. I do think that waiting until you need Assisted Living can be a mistake. If I have to move there it will be on the same campus - likely the same building. If you wait you may have little choice, and downsizing will be much harder.
Post: Close to Everything I Need
Link to comment from June 20, 2026
I seem to remember reading, and I could certainly be wrong, that going door to door was part of their "training".
Post: He Said I Wasn’t Very Nice
Link to comment from June 20, 2026
When I still lived in a house I mostly stopped answering the door. Although there was the time it was an Edward Jones salesman and I enjoyed telling him what I thought of his company. This irritant stopped when I moved to an apartment complex with interior access and now that I am in a CCRC.
Post: He Said I Wasn’t Very Nice
Link to comment from June 19, 2026
But, following KISS, my portfolio is not complicated. I know my asset allocation and location. I might like to sell out a couple of long-held items in my brokerage account, but I would incur significant capital gains and the income would likely push me further up the IRMAA ladder. Plus, privacy.
Post: How to Use AI With Your Portfolio
Link to comment from June 10, 2026
Since I believe strongly in both the KISS principle (Keep It Simple, Stupid) and the value of benign neglect, and also have no interest in providing personal data to big companies, I will not pursue this. Aside from one current account, all my finances are consolidated at Vanguard, and it provides my asset allocation on the home page, with additional detail available if required. It also reports my total fees as a percentage.
Post: How to Use AI With Your Portfolio
Link to comment from June 9, 2026