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#188 Roth or Pre-Tax Contributions: Which Makes More Sense for Physicians?

Season #1

Do you ever get money advice from family members who make a fraction of what you do?

A doctor once told me his uncle had it all figured out for him. Buy a rental house now, have it paid off right around the time the kids start college, then let them live in it and charge their friends rent to cover tuition.

He nodded politely. While he was nodding, he was thinking about the fact that he has no idea where his kids will go to school, that the plan requires buying a house near a campus a nine year old has not picked yet, that somebody has to find and maintain a college town rental for eighteen years, and that his college money was already growing tax free in an account that does not call anybody at midnight about a water heater.

His uncle was not being foolish. When you do not have much to save, leveraging yourself into real estate seems reasonable, and that plan beats doing nothing.

But doctors have a different set of circumstances. Especially when it comes to their tax situation.

In this week’s episode, a dermatologist asks whether she should keep contributing to her pre-tax account at work for the deduction, or switch to Roth, meaning after tax contributions that grow tax free, since she plans to cut back to a three day work week and make less money.

If she starts asking around, she will get advice from everyone as if they are all in the same tax bracket.

Pay the tax now and benefit later is the common answer, and it is a good one for a household earning an average salary, where the deduction being passed up is worth very little. Her deduction comes off the top of one of the highest tax brackets in the country, and dropping to three days a week will not change that as much as it sounds like it should.

Most of the advice you get is free and well meant. Whether it was built around your set of circumstances is a different question.

We also answer your colleagues' questions.

An Ophthalmologist in Virginia says, “I have 529s for both of my college-age children with enough to cover their college education. Most of the accounts are still in stocks, and I’ve just been liquidating funds as needed. Returns have been good to date, but I feel like I’m gambling with a downturn. Should I convert the 529 funds to cash?”

An Internist in Oregon writes, “I inherited my dad's IRA last year, and I'm told it has to be emptied in ten years. How should that money be invested in the meantime?”

A Urologist in Vermont asks, “Our taxable account has drifted way out of balance because the stock funds grew. Rebalancing means selling and paying taxes. Is it worth it?”

Are you ready to turn worries about taxes and investing into a plan for college and retirement? If you’re evaluating your options and want to learn more, visit physicianfamily.com and click 'Get Started,' or you can ask a question of your own by emailing podcast@physicianfamily.com.

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