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    <p class=3DMsoNormal><span class=3Dpageheader><b style=3D'mso-bidi-font=
-weight:
    normal'><span style=3D'font-size:20.0pt'>Yes, you can retire early </sp=
an></b></span><b
    style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:20.0pt'>=
<o:p></o:p></span></b></p>
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  <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
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pan></b></p>
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 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td style=3D'padding:.75pt .75pt .75pt .75pt'>
  <p class=3DMsoNormal><span class=3Darticle-subtitle><span style=3D'font-s=
ize:14.0pt'>To
  make sure your nest egg will be big enough by the time you need it, take
  these steps.</span></span><span style=3D'font-size:14.0pt'><o:p></o:p></s=
pan></p>
  <table class=3DMsoNormalTable border=3D0 cellspacing=3D0 cellpadding=3D0
   style=3D'mso-cellspacing:0in;mso-padding-alt:0in 0in 0in 0in'>
   <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'>
    <td style=3D'padding:0in 0in 0in 0in'>
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pe=3D"#_x0000_t75"
     alt=3D"" style=3D'width:.75pt;height:11.25pt'>
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8"><![endif]></p>
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  <p class=3DMsoNormal><span style=3D'display:none;mso-hide:all'><o:p>&nbsp=
;</o:p></span></p>
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width=3D"100%"
   style=3D'width:100.0%;mso-cellspacing:0in;mso-padding-alt:0in 0in 0in 0i=
n'>
   <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'>
    <td style=3D'padding:0in 0in 0in 0in'>
    <table class=3DMsoNormalTable border=3D0 cellspacing=3D0 cellpadding=3D0
     width=3D"100%" style=3D'width:100.0%;mso-cellspacing:0in;mso-padding-a=
lt:0in 0in 0in 0in'>
     <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
      <td valign=3Dtop style=3D'padding:0in 0in 0in 0in'>
      <p class=3DMsoNormal><span class=3Darticle-date>Oct 22, 2004</span> <=
/p>
      </td>
     </tr>
     <tr style=3D'mso-yfti-irow:1'>
      <td valign=3Dtop style=3D'padding:0in 0in 0in 0in'>
      <p class=3DMsoNormal><span class=3Darticle-author>By:</span> <a
      href=3D"http://www.memag.com/memag/author/authorInfo.jsp?id=3D6597">L=
ynn
      O'Shaughnessy</a> </p>
      </td>
     </tr>
     <tr style=3D'mso-yfti-irow:2;mso-yfti-lastrow:yes'>
      <td valign=3Dtop style=3D'padding:0in 0in 0in 0in'>
      <p class=3DMsoNormal><span class=3Darticle-source>Medical Economics</=
span> </p>
      </td>
     </tr>
    </table>
    <p class=3DMsoNormal><o:p></o:p></p>
    </td>
   </tr>
  </table>
  <p><span class=3Darticle-articlebody>If you're hoping to retire sooner ra=
ther
  than later, it's not hard to understand why. Malpractice worries, managed
  care hassles, ridiculous Medicare reimbursements, endless paperwork, and =
long
  hours may make you wonder why you wanted &quot;MD&quot; or &quot;DO&quot;
  after your name in the first place. </span></p>
  <p><span class=3Darticle-articlebody>What's more complicated, however, is
  figuring out if you can <i>afford</i> to leave your practice behind. To
  ensure that a nest egg lasts for at least 30 years, many financial advise=
rs
  suggest that a retiree withdraw no more than 4 percent of his or her
  retirement assets each year. If you hope to escape medicine at a fairly y=
oung
  age, however, you should plan on pulling out even less, warns William
  Bernstein, a neurologist and a principal of Efficient Frontier Advisors, a
  money management firm in Eastford, CT. &quot;Anyone who's thinking about
  retiring before age 60 should live on just 3 percent of retirement assets=
 per
  year,&quot; he says. (Both calculations assume that at least half of your
  assets will remain invested in stocks throughout your retirement.) </span=
></p>
  <p><span class=3Darticle-articlebody>With those guidelines in mind, your =
first
  step should be to figure out how much you're apt to have saved by your ta=
rget
  retirement date, and how much you could realistically afford to withdraw
  annually. How does that compare with the amount you'd <i>like</i> to spen=
d in
  retirement? </span></p>
  <p><span class=3Darticle-articlebody>When doing the calculations, don't
  overlook the big elephant sitting in the room&#8212;income taxes. Withdra=
wals
  from your tax-sheltered accounts are subject to federal income tax of up =
to
  35 percent, plus any applicable state taxes. The only exception is the Ro=
th
  IRA, which allows tax-free withdrawals. </span></p>
  <p><span class=3Darticle-articlebody>If you need help running your retire=
ment
  projections, you can get software designed specifically for that purpose =
at
  the Web site of Analyze Now (<a href=3D"http://www.analyzenow.com"
  target=3D"_blank">www.analyzenow.com</a> ), or use a general personal fin=
ance
  program such as Quicken. </span></p>
  <p><span class=3Darticle-subhead>If your nest egg is too skimpy</span><sp=
an
  class=3Darticle-articlebody> Suppose your savings will fall well short of=
 the
  amount you should have set aside before retiring. In that case, you may h=
ave
  little choice but to delay retirement&#8212;at the very least, you'll hav=
e to
  take serious steps to save more and spend less. Here are some ways to sta=
rt: </span></p>
  <p><span class=3Darticle-articlebody><b>Boost your retirement contributio=
ns. </b>Once
  retirement plans are established, many physicians forget to increase their
  contributions as the years go by. Each year you should examine whether you
  can boost your savings in tax-sheltered accounts. You can contribute, for
  example, up to $15,000 to a 401(k) in 2006, a $1,000 jump from last year.=
 A
  physician who's 50 or older can stash away an extra $5,000 this year. In
  2006, a doctor 50 or over can contribute a total of $20,000. Sock away ev=
ery
  cent you can. </span></p>
  <p><span class=3Darticle-articlebody>If you have an IRA, fund that, too. =
You'll
  qualify for a Roth IRA only if your adjusted gross income doesn't reach
  $160,000 (assuming you're married and filing jointly) or $110,000 (if you=
're
  single); but there are no income restrictions on a nondeductible IRA. For
  either type, you can kick in $5,000 in 2006, and if you're at least 50 you
  can add $500 more. </span></p>
  <p><span class=3Darticle-articlebody><b>Make sure your practice's retirem=
ent
  plan is managed well. </b>A poorly managed plan will undermine your effor=
ts
  to save more. All too frequently, the professionals handling a practice's
  401(k), profit sharing, or defined-benefit plan are mediocre at best, says
  Linda Gadkowski, a certified financial planner at Beacon Financial Planni=
ng
  in <st1:City w:st=3D"on">Boston</st1:City> and <st1:place w:st=3D"on">Cap=
e Cod</st1:place>.
  Often the stockbroker or attorney who set up the retirement plan ends up
  managing the money, whether or not he has any experience with portfolio
  management. Or he may give the job to someone with whom he has business t=
ies
  and the physicians may not know about it. Gadkowski knows of one practice
  where a pediatrician, who was an amateur investor, picked the investments
  himself. Over the 20 years when the doctor managed the plan, she says, it
  returned just 6 percent, before factoring in fees. </span></p>
  <p><span class=3Darticle-articlebody>When Gadkowski's husband, an anesthe=
siologist,
  was thinking about joining a group practice years ago, she talked him out=
 of
  it because a stockbroker was managing the practice's retirement assets
  poorly. The other physicians seemed unconcerned about the group's lacklus=
ter
  investment returns, but they enjoyed being wined and dined by the broker
  twice a year. Walter Gadkowski ultimately decided to subcontract with the
  group and he invested his retirement contributions elsewhere. </span></p>
  <p><span class=3Darticle-articlebody>If you have your own practice and yo=
ur
  retirement plan's returns are disappointing, solicit bids from several
  investment firms before choosing a new one to manage the plan's assets.
  You'll want to ask about their investment approach, fees, and qualificati=
ons.
  Have each firm give you a sample portfolio containing investments similar=
 to
  the types your practice could expect, and ask what sort of returns other
  portfolios with those assets have generated. </span></p>
  <p><span class=3Darticle-articlebody>Each firm should also give you a cop=
y of
  its Form ADV, which is filed with the SEC or state securities regulator. =
The
  form includes background on fees, the education and business background of
  members of the firm, lawsuits and arbitration proceedings, and any potent=
ial
  conflicts of interest. Finally, make sure the firm you choose writes an
  investment policy statement for your plan; it should contain the investme=
nt
  goals, guidelines to be followed, and a review process. </span></p>
  <p><span class=3Darticle-articlebody><b>Ease out of the working world. </=
b>If
  you just can't afford to quit working cold turkey, you might consider sca=
ling
  back your responsibilities rather than retiring, advises Kathleen Kee,
  director of financial planning at Pacific Investment Advisors in <st1:pla=
ce
  w:st=3D"on"><st1:City w:st=3D"on">Portland</st1:City>, <st1:State w:st=3D=
"on">OR</st1:State></st1:place>.
  Besides reducing the amount you need to withdraw from your nest egg, you =
may
  still qualify for healthcare benefits and retirement plan opportunities if
  you work enough hours. Moreover, it allows you to transition into retirem=
ent
  more easily. </span></p>
  <p><span class=3Darticle-articlebody>Easing out of work could mean simply
  cutting back your practice hours. Or if you need a change of pace from
  patient care, another option is to shift into a different type of work. S=
ome
  doctors do drug research for pharmaceutical companies. Others review
  long-term care applications or insurance claims. Additional possibilities
  include acting as a case-history reviewer for the Social Security
  Administration or teaching. And some physicians fill in for solo
  practitioners who are on vacation. </span></p>
  <p><span class=3Darticle-articlebody><b>Cut back spending. </b>&quot;It's=
 much
  more efficient to scale back your lifestyle than to accumulate the capita=
l to
  support it,&quot; says John Henry McDonald, president of Austin Asset
  Management in <st1:place w:st=3D"on"><st1:City w:st=3D"on">Austin</st1:Ci=
ty>, <st1:State
   w:st=3D"on">TX</st1:State></st1:place>. </span></p>
  <p><span class=3Darticle-articlebody>For some physicians, an obvious plac=
e to
  start will be their homes. If the kids are long gone, keeping a
  3,500-square-foot house that generates high maintenance bills and onerous
  property taxes may be impractical. Buying something cozier could free up =
lots
  of cash. And if you're still giving those grown kids cars, cash, and other
  perks, it's time to stop. </span></p>
  <p><span class=3Darticle-articlebody>Not all budget trimming needs to be
  painful. As you reduce your work hours, you can also slash your insurance
  costs. Gadkowski's husband, for instance, was able to significantly cut h=
is
  malpractice coverage because he now works part time. Also re-examine how =
much
  disability coverage you need, once you cut back on your hours. </span></p>
  <p><span class=3Darticle-articlebody>Keep in mind, though, that your best
  efforts to scale back won't work if you don't also convince your spouse t=
hat
  it's necessary and enlist his or her cooperation. </span></p>
  <p><span class=3Darticle-subhead>Other ways to assure your escape</span><=
span
  class=3Darticle-articlebody> Even if you're basically on track for early
  retirement, you can take some additional steps to fine-tune your finances=
 and
  make the transition as smooth as possible: </span></p>
  <p><span class=3Darticle-articlebody><b>Begin planning five years in adva=
nce. </b>Giving
  yourself a head start will help you prepare without panicking, because yo=
u'll
  still have time to make any additional financial or lifestyle adjustments
  that may be necessary. &quot;Most doctors I know don't do enough cash-flow
  planning,&quot; says Steve Kanaly, vice chairman of Kanaly Trust Company =
in <st1:City
  w:st=3D"on"><st1:place w:st=3D"on">Houston</st1:place></st1:City>. </span=
></p>
  <p><span class=3Darticle-articlebody>One of your top goals during this
  transition period should be to aggressively pay down your mortgage, sugge=
sts
  McDonald. Although you'll shrink and eventually lose your annual tax
  deduction for mortgage interest, in exchange you'll enjoy greater financi=
al
  security. Not only will you build home equity faster, but depending on st=
ate
  law, part or all of that home equity will be protected from creditors. </=
span></p>
  <p><span class=3Darticle-articlebody><b>Invest tax efficiently. </b>The a=
ssets
  in your tax-sheltered retirement accounts aren't the only ones that matte=
r.
  Dodging unnecessary taxes on any investments you hold <i>outside</i> those
  accounts will also help you stretch your retirement dollars. One option i=
s to
  tuck your taxable cash into low-cost, tax-efficient mutual funds. Lipper,
  which generates mutual fund statistics, estimates that the average stock =
fund
  investor loses up to 24 percent of yearly return to taxes, while the typi=
cal bond
  fund investor loses up to 45 percent. </span></p>
  <p><span class=3Darticle-articlebody>Vanguard, Fidelity, and T. Rowe Pric=
e are
  among the fund families that offer no-load, tax-managed options.
  Exchange-traded funds, which resemble index funds but trade on exchanges =
like
  stocks, are also excellent candidates for taxable accounts, because they
  rarely spin off capital gains distributions. </span></p>
  <p><span class=3Darticle-articlebody><b>Spread the income tax burden. </b=
>Even
  if you're not retiring as early as you'd like, it may pay to start
  withdrawing cash from your IRA at age 65 or earlier, suggests Kee. &quot;=
It
  reduces the amount that must be distributed each year, and spreads the ta=
xes
  over more years.&quot; In addition, reducing the balance of your retireme=
nt
  plans may have estate tax benefits, she notes. </span></p>
  <p><span class=3Darticle-articlebody><b>Get help if you need it. </b>Doct=
ors
  who make financial mistakes, says Kee, are often the ones who won't ask
  questions. &quot;Physicians don't want to show that they lack expertise, =
but
  they shouldn't worry about it,&quot; she says. &quot;No one expects them =
to
  be experts in all areas of their lives.&quot; So if you need help managing
  your investments so they'll last as long as possible, or if you're wonder=
ing
  whether you need to make other changes to ensure a comfortable retirement,
  don't hesitate to consult a financial adviser. </span></p>
  </td>
 </tr>
</table>

</div>

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