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Distributions from your 401 are different. If you paid into the 401, you can exclude part of each payment you receive from taxable income as a recovery of your investment. Your total investment cost includes everything you paid and also includes amounts your employer contributed that were taxable to you when paid. But like all things having to do with taxes, the IRS has pages of mind-bending rules and instructions about how you determine the taxable portion of your distribution..Many lawmakers feel that major Medicare reform is necessary, even though Congress has already made significant changes to the program this year. Do you agree, and if so, what changes do you think must be made?.Medical costs are a big expense in retirement that many retirees tend to underestimate. But healthcare isn't always the biggest item. Housing takes the biggest chunk of the household budget in retirement. Here are five of the biggest housing expenses to whittle down in 2014:.Nonetheless, this weekend the President said he will carry out his threat and veto the bill. It is not clear if all Republican members of Congress who voted for the bill will do so again and override Trump but there were large enough majorities in both houses that they could lose a few votes and still override..averages about ,350 per month. But even people who receive care at home spend.Increasing life expectancy, longer retirements, and an increase in the number of retirees all mean that a larger share of the population will be utilizing health services and receiving benefits from Medicare. DCW jobs are currently among the fastest-growing occupations in the country, though their training programs and earnings fail to reflect their incredibly important roles. A recent report by the Brookings Institute found that personal care aides, and nursing, psychiatric and home health aides have median earnings of ,000 and ,000 respectively..My husband and I are not yet 65 or enrolled in Medicare. We are still working primarily so we can get health insurance coverage through our employers. We're worried about the effect of "Obamacare" on our insurance premiums and whether our employers will drop coverage. Will Members of Congress give up their taxpayer-funded healthcare benefits? I think they should be required to get Obamacare benefits like the rest of us!.One of the first tax cuts to expire under the recent tax law is likely to disproportionately affect older taxpayers and others with the highest healthcare costs starting in 2019, says The Senior Citizens League. "The medical expense deduction will become less generous in 2019, and that is likely to affect older taxpayers, because they tend to have high medical expenses," says Mary Johnson, a Social Security policy analyst for The Senior Citizens League. "A less generous healthcare cost deduction could mean higher taxable income next year," she cautions.."At the very least a plan is needed to prevent fraudsters from stealing critically needed benefits from legitimately disabled beneficiaries," Cates says. TSCL agrees with the Social Security Administration Inspector General that the best way to do this is to conduct full medical continuing disability reviews to ensure that people are still eligible to receive benefits. Yet In fiscal year 2013, the budget request was to conduct 650,000 reviews but given the actual funding received, the agency reported conducting only 429,000 such reviews. Consequently the Social Security Administration reports a backlog of 1.3 million overdue CDRs at the end of fiscal year 2013.[v] TSCL urges Congressional support to provide the resources needed to eliminate the CDR backlog and provide rigorous oversight from fraud.