[vundercind]

> maybe you can just say if you've got enough to pull $100,000/year, you're good on healthcare too.

You’ll be exposed to tens of thousands in risk per year on top of (low) tens of thousands in premiums per year for a family Exchange plan. You’ll be burning nearly half of that (and spending all your free time trying to keep hospitals and insurers taking even more) if one of you gets cancer—or, if it’s you who gets cancer, you better hope someone else can handle that.

You also can’t withdraw at as high a “safe rate” as people planning for an ordinary retirement at ~65 do, because your fund needs to last a lot longer despite inflation and such. $2m isn’t “retire at 35” (… or 45) money. It might be “take a big gamble and maybe get lucky… for a while” money. Or semi-retire money.

[edit] at constant 2% inflation (ha!) you need a very safe source of consistent (not average!) 6% returns to retire with 80,000/yr income on $2m, without eating into principal. Anything goes wrong (“whoops, ‘safe’ wasn’t as safe as I thought!” or “whoops, we had a year of 7% inflation and my investments didn’t benefit from that!”) and you can find yourself burning principal while your account value is already down. It won’t take a lot of that before $80k is no longer your safe-withdrawal amount. A couple such years and you may be back to work. 30+ years is a long time…

[edit edit] also damn under $10k max out of pocket on a family plan at the bronze level for $17k? I gotta get out of my shithole state. That’s better than our Gold plans (also our plans tend not to cover like 2/3 of area providers, which may include 100% of area specialists for certain situations)

[kudokatz]

> You also can’t withdraw at as high a “safe rate” as people planning for an ordinary retirement at ~65 do

Solvable, including consideration of valuations via CAPE PE 10. Based on past data, the safe withdrawal rate (SWR) happens to be around 3.25-3.5% of assets to extend to a 60-year time horizon [1]

> at constant 2% inflation (ha!) you need a very safe source of consistent (not average!) 6% returns to retire with 80,000/yr income on $2m, without eating into principal.

For most of this research, "failure" constitutes running out of money. Preserving the initial portfolio value in inflation-adjusted terms can also be solved for. It takes the SWR closer to 2.8-3% for 60-year horizon with high equity valuation corrections.

> You’ll be exposed to tens of thousands in risk per year on top of (low) tens of thousands in premiums per year for a family Exchange plan.

Better to cap expenses and be ready to pay for it than live in fear. Save, invest, and move on with life.

> $2m isn’t “retire at 35” (… or 45) money. It might be “take a big gamble and maybe get lucky… for a while” money. Or semi-retire money.

Depends on how much money you need to spend every year to be happy. Sounds like you need a lot of it. For many, $2m would be fine, even with a very long time horizon. And if any problems crop up, there would be a 15-20 year warning during which a small income boost could top things up.

----

Things don't always have to be so gloomy.

[1] https://earlyretirementnow.com/2017/09/13/the-ultimate-guide...

[toast0]

My budget includes the premiums and the individual out of pocket max. If that's not good enough, what number am I supposed to be looking at? My with a spouse budget is just 2x the individual budget, family out of pockets are usually around 2x individual in my neck of the woods, so that doesn't make a big difference; if there's kids, then it would, but the modelling there gets tricky because you've got to figure out what age you're kicking them off the plan (assuming they don't have a debilitating condition that leaves them dependent on you for their whole life... that falls outside my plan).

> You also can’t withdraw at as high a “safe rate” as people planning for an ordinary retirement at ~65 do, because your fund needs to last a lot longer despite inflation and such. $2m isn’t “retire at 35” (… or 45) money. It might be “take a big gamble and maybe get lucky… for a while” money. Or semi-retire money.

The $2 M is the budged accumulation only to pay for premiums and out of pocket until you hit Medicare; and that's assuming a spouse. Budgeting that based on perpetual withdrawl rate gives yet another buffer, because it only has to last until Medicare eligibility age. Yeah, there's unknowns, but whatever. I'm not saying $2 M is enough to accumulate for early retirement. It could be, but a lot of people want to spend more money than that. $2 M doesn't generate that much income, so you'll likely qualify for health plan subsidies, which would help a bit too.

Edit: I used zipcode 98110, birthday for illustration 01/01/1960. Going into the less expensive side of my state, zipcode 99336; there's no blue cross out there, but the most expensive bronze plan for that birthdate is $14,000 / year with the same $9200 out of pocket max. And yeah, limited networks suck ... I'm not going to shop for hypotheticals there --- I'm pretty sure if there's no reasonable in network doctors, you can fight your insurance to get covered at a reasonable doctor, regardless of the insurance and state, and if you're early retired, you'll have time for it.

[lupire]

Some people think that if you can't spend a million dollars a year on healthcare for 50 years, you are poor. In a sense they are right, because nothing is more valuable than life, but if you lower your expectations beyond the tippy top 0.1%, and take up a nice hobby like skydiving or motorcycling, you can get by with a lot less.