Sunday, August 22, 2004  
_____________________________________________________________   
  
In This Issue...   
  
* 3,379 VERY SIMPLE WAYS TO MAKE YOUR HOME MORE LOVABLE  
* ED SLOTT, IRA EXPERT, ANSWERS YOUR IRA QUESTIONS  
* THE FOUR MOST DANGEROUS WORDS IN MODERN MEDICINE!  
* BREAKTHROUGH THERAPIES  
* WHEN MEDICINE FAILS... WHEN DOCTORS FAIL... YOU'RE ON YOUR OWN  
* EVENING WORKOUTS  
  
*************************************************************  
  
Dear Friend,  
  
Star Trek captured our imaginations with its creed to   
"boldly go where no man has gone before." I sometimes   
feel like Captain Kirk when searching for the latest and   
best information for you.   
  
Recently, we talked with Ed Slott. He's the premier expert on   
IRA accounts. He shares his wisdom with Bottom Line   
subscribers about their retirement accounts.   
  
Plus, the medical world is evolving so rapidly that some new   
tests may seem like science fiction. But these tests are all   
fact. How to use the latest breakthroughs to improve your   
health...  
  
  
Jessica Kent  
Editor  
BottomLineSecrets.com   
  
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*************************************************************  
  
Ed Slott, IRA Expert, Answers Your IRA Questions  
  
Ed Slott, CPA  
Ed Slott's IRA Advisor  
  
Special from Bottom Line/Personal  
  
Individual retirement accounts (IRAs) are complicated. It's no   
wonder that when we invited you, our readers, to send us your   
questions on these retirement vehicles, the response was huge. Bottom   
Line/Personal turned to Ed Slott, America's leading IRA expert, to   
tackle as many of your questions* as space permits.  
  
ROTH VS. TRADITIONAL IRAs  
  
I have a traditional IRA and a Roth IRA. Which one should I   
contribute to each year?  
  
The Roth wins. While you won't receive a tax deduction for   
contributions, you won't be taxed when you withdraw money in   
retirement. The Roth allows your investment to grow tax-free. If you   
don't use it all, future generations can enjoy the money tax-free,   
too.  
  
You may get a tax deduction for contributions to a traditional IRA,   
but you will owe income tax when you cash it in.  
  
I'm a 61-year-old retiree with a traditional IRA. I don't expect to   
need this money. Should I convert it to a Roth IRA?  
  
Converting a traditional IRA to a Roth IRA is a great idea. For   
income eligibility, see box below.  
  
There's no limit to how much you can convert, but you will have to   
pay income tax on the amount. To stagger the tax burden, convert   
pieces of your traditional IRA to a Roth over a period of years.  
  
Keep in mind that an inherited Roth IRA is far more valuable than an   
inherited traditional IRA. Your heirs won't pay income tax on   
withdrawals. For instance, say you leave a $100,000 Roth IRA to your   
40-year-old daughter and she takes the required minimum distributions   
(RMDs) annually. If the money earns a 10% return, she will receive   
$1.5 million income tax-free by age 82. Note: Spouse beneficiaries do   
not have to take RMDs.  
  
I will be 70 years old this year and must start taking withdrawals   
from my traditional IRA, which is worth $30,000. Should I convert it   
to a Roth first?  
  
Not if your aim is to avoid paying tax on your RMDs. Assuming that   
you're in the 25% tax bracket, converting to a Roth would generate   
$7,500 in tax. With a traditional IRA, you will pay $274 on your   
initial annual RMD of $1,095. You can find the formula for   
calculating RMDs in IRS Publication 590, Individual Retirement   
Arrangements (IRAs), available from the IRS at 800-TAX-FORM or     
www.irs.gov.  
  
DEDUCTING LOSSES  
  
I rolled over a 401(k) to an IRA and invested in mutual funds. The   
value dropped by $6,000. Can I deduct the loss?  
  
It rarely makes financial sense to deduct IRA losses. The IRS   
requires you to cash in every IRA you own. You then can claim the tax   
loss as a miscellaneous itemized deduction -- but only if such   
deductions exceed 2% of your adjusted gross income (AGI). See IRS   
Publication 590, noted above.  
  
ROLLING OVER LUMP SUMS  
  
I recently started collecting a pension. This year, I received a   
payment for accrued vacation and sick leave. Can this money be rolled   
over to my IRA?  
  
No. Severance, vacation and sick pay are considered wages, so they   
can't be rolled over. However, you can use this money to contribute   
to an IRA this year. For contribution limits, see box below.  
  
SMALL BUSINESS IRAs  
  
I own a business. Which is the best tax-advantaged way to invest   
earnings -- in an IRA, a Roth, a Keogh or something else?  
  
If you want to shelter income as a self-employed person, a good   
choice is either a simplified employee pension (SEP-IRA) or a savings   
incentive match plan for employees (SIMPLE IRA).  
  
You can set up a SEP-IRA if you earn as little as $450, but these   
plans are best for those who earn $50,000 or more. The maximum yearly   
contribution is 25% of your salary or $41,000, whichever is less.  
  
If you earn between $5,000 and $50,000, you'll be able to tuck more   
money into a SIMPLE IRA -- up to $10,500 if you are age 50 or older.   
In contrast, since you can contribute only a percentage of your pay   
to a SEP-IRA, someone making $10,000 could shelter the entire $10,000   
in a SIMPLE IRA but only $2,500 in a SEP-IRA.  
  
You can set up either of these plans at any financial institution.  
  
Keoghs involve a lot of paperwork. Only consider one if you would   
like to shelter more than $41,000.  
  
Even if you have a SEP- or a SIMPLE IRA and a 401(k), you can   
contribute to a Roth, as long as you don't surpass the income ceiling   
(see box below).  
  
My father died and left me $100,000. I want to shelter as much as I   
can and let it grow. I'm a self-employed physician's assistant who   
earns $75,000 a year. I have $80,000 in savings. An investment   
adviser recommended whole life insurance, a SEP-IRA and a Roth IRA.   
What's the best approach?  
  
A SEP-IRA is a wonderful tool for sheltering income if you're   
self-employed. If you contribute to a SEP-IRA, you can and should   
contribute to a Roth IRA if you don't exceed the AGI ceiling (see box   
below).  
  
A whole life policy may be prudent, depending on your needs. Such   
policies typically are used to cover projected estate tax, which   
kicks in only when assets surpass $1.5 million.  
  
TIMING IRA WITHDRAWALS  
  
When can I take tax-free withdrawals from my Roth IRA?  
  
You can withdraw contributions -- but not earnings -- at any age   
without repercussions. Suppose you contributed $3,000 to a Roth and   
then you needed the money the next month to repair your car. You   
could pull out the $3,000 without taxes or penalties.  
  
To withdraw earnings tax-free, you must wait five years from January   
1 of the year in which you made your first contribution and be at   
least 59� years old.  
  
Example: If you made your first contribution in August 2000, you   
could begin withdrawing earnings no sooner than January 1, 2005.  
  
I'll be 70� on December 20. Must I take my first yearly IRA   
distribution this year or by April 1, 2005?  
  
You aren't required to take your first required minimum distribution   
(RMD) until April 1 of the year after you turn 70�. In your case, if   
you wait until 2005 to take your initial RMD, you will have to take   
two RMDs in one year -- one for 2004 and one for 2005.  
  
Instead, take the first distribution in 2004 to stagger your tax   
liability.  
  
Exception: If you expect to have large income in 2004 and little   
income in 2005, postpone taking both distributions until 2005 because   
your tax bracket is likely to be lower.  
  
Can I roll my 401(k) funds directly into a Roth IRA?  
  
No. You must first roll over to a traditional IRA and convert later.   
As long as your income does not exceed the maximum (see box below),   
there is no limit on the amount you can convert.  
  
INHERITING IRAs  
  
I'm 38 years old and just inherited a traditional IRA from my father.   
Do I have to wait until I'm 59� to take withdrawals without penalties?  
  
Absolutely not. The 10% early withdrawal penalty doesn't apply to   
inherited IRAs. The law requires that beneficiaries begin taking RMDs   
in the year after the benefactor's death. Because you inherited a   
traditional IRA -- not a Roth -- you will owe income tax on   
withdrawals.  
  
What are the advantages or disadvantages of making your IRA   
beneficiary a living trust?  
  
There are no tax benefits to naming a trust as an IRA beneficiary.   
The only reason to do so is when a beneficiary is a minor child or an   
adult who should not handle money.  
  
I am due to receive an inheritance from my uncle. His IRA is worth   
$50,000. Can I roll it into my IRA?  
  
No. The IRS requires you to keep it separate and leave the deceased   
owner's name on the account. An inherited IRA also can't be converted   
to a Roth. These rules don't apply to spouse beneficiaries.  
  
IRA BASICS  
  
How do I set up a Roth or traditional IRA?  
  
You can start either type of IRA at just about any financial   
institution -- a mutual fund firm, brokerage firm, credit union or   
bank.  
  
Are IRAs covered by FDIC (Federal Deposit Insurance Corporation)   
insurance?  
  
It depends on how they're invested. If your IRA is in a certificate   
of deposit or a savings account, it is protected by FDIC insurance --   
up to $100,000 per account. If your IRA is in mutual funds or stocks,   
it is not FDIC-protected, but you might prefer to have higher-return   
investments than the type that the FDIC insures.  
  
IRA RULES AT A GLANCE  
  
Annual IRA contribution limits  
  
$3,000, under age 50  
  
$3,500, age 50 and over  
  
Income limits for...  
  
* Contributing the full amount to a Roth: $95,000 (AGI)   
  single/$150,000 (AGI) married filing jointly.  
  
* Converting to a Roth: $100,000, single or married filing jointly.  
  
* Setting up a Roth: $110,000 single/$160,000 married filing jointly.  
  
*Subscribers' names were withheld to protect their privacy.  
  
-------------------------------------------------------------  
Bottom Line/Personal interviewed Ed Slott, CPA and publisher, Ed   
Slott's IRA Advisor, Rockville Centre, New York.   www.irahelp.com.   
He is author of   The Retirement Savings Time Bomb and How to Defuse   
It (Penguin USA).  
  
http://www.amazon.com/exec/obidos/asin/0142003778/blpnet  
   
  
                        Special Offer       
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*************************************************************  
  
Breakthrough Therapies  
  
Jeff Geschwind, MD  
Heiko Sch�der, MD  
Sheldon Sheps, MD  
  
Special from Bottom Line/Health  
  
Sophisticated radiologic techniques -- such as high-speed computed   
tomography (CT) scans -- now are being used both as an alternative to   
traditional surgery and as a new diagnostic tool for a number of   
common ailments.  
  
Typically administered by interventional radiologists, these   
treatments are available at most medical centers across the US.*  
  
Bottom Line/Health recently interviewed three leading experts about   
these new therapies...  
  
                       -------------------  
                                             
Jeff Geschwind, MD, is associate professor of radiology, oncology and   
surgery at Johns Hopkins University School of Medicine, and director   
of cardiovascular and interventional radiology at The Johns Hopkins   
Hospital, both in Baltimore.  
  
CANCER TREATMENT  
  
When surgical removal of a malignancy of the liver, kidneys, bone or   
other organs is not an option, due to the size or location of the   
tumor, patients may now receive a new therapy called radiofrequency   
ablation.  
  
What's involved: An interventional radiologist uses an ultrasound to   
locate the tumor. A needle is then placed through the skin directly   
into the malignancy. A radiofrequency current is emitted through the   
needle to burn away the tumor without damaging surrounding tissue.   
The treatment typically takes one to three hours and can be performed   
as an outpatient procedure, without general anesthesia. Typical cost:   
$13,000 to $20,000.  
  
Important: Radiofrequency ablation is appropriate only for small   
malignancies -- that is, tumors no larger than 3 cm to 4 cm in   
diameter. This procedure is not a cure for cancer but can be used to   
help control it.  
  
VARICOSE VEINS  
  
Approximately 25% of American women and 10% of American men suffer   
from varicose veins. These occur when a vein's emptying mechanisms   
malfunction, resulting in reflux (the pooling of blood), most often   
in the legs or pelvis. Besides being unsightly, varicose veins also   
can lead to chronic pain.  
  
A new image-guided technique called vein ablation, done with   
radiofrequency or laser heat, now makes it easier to destroy varicose   
veins without surgery or the injection of chemical solutions.  
  
What's involved: Guided by ultrasound, the radiologist threads a   
small catheter into the varicose vein. The laser is then fired   
briefly, which heats and seals the vein. The treatment takes less   
than an hour, and the patient is up and walking 20 minutes later.   
Typical cost: $2,000 to $3,000 per leg.  
  
Another new technique uses image-guided therapy to eliminate varicose   
veins in the pelvis. Some 9 million American women suffer from   
unexplained chronic pelvic pain.  
  
Known as pelvic congestion syndrome, this condition has traditionally   
been difficult to diagnose and thought to be untreatable. Doctors now   
believe many of these cases are caused by varicose veins in the   
pelvis.  
  
A venogram allows doctors to identify varicose veins in the pelvis.   
During this procedure, a catheter is inserted and threaded through   
the affected vein, and an X-ray dye is injected to highlight the   
vein. An X ray is then taken. Next, small steel coils are implanted   
to block blood flow through the abnormal vein. This causes the   
varicose veins to shrivel and disappear. Typical cost: $7,000.  
  
                       -------------------  
                                             
Heiko Sch�der, MD, is assistant attending physician at Memorial   
Sloan-Kettering Cancer Center and assistant professor of radiology at   
Weill Medical College of Cornell University, both in New York City.  
  
MALIGNANCY DETECTION  
  
A new technology, known as PET-CT fusion, allows doctors to pinpoint   
the precise location of cancer cells in the body (for all types of   
cancer) without relying on additional imaging procedures and   
examinations. The PET finds the small lesions, and the CT scan then   
precisely pinpoints them.  
  
What's involved: The patient first undergoes a CT scan, a   
computer-enhanced X-ray study that produces two-dimensional images.   
Then the patient undergoes a PET scan. For this test, a radioactive   
substance called a "tracer" is injected into a vein. The patient next   
is placed inside a ring-shaped PET scanner, which detects radiation   
and records sites of high activity, where cancer is likely to be   
present. The two tests take about one-half hour to perform.   
Afterward, the radiologist "fuses" the results of a PET scan with the   
detailed anatomical images of a CT scan. Typical cost: $2,000 to   
$4,000 for both.  
  
A study at Memorial Sloan-Kettering found that the use of combined   
scans improved accuracy by 42% when diagnosing the location of tumors   
of the head and neck.  
  
                       -------------------  
                                             
Sheldon Sheps, MD, is a cardiologist and emeritus professor of   
medicine at Mayo Medical School in Rochester, Minnesota.  
  
CORONARY ARTERY DISEASE  
  
A new five-minute, noninvasive imaging test known as an electron beam   
CT (EBCT) heart scan assesses the amount of calcium in your coronary   
arteries. Because calcium is a major component of arterial plaque, a   
high coronary calcium score indicates significant plaque buildup in   
the blood vessels.  
  
What's involved: A cardiologist or radiologist uses a recently   
developed ultrafast-CT scanner that provides detailed pictures of   
your heart. The procedure exposes the patient to relatively low   
levels of radiation. Typical cost: $400.  
  
A heart scan provides a quick and accurate assessment of heart attack   
risk without the potential risks associated with an angiogram, in   
which a catheter is used to inject a dye that can be seen on X rays.  
  
* Interventional radiologists specialize in minimally invasive   
treatments that use image-guided techniques. To find such a   
specialist in your area, consult the Society of Interventional   
Radiology, 800-488-7284,   www.sirweb.org.  
    
  
                        Special Offer       
WHEN MEDICINE FAILS... WHEN DOCTORS FAIL... YOU'RE ON YOUR OWN   
  
     What if your doctor tells you there's nothing he can do to   
     help? That's what happened to Harry DeCamp. In response,   
     Harry went on an exploration that demonstrated the power of   
     the mind and spirit over scientific know-how. More than 10   
     years later, he wrote this story of how he overcame the   
     terminal cancer that he was told would doom him within   
     months.   
        
     Read on...  
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*************************************************************  
  
Answers to your questions from Bottom Line Experts...  
  
I stopped exercising at night because my wife told me it   
can cause insomnia. Is this true?  
  
Answer from Shawn D. Youngstedt, PhD: Not necessarily. 
Background: Strenuous exercise within two to three hours   
of bedtime was once believed to lead to insomnia because   
it elevates physiological arousal.   
  
Now: New research suggests that working out even 30 minutes   
before bedtime may not affect your sleep. This is good   
news for exercisers who get home late from work or prefer   
evening workouts.   
  
Helpful: If you exercise close to bedtime, try moderate   
aerobic activity (walking, swimming, etc.) for a few   
weeks. If you're still sleeping well, slowly build up   
your intensity.   
  
Our inside source: Shawn D. Youngstedt, PhD, assistant   
professor of exercise science, Arnold School of Public   
Health, University of South Carolina, Columbia. His study   
was published in Medicine & Science in Sports & Exercise.  
  
*************************************************************  
  
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