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I’m 35 and I may suddenly have lost the rest of my life

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Re: I’m 35 and I may suddenly have lost the rest of my life

#81
Last fall at the age of 32, I was diagnosed with leukemia (ALL). I went from a completely normal life to being in the ER in just a week (thought I just had the flu in between). My life has been completely on hold for the past 10 months while I deal with this and the resulting bone marrow transplant.

Thankfully ALL has a very high success rate for treatment and long term survival, but it has certainly made me realize how unpredictable life can be. I was putting things off that I wanted to do with my life and once I finish recovering, I certainly will work to correct that.

Don't wait until tomorrow.

Re: I’m 35 and I may suddenly have lost the rest of my life

#82

I'm sorry to hear that; if you let them in there with their gadgets; they will find a reason to cut, medicate and radiate; that's unfortunately just the way things are. These are not the only options, not even the best options, for patients. Get a second opinion, and a third; preferably from outside of Big Pharma. You might have to make some tough lifestyle choices; like seriously cutting down on meat, alcohol, sugar…

>your body has an unlimited potential to heal itself when given the chance.

So the OP is Wolverine? Damn.

Re: I’m 35 and I may suddenly have lost the rest of my life

#83

With much sensitivity to the physical and emotional turmoil the author must be experiencing right now, I disagree with his advice: > Stop just assuming you have a full lifetime to do whatever it is you dream of doing. Rare and catastrophic events like this that can severely shorten your life are ones you should not plan for. If they occur, that's very unfortunate, and maybe you'll still have a contingency plan that c…

  Rare and catastrophic events like this that can severely
  shorten your life are ones you should not plan for.
If you have dependents one should at least think about purchasing term life insurance. It's relatively cheap because the risk is small.

OTOH, because medical science has become so good at extending life, it's an even better idea to purchase disability insurance. That's something I still keep meaning to do. But it is more expensive as a not insignificant number of people become disabled, at least temporarily, in middle age. For example, disability insurance will pay for the time you're getting chemotherapy and unable to draw your normal salary. It's basically an income guarantee.

Note that employer-sponsored policies--especially term life--are crap. They're structured as a tax dodge for the employer, the cap is usually much too low, and in any event the policy is only good for as long as you're with that employer. Basically, it's a bad deal. The sooner you buy a private policy the cheaper it will be; don't wait even if you already have an employer-sponsored policy!

Apropos HN, here's a good startup making it easier to buy these policies: https://www.policygenius.com/

I used them for my term life insurance policy and was very happy with their service. I plan on using their service again for disability insurance once I have the budget.

AFAIU term life insurance is much like auto insurance--the policies break even but the issuers profit from the float. I used to think these things were bad deals. Some are, like, arguably, State Farm, which charges a huge premium because they invest so heavily in advertisement and an army of insurance agents. Or those issuers that specialize in selling policies to the elderly. But most traditional issuers quote fair prices and the industry seems generally very reputable.

Re: I’m 35 and I may suddenly have lost the rest of my life

#85

Earlier quoted context omitted.

Had forgotten about two experiences I had in roughly three months ago. Stiffer feces lead to "tight squeeze" and then bleeding to the point of dripping in the toilet. True red blood. This happened twice within a week, feeling around in shower discovered pain on surface of recturm. I was eating terribly at the time. It went away and I went on with life. Reading this today is a billboard reminder to get colonoscopy and…

Many experiences of that. The chinese TCM call that 热气 ("heatiness"). Excess of fried food, toasted stuff etc likely to cause it. BUT...General message to everyone....anything that seems not normal, and persist more than a few days.... GO SEE A DOCTOR. What is the cost of a visit vs the value of your life? In any case go visit every year to get a checkout if you can afford so. Its a duty to those your care for and to…

Thank you for chiming in.

Re: I’m 35 and I may suddenly have lost the rest of my life

#87
post #83

With much sensitivity to the physical and emotional turmoil the author must be experiencing right now, I disagree with his advice: > Stop just assuming you have a full lifetime to do whatever it is you dream of doing. Rare and catastrophic events like this that can severely shorten your life are ones you should not plan for. If they occur, that's very unfortunate, and maybe you'll still have a contingency plan that c…

Rare and catastrophic events like this that can severely shorten your life are ones you should not plan for. If you have dependents one should at least think about purchasing term life insurance. It's relatively cheap because the risk is small. OTOH, because medical science has become so good at extending life, it's an even better idea to purchase disability insurance. That's something I still keep meaning to do. But…

> Note that employer-sponsored policies--especially term life--are crap. They're structured as a tax dodge for the employer, the cap is usually much too low, and in any event the policy is only good for as long as you're with that employer. Basically, it's a bad deal. The sooner you buy a private policy the cheaper it will be; don't wait even if you already have an employer-sponsored policy!

I had never considered this, and figured having my employer-sponsored GVUL plan was the responsible choice. Thank you for challenging that assumption! I'll run the numbers for my own situation.

Re: I’m 35 and I may suddenly have lost the rest of my life

#88
post #32

Colonoscopy was a pretty fast and painless experience for me. The prep drink I had to take the day before was the worst part. Being worried is definitely not a reason to put it off!

Did you ask to have a colonoscopy done? I had some bleeding but my doctor seems to just dismiss it as standard eat more fiber Hemorrhoids etc.

Re: I’m 35 and I may suddenly have lost the rest of my life

#90
post #87
post #83

Earlier quoted context omitted.

Rare and catastrophic events like this that can severely shorten your life are ones you should not plan for. If you have dependents one should at least think about purchasing term life insurance. It's relatively cheap because the risk is small. OTOH, because medical science has become so good at extending life, it's an even better idea to purchase disability insurance. That's something I still keep meaning to do. But…

> Note that employer-sponsored policies--especially term life--are crap. They're structured as a tax dodge for the employer, the cap is usually much too low, and in any event the policy is only good for as long as you're with that employer. Basically, it's a bad deal. The sooner you buy a private policy the cheaper it will be; don't wait even if you already have an employer-sponsored policy! I had never considered th…

When I did my own research and analysis, most advice I found online was that they weren't horrible; that private policies were preferable but employer-sponsored policies were okay. But IMO I really think that understates the cost-effectiveness in a way that misdirects people. That advice provides an excuse to just buy the employer-sponsored policy and move on.

Without being too long-winded, if you just consider the underlying economics of insurance, you'll get the best deal by purchasing and maintaining a policy for a longer period and with a payout that best matches your current and expected salary. If you're healthy, relatively young (That last aspect is key--maintaining the policy for the entire term. Your risk increases significantly as you get older. If you don't maintain the policy for the entire term, you've basically thrown most of your money away. The fact that people are very likely to change jobs multiple times in middle-age (especially programmers!) means that you're not only introducing gaps in coverage, but increasing the likelihood that you either fail to buy a new employer-sponsored policy, have an employer that has a worse policy, or one that has no policy at all. That to my mind is a huge downside; difficult to quantify but so significant I don't think we need bother precisely quantifying.

Also, only small polices (One final tidbit: employer-sponsored premiums are pre-tax, while private policies aren't. OTOH, payouts on the former are taxable, while (at least for term life) the latter are tax exempt. Normally pre-tax is a better deal, like with health insurance and retirement funds. And it _could_ be, theoretically. But it's not. A $1m employer-sponsored policy is really only going to payout about $750,000 or less, but the premiums aren't discounted to match even considering the pre-tax advantage. I don't remember how much time I spent crunching the numbers--most of my calculations were back-of-the-envelope--but I'd be surprised if my conclusions were wrong in this regard.

Basically, just buy a private policy. I purchased _less_ than policygenius.com (and standard financial advice) recommends based on my current compensation because I didn't want to end up in a situation where I allowed the policy to lapse because of the premiums. Again, that's just throwing money away. At some point you just have to pull the trigger because you can become paralyzed thinking about this too much. I probably erred to low, but I'm absolutely sure I didn't err in choosing to buy a private policy.

And remember, if the issuer isn't sending someone out to your house to draw blood[1], your policy is much, much too small. The questionnaire you fill-out for policygenius.com or anywhere isn't for naught, especially the compensation answers. IIRC, I had to send in proof of my compensation after I chose a policy and put things in motion. Unless you're actually getting a poverty wage, any cost-effective policy will require a health check, and the best premium/payout ratio will be in the range of something like 10x-15x your current annual salary, rounded up or down to match the nearest, most standard policy amount.

[1] They sent someone to me. At the time my employer-sponsored policy required me to go to a doctor. I don't know which is more common, but FWIW at least some issuers send someone to your door[2], which is very convenient. When I initially joined my then employer I did elect their sponsored policy. But I never got around to going to a doctor for the required health check so it never activated.

[2] The lady was nice and her job seemed like a pretty cool gig for a phlebotomist.

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