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Not necessarily. For those who are self-funding long term care costs, there are often no taxes paid on Traditional withdrawals.

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Absolutely!

Since LTC expenses are tax-deductible, the best place to fund that is with a traditional IRA withdrawal. You get less "bang for the buck" funding LTC by selling stock in a taxable account, or God forbid, with a Roth IRA withdrawal.

Thus, don't go hog wild trying to reduce your traditional IRA to zero. Keep some traditional IRA powder dry for LTC, unless you're opting for euthanasia as an alternative.

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