I've spent a lot of time generating monte carlo simulations for a 20-25 year retirement where my total portfolio balance is expected to be less than the target value I am/was aiming for. That said, and considering all of the uncertainties of the future, I am comfortable using a 4% SWR for my retirement modeling. If it turns out that 4% isnt working, I will deploy various strategies including VWR, adapting lifestyle/expenses, and/or generating additional income streams.
One part of my retirement strategy includes minimizing the probability for needing assisted living and/or nursing home facilities through my last days. The thinking is that if I can still deadlift 300 lb working sets at 87, I should be able to also get out of bed myself each morning without help and put a kettle to boil for tea. This plan aims to reduce medical and assisted living/long term care costs in retirement, though admittedly is far from guaranteed.
I always get a good chuckle reading how able-bodied folks talk about health and aging. It entertains me.
You're on the right track, but it's about so much more than staving off illness. Last year my mom and I went through massive rehab relearning how to walk at the same time. I had a broken femur (and I have a complex genetic condition) and my mom had a massive brain bleed and lost a 5th of her brain. Just coincidence that these happened at the same time. I was 40, she was 64.
Anyhoo, being healthy and fit doesn't guarantee anything about preventing serious, life altering, function-reducing conditions, but it sure does have a massive impact on how well you survive them.
For me, they won't even do the surgery I had on someone as old as I am, they just leave them to get more and more crippled until they have to step in with sub-optimal treatments. However, because of my extraordinarily healthy lifestyle, I was able to have major reconstructive surgery because my risk profile was so much lower than a typical person in their 40s.
My mom was projected to be stuck living in a rehab facility for 6+ months, to be reassessed at that point if she would have to be moved to assisted living or be able to go home with supports. She was instead released in a matter of weeks because she progressed so quickly and requires zero home supports.
This was because she had spent the 20 years before then religiously doing Pilates and had exceptional core strength and balance for someone her age. Lack of balance is one of the major problems after stroke damage, and a huge limiting factor to independent living, and core strength is extremely difficult to build back up if it was lacking to begin with.
There are two types of health, there's health you can control and health that you cannot control. I call the health you can control "elective health." This is what you can modulate through lifestyle. The rest, which you cannot control is "compulsory health" because you have no choice but to experience it.
The better your elective health, the more robust your system is to handle whatever compulsory health problems arise. And this is where A LOT of quality of life comes into play in senior years.
By contrast to myself and my mom, my dad had never in his life had a serious health issue except for a very minor stroke at 65 and a knee injury from sports.
However, he was a smoker for most of his adult life, an alcoholic for all of it, and has never regularly exercised. His diet would be considered very healthy if he didn't get at least half of his calories from wine. His compulsory health is exceptional, his heart is in miraculously good shape, he has none of the usual lifestyle diseases one would expect. He basically won the genetic lottery when it comes to lifestyle disease resistance.
However, because his lifestyle is so poor, he has some weakness in his lower body mechanics and has some compression of his blood vessels in his legs. This is similar to sciatica, except it's the blood vessels being compressed instead of the nerve.
The consequence is that he can't walk more than ~250 meters/yards before his legs lose all strength and he'll fall down. He can barely shuffle those 250m as it is.
There is nothing anyone can do for this aside from PT to try and strengthen his muscles and improve his mechanics. He won't do that though, he's never exercised and isn't going to start, and even then, he would be fighting a massively uphill battle to repair the weakness in his structures. It's hard to undo a lifetime of all-day-sitting damage in a senior.
So my mom who has MS and severe brain damage actually has more function that my father who has virtually no health issues whatsoever. And if when some compulsory health issues does finally hit him, his ability to recover or cope will be extremely compromised. If he is ever hospitalized, I doubt he will ever return home.
I find that able-bodied folks have this very strange binary concept of "being healthy" vs "being sick" when really, it's an infinitely complex interaction between compulsory and elective health. And frankly, most "able-bodied" folks aren't all that healthy.
In virtually every single scenario short of death, your elective health will have MASSIVE impacts on your quality of life, no matter what happens to your body along the way.
It's not *just* about preventing disease, how your body handles damage of any kind is just as, if not more important than preventing damage.
I don't mean this as a post to pick on *you* specifically, your post just printed me to want to share. I'm just sharing my perspective as someone who contemplates what "health" means a lot, and who has years and years of healthcare experience working with patients of all ages and all manifestations of "health" and "illness."
And I'm now in the process of specializing as a therapist who helps people with health issues live their best lives.