I’ve been getting lots of questions from readers about whether or not they should take advantage of their new Roth 401K (or 403B) option.  They’re usually looking for an easy, straightforward answer.  Unfortunately, it isn’t that easy.  I only have one rule of thumb, and that’s that residents (and military docs) should make Roth contributions and attendings should generally make traditional, tax-advantaged, but there are plenty of exceptions even to that rule.  Others have touched on this question before, notably The Finance Buff, in perhaps his best ever column, who made The Case Against The Roth 401K and the Bogleheads in their Wiki Page on Traditional Versus Roth.  Here I’ll try to outline the considerations high-income professionals like doctors ought to consider in this decision.

Tax Diversification Is Useful

Remember that in retirement you can minimize your effective tax rate by withdrawing some of your income from tax-deferred (traditional 401K), some from taxable accounts at preferential long-term capital gains rates, and some from tax-free (primarily Roth, but also borrowing from cash value life insurance) accounts.  No one knows exactly what percentage of his portfolio a retiree will ideally have in Roth accounts on the eve of his retirement, but most experts agree that you ideally want some of both.

Don’t Forget The Backdoor Roth IRA

A married couple can contribute $5500 ($6500 if over 50) each to a Roth IRA each year, usually via the back door for most high-income professionals since they make too much to contribute directly.  If you are limited to a $17,500 contribution to your 401K, then making the 401K tax-deferred and also maxing out backdoor Roth IRAs should provide you the tax diversification that you’re looking for.

Marginal Tax Rate At Contribution Vs Marginal Tax Rate At Withdrawal

The most important consideration in the Roth vs Traditional debate is your tax rate and how it will change when you retire.  Most importantly, remember that your contributions are made at your MARGINAL tax rate (i.e. the rate at which the last dollar you made is taxed) but withdrawals may be taken at much lower rates.  For example, if your only taxable income in retirement is from 401K withdrawals, the taxes on those withdrawals will look like this (assume a married couple taking the standard deduction):

Withdrawal Tax Rate
First $20,000 0%
Next $17,850 10%
Next $54,650 15%
Next $73,900 25%
First $50K 7.20%
First $100K 11.90%
First $150K 16.20%

Obviously, if you are saving taxes at 33% when you contribute money, and paying taxes at 33% when you withdraw money, then it doesn’t matter which account you use.  But thanks to the fact that not only are you likely to have a lower marginal rate in retirement, but also the fact that you contribute at your marginal rate and withdraw at your effective tax rate, most doctors in their peak earning years are going to be better off deferring taxes whenever possible.  But there may be some other considerations.

Political/Economic Considerations

Many people hold strong views about future political and economic possibilities that influences their choice of traditional vs Roth.  For example, if you believe that future tax rates are going to be much higher than current tax rates, you might be more likely to make Roth contributions and pay your tax now at what you believe will be a lower rate.  If rates go up severely, your marginal rate now might even be lower than your effective tax rate later.

Many investors also worry that the government will change “the deal” with Roth accounts, and tax them in some way despite promising via the current tax code not to.  If you’re worried about this, you may prefer to get your tax break as soon as possible.  Some people take their Social Security payments as soon as possible due to similar concerns, despite the fact that under current law it often doesn’t make sense mathematically.

Other Retirement Income

If you expect a relatively high amount of taxable income in retirement besides 401K/IRA withdrawals, you may be more likely to want to pre-pay your taxes by making Roth contributions.  The most common type of income is Social Security.  For most retired professionals, 85% of their Social Security income will be taxable.  Although individual circumstances vary, most will want to delay their Social Security to age 70, so this effect won’t be seen in earlier retirement years.  Other retirement income may include a spouse who continues to work, rental income from investment properties, income from taxable investing accounts, and pensions.  The more of it you have, the higher the rate at which those 401K withdrawals will be taxed.

Estate Planning Considerations

There is no doubt that if you don’t plan on spending the money in your retirement accounts and plan to give it to your heirs instead, that Roth contributions are very useful.  The main reason is that Roth accounts don’t have Required Minimum Distributions (RMDs) starting at age 70.  If you take RMDs out of an account from age 70 until your death at age 90, the account is going to be a lot smaller than if you didn’t have to take those.  Even if the money is still given to the heir, it will be a smaller amount without the tax-deferred growth available in the retirement account.  Once the IRA or Roth IRA is inherited (Stretch IRA), RMDs start based on the age of the heir, but if the heir is very young, the account is likely to continue to grow if only the RMDs are withdrawn.  A tax-free Stretch Roth IRA has the potential to really grow to a huge sum of completely tax-free money.  Your heirs will, of course, prefer that you pay the taxes instead of them.  Although if your heirs don’t make much money, it’s possible that they may have a lower tax rate than you, and the overall tax rate paid by the family will be lower if the heirs pay the taxes.

If you would prefer to give your retirement account money to charities, you’re probably better off with a tax-deferred account, since neither you nor the charity will have to pay taxes on that money at all.  Of course, you don’t get the usual tax deduction for the contribution if you use your never-taxed IRA money to make the donation.

Future Conversions

One of the best arguments against pre-paying your taxes by making  Roth 401K contributions is that you don’t know what the future holds.  You can do Roth conversions in later years when your income may be lower.  This might be due to cutting back on hours, getting paid less, taking unpaid maternity/paternity leave, doing a sabbatical, or early retirement years prior to taking Social Security.  It’s much better to do a Roth conversion at 10-25% than to make Roth contributions paying tax at 28% or more.

Ability to Contribute More

If you are already maxing out your available retirement accounts, you may lean a little more toward making Roth contributions so you can get more money (on an after-tax basis) into retirement accounts where it will enjoy preferential tax and asset protection treatment.  For example, if your marginal tax rate is 33%, putting $17.5K into a traditional 401K is the equivalent of  $11,725 after-tax.  If you instead put it into a Roth 401K, the amount of after-tax money in the retirement account is the full $17,500.  Keep in mind that Roth contributions are limited to $17,500 even if your profit-sharing plan otherwise allows you to contribute $51,000 (so you could do $17,500 into the Roth 401K and $33,500 into the traditional 401K.)  There is no such thing as a Roth SEP-IRA, so if you’re using a SEP as your retirement account, Roth contributions aren’t even an option.

State Taxes

All of the discussion above has focused on the federal tax laws.  State tax laws also affect the traditional vs Roth decision.  Perhaps the most common way state tax laws affect the decision is when you plan to retire in a different state than the one you spent your working years in.  If you plan to move to a state without an income tax in retirement, tax-deferred contributions now will be that much better.  If you plan to return to New York or California from your job in Florida or Nevada, however, you may wish to pay those taxes up front!


The tax code is complex and not always logical or fair.  If your taxable income is in the range of a phaseout, choosing to make Roth contributions over traditional contributions may cost you a lot more than you think.  Most of these phaseouts occur in the $25,000-160,000 taxable income range which can catch a lot of physicians.  Be sure to run the numbers both ways prior to making Roth 401K contributions.  It might not be worth it if you lose a valuable deduction due to a phaseout.

College Aid

The expected family contribution that is an important factor in determining what grants and loans your college student is eligible also could have a minor effect on this decision.  The calculation uses your after-tax income PLUS any retirement contributions.  So the same amount of after-tax money contributed to a Roth 401K instead of a traditional 401K lowers your expected family contribution.  Also remember that any Roth conversions done during the college years will also increase your expected family contribution.

Very High Income Professionals

If you have a very high income, which I usually define as $500K-2 Million, you may prefer to make Roth contributions.  Not only does it allow you to provide asset protection and tax-advantaged growth to more money on an after-tax basis, but if most of your income is going to be taxed at the highest tax rate in retirement, there is little advantage to withdrawing at your effective tax rate (since it is nearly the same as your marginal rate.)  Along the same lines, you may wish to do Roth conversions of your tax-deferred accounts.

 What do you think? Do yo use a Roth 401K/403B? Why or why not? Any other factors that should be considered in this decision? Comment below!