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Carl, The retirement community and my age give me a number of deductions to itemize my deductions.  The monthly fee portion to live in the community (housing and amenities) that I can deduct is about $18,000 a year for independent living.  If I were in assisted living and without long term care insurance, my annual cost may be around $130,000 a year.  More, for skilled nursing.  My insurance premiums and Medicare Part B are about $6,000 a year (this does not include long term care insurance).  Then there are drugs.  $$$$$.  And then there are dental, eye care and hearing which are not covered by Medicare.  There are plenty of out-of-pocket other medical costs and transportation.  I do give to charities.  And, well, there is more.