My husband is disabled andf in the last stages of cemantic demcia,I am 42 years old he is 50 we have two young teenage daughters ,my husband has gotten disablity ,now he doesn't qualify for medicaid ,I am the only caregiver so I can't work,I need to take all of 401k and use it for expenses,will I have penalities?and if I take out all 20,000 it will put us in a higher tax bracket next year.what will happen to taxes next year? Need info thank you