General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region Forums180,000,000 times $600 ?
whatever the answer is that is the amount of untaxed income every month because of folks that receive their healthcare from their employer
I used the $600 per month as the average
questionseverything
(9,656 posts)maybe it is time to even the playing field
there are a couple different ways to do it
either tax the benefits or allow others to deduct the same kind of costs
MadDAsHell
(2,067 posts)Hoyt
(54,770 posts)questionseverything
(9,656 posts)are taxed?
especially since we constantly hear how we cant afford anything
Hoyt
(54,770 posts)be subject to Social Security tax, not just income tax.
On the other hand, sooner or later, we all are going to have to pay more for things like universal healthcare, climate change, education, deficit and debt reduction, etc. Might as well look at everything.
questionseverything
(9,656 posts)healthcare insurance dollars
if there are 180 million peops with employer paid insurance then there are 140 million w/o it, getting the short end of the stick
this is one reason getting rid of private ins doesn't sound like such a bad idea to me
besides private ins gets you when you are younger and cost less while Medicare gets you when we are almost guaranteed to cost more
Hoyt
(54,770 posts)"Self-employed people who qualify are allowed to deduct 100% of their health insurance premiums (including dental and long-term care coverage) for themselves, their spouses, and their dependents. Its important to understand, however, that this is not a business deduction. It is a special personal deduction for the self-employed. This deduction applies only to your federal, state, and local income taxes, not to your self-employment taxes."
https://www.nolo.com/legal-encyclopedia/the-self-employed-health-insurance-deduction-a-valuable-personal-deduction.html
Those without self-payed insurance are often on Medicaid, or have ACA subsidies. Those without any coverage, are the ones really screwed. If it takes taxing those who are covered to insure everyone, I'd be for that.
While you and I don't think it would be bad to get rid of private, employer based insurance, those 180 Million might, as well as a bunch of self-employed people who are too stupid to see a government run health plan should be better.
questionseverything
(9,656 posts)even if it was just the ss tax that was handled differently, it still would not be an even deal
the aca uses your income before ss taxes or income tax is paid, to figure your credit, that I am sure of
Hoyt
(54,770 posts)deduction.
Heres just one recent article: https://blog.stridehealth.com/post/deducting-health-expenses
questionseverything
(9,656 posts)Background on Deducting Expenses
Generally speaking, when you file your taxes, you have the option of taking the standard deduction or itemizing your deductions. The 2018 standard deduction is $12,000 for a single filer.
However, you have the option to itemize your deductions on a separate form, Schedule A, instead of taking the standard deduction on Form 1040. Itemizing deductions could save you a lot of money come tax time since you can potentially claim a deduction higher than $12,000 (if you have enough deductible expenses to itemize). Here are some of the deductions that you can itemize:
Mortgage interest
Gifts to charity
State and local income taxes
Medical expenses above 7.5% of your Adjusted Gross Income
///////////////////////////////////////////////////////////
I just know I haven't had health insurance since they raised it to 3 grand a month a piece
the aca is tricky at 42 grand a yr I could get a high deductible policy for nothing but at 52 grand it is 18 grand a year
since when u r self employed you never know what you will make and I don't want to owe 18 grand at end for subsidies I didn't deserve
it's complicated
thanks for the civil discussion
Hoyt
(54,770 posts)questionseverything
(9,656 posts)$2000 of anything and qualify
heck the insurance I have to pay every January is more than that but it might be different in other places
Hoyt
(54,770 posts)might apply. I could have worded it better.
questionseverything
(9,656 posts)n/t
questionseverything
(9,656 posts)I compromised at 500 because someone said 600 was too high an average
is it 90 billion bucks a month we are talking about?
these numbers are too big for my old head to be sure of
Hoyt
(54,770 posts)Again, doesnt impact me, semi-retired. But the tax rates have been built for 50 years or more incentivizing companies to offer health insurance and employees to all but demand it.
I think if we got away from employer based insurance, it would pretty much come out in the wash with increased taxes to fund single payer.
If I were going after tax income now, Id would start with churches, many other non-profits, and repealing last couple of tax cuts.
questionseverything
(9,656 posts)I would hate to tax the tiny ones that actually try and help peops
getting rid of some of the last tax cuts goes w/o saying
former9thward
(32,025 posts)Do you think there is 140 million without insurance? What about the people on Medicare and Medicaid? They don't count? What about children? Who is getting the "short end of the stick"?
dsc
(52,162 posts)many of that 180,000,000 million would be children who are on their parent's policy and they don't cost anything like $600. Also, I think even for the adults who are covered the $600 figure is likely high. Full price on the exchange is lower than that for a sliver plan for anyone under 60. https://www.healthcare.gov/small-businesses/shop-rates/north-carolina/
questionseverything
(9,656 posts)that's 900 a piece with a 6 grand a piece out of pocket
my newborn grandson cost 400 bucks a month to add to his mom's policy (and that is with her employer subsidizing it)
if you want to use 500 a month average times 180 mill we could do that...it is still a huge number to be untaxed for SOME
while others pay ss taxes and income tax on every dollar of healthcare premiums
I am simply saying it is not an even playing field
dsc
(52,162 posts)and many of those 180 million are kids. Also many of us who get insurance provided don't get the whole amount provided. I think the more accurate figure is about $300 a month. I do get that there is an unfairness and that medical insurance should be able to be purchased with pre tax dollars by individuals.
questionseverything
(9,656 posts)employees that have to subsidize their employer provided healthcare should get to deduct that too
Cicada
(4,533 posts)In my town a married couple both teaching, two children, the amount for 2018 $29,547.
The school doesnt care what its compensation costs are for, it just cares how much it costs.,If we had a national health system wages would increase $29547. Or at least the school could increase wages that much with no change in its budget. There is a lot of money available to pay tax for national health system.
Our problem is that the cost of medical services is high. Elsewhere they have price controls. An orthopedic surgeon at Kaiser probably makes more than $500,000 a year. In Germany I bet she makes only half that much. Our hospitals get paid more too, I bet. I bet if they got paid less all who are paid by the Hospital would accept less compensation. I think we need price controls.
questionseverything
(9,656 posts)I don't know about a Kaiser surgeon but we have built houses for surgeons who would laugh at a 40,000 dollar cost, saying they make that by noon most days
shhhhhhhhhh
yes there is plenty of money it just needs moved around a lil
former9thward
(32,025 posts)Which is what people who don't have facts do...
Hoyt
(54,770 posts)Medicare and private insurers pretty much controlling fees, thats tough. Some really sought after Orthos might not even enroll with Medicare or low-paying private insurers, but they are rare.
Cicada
(4,533 posts)If they made $100,000 less the US would still pay more than in any other country. I wonder how many would retire. I wonder how many in college would go to business school instead of medical school.
Hoyt
(54,770 posts)being in upper 1% to 5% of income. Business school, not so much unless one has some good connections to begin with.
But the days of an Ortho making $40K in half a day are long gone, unless the own surgery centers, PT clinics, X-ray and MRI facilities, have a bunch of junior docs and PAs working under them, etc.
doc03
(35,348 posts)few years ago to screw Unions. Millionaires getting away with murder and you want to tax benefits Unions strugled decades to get!