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	<title>US Health Crisis &#187; subsidies</title>
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		<title>Subsidies aren&#8217;t taxes</title>
		<link>http://ushealthcrisis.com/2009/10/subsidies-arent-taxes/</link>
		<comments>http://ushealthcrisis.com/2009/10/subsidies-arent-taxes/#comments</comments>
		<pubDate>Mon, 19 Oct 2009 19:32:49 +0000</pubDate>
		<dc:creator>Karoli</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[Patients]]></category>
		<category><![CDATA[Payers]]></category>
		<category><![CDATA[public option]]></category>
		<category><![CDATA[subsidies]]></category>
		<category><![CDATA[talking points]]></category>
		<category><![CDATA[taxes]]></category>

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		<description><![CDATA[The newest effort to undermine health care reform appears to be an effort to convert subsidies for health insurance to taxes. The Wall Street Journal: Think about a family of four earning $42,000 in 2016, which is between 150% and 200% of the federal poverty level. CBO says a mid-level &#8220;silver&#8221; plan will cost about [...]]]></description>
			<content:encoded><![CDATA[<p></p><p>The newest effort to undermine health care reform appears to be an effort to convert subsidies for health insurance to taxes.  The <a href="http://online.wsj.com/article/SB10001424052748704322004574477401457898882.html?mod=rss_opinion_main">Wall Street Journal</a>:</p>
<blockquote><p>Think about a family of four earning $42,000 in 2016, which is between 150% and 200% of the federal poverty level. CBO says a mid-level &#8220;silver&#8221; plan will cost about $14,700 in premiums, of which the family will pay $2,600—since the government would pay the other $12,100. If the family breadwinner (or breadwinners, because the subsidies are based on combined gross income) then gets a raise or works overtime and wages rise to $54,000, the subsidy drops to $9,900. <b>That amounts to an implicit 34% tax on each additional dollar of income.</b></p></blockquote>
<p>Well, not exactly, and it&#8217;s rather surprising to hear a Rupert Murdoch mouthpiece argue for a higher subsidy level. After all, the House bill (HR 3200) called for subsidies to 400% of the Federal poverty level. But let&#8217;s deconstruct the numbers a bit.</p>
<p>The argument goes like this: If the government subsidizes $12,100 and the worker earns an additional $8,000, the subsidy drops by $2,200, or $183.33/month. Dropping the subsidy is not an implicit tax. It is the expectation that as wages rise, workers can assume a greater portion of the cost. Suggesting that it&#8217;s an effective tax is simply a dishonest argument against any reform at all.</p>
<p>With that argument debunked, let me also say this: I think the Baucus plan brings the worst of all worlds to the table. Forcing individuals to purchase insurance (subsidies or not) without a strong public option or option to buy into Medicare as a choice is a money grab for insurance companies without any corresponding offset to individuals.</p>
<p>(h/t <a href="http://bit.ly/qRAcA">Pal2Pal.com</a>)</p>
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