The bill that passed the Senate with such fanfare on Christmas Eve would impose a confiscatory 40 percent excise tax on so-called Cadillac health plans, which are popularly viewed as over-the-top plans held only by the very wealthy. In fact, it’s a tax that in a few years will hammer millions of middle-class policyholders, forcing them to scale back their access to medical care.
Which is exactly what the tax is designed to do.
The tax would kick in on plans exceeding $23,000 annually for family coverage and $8,500 for individuals, starting in 2013. In the first year it would affect relatively few people in the middle class. But because of the steadily rising costs of health care in the U.S., more and more plans would reach the taxation threshold each year.
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If even the plan’s proponents do not expect policyholders to pay the tax, how will it raise $150 billion in a decade? Great question.
We all remember learning in school about the suspension of disbelief. This part of the Senate’s health benefits taxation scheme requires a monumental suspension of disbelief. According to the Joint Committee on Taxation, less than 18 percent of the revenue will come from the tax itself. The rest of the $150 billion, more than 82 percent of it, will come from the income taxes paid by workers who have been given pay raises by employers who will have voluntarily handed over the money they saved by offering their employees less valuable health insurance plans.
Can you believe it?
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From my perspective one should read the whole post to digest the scale and level of dishonesty at work with this legislation.
Yves Smith at Naked Capitalism has a list of ten reasons with background information for each reason. It is a must read. From NC :
1. Forces you to pay up to 8% of your income to private insurance corporations — whether you want to or not.
2. If you refuse to buy the insurance, you’ll have to pay penalties of up to 2% of your annual income to the IRS.
3. Many will be forced to buy poor-quality insurance they can’t afford to use, with $11,900 in annual out-of-pocket expenses over and above their annual premiums.
4. Massive restriction on a woman’s right to choose, designed to trigger a challenge to Roe v. Wade in the Supreme Court.
5. Paid for by taxes on the middle class insurance plan you have right now through your employer, causing them to cut back benefits and increase co-pays
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How all this is going to play out with desi consultancies that provide some form of health insurance to its employees or desi consultants who buy their own individual plan. As Herbert says, most desis, not just consultants, would end up getting some plan with reduced benefits and end up paying 40% tax on the same :-).
Interesting days ahead. Keep your eyes open.
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