Now that the various health care plans are being reduced to
print, the financial details are emerging and with them a fundamental
conclusion is becoming evident: The Obama plan is a giant tax increase for
much of the American people (not just the rich).
Start with the mandate that falls on those whose welfare is the
supposed object of the entire program -- the uninsured. According to the
Congressional Budget Office, the average uninsured person or family will
have to pay between 15 percent and 20 percent of his total income on health
insurance (counting premiums, deductibles and co-payments) before any of the
subsidy in the Baucus bill kicks in. Even in the more generous House bill,
the tab that the uninsured must pay is very, very high.
 Most uninsured would likely be quite happy to avoid paying this
much of their income for health insurance. But they will be forced to shell
out the money under the program. Others would want catastrophic coverage
(which for the young would likely not be too costly), but the Obama program
requires comprehensive insurance that is costly to satisfy the government
requirement.
Having spent the entire campaign and much of the last year
speaking about "affordable" coverage, it turns out the program is not at all
affordable, but a massive new tax on the average uninsured American.
Then there is the tax on health insurance premiums that is to
finance about a quarter of the subsidy for the uninsured. This tax, billed
as only to be levied on "gold plated" policies, will, in fact, reach down to
the average American. The Baucus bill specifies that the tax of 35 percent
would be put on all premiums over $8,000 for an individual and on
proportionately higher premiums for families. Current estimates are that
about one-tenth of the current health insurance policies would be taxable.
But the $8,000 premium level that will trigger coverage is not
indexed for inflation, let alone for medical inflation, which typically runs
twice as high. Obamacare will take effect in 2013. By then, the percentage
of Americans subject to the tax will doubtless expand dramatically.
Indeed, this trigger is a new "Alternative Minimum Tax" waiting
to happen. As inflation pushes more and more Americans into tax eligibility,
it will become a universal health insurance excise tax of 35 percent. While
the tax will be imposed on health insurers and employers, it will,
obviously, be passed along to the policyholders.
So, if you are insured, you will increasingly have to pay 35
percent more for the privilege. And, if you are uninsured, you will have to
pay one-fifth of your income in premiums, deductibles and co-payments before
any subsidy kicks in.
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