national healthcare

**97guns** · 10-09-2012, 06:02 AM

the obama health bill is a huge sham, we dont even know everything thats written in. they want to give the least healthcare to the elderly and the best to the working class. there is a chart that specifies the working people ages of 18-45 are the most valuable to the country, elderly do not bring income to the country, they are a burden and will be expendable. here is a list of hidden tax increases due to the health care bill

Arranged by their respective effective dates, below is the total list of all $500 billion-plus in tax hikes (over the next ten years) in Obamacare, where to find them in the bill, and how much your taxes are scheduled to go up as of today:

Taxes that took effect in 2010:

1. Excise Tax on Charitable Hospitals (Min$/immediate): $50,000 per hospital if they fail to meet new "community health assessment needs," "financial assistance," and "billing and collection" rules set by HHS. Bill: PPACA; Page: 1,961-1,971.

2. Codification of the �economic substance doctrine� (Tax hike of $4.5 billion). This provision allows the IRS to disallow completely-legal tax deductions and other legal tax-minimizing plans just because the IRS deems that the action lacks �substance� and is merely intended to reduce taxes owed. Bill: Reconciliation Act; Page: 108-113.

3. �Black liquor� tax hike (Tax hike of $23.6 billion). This is a tax increase on a type of bio-fuel. Bill: Reconciliation Act; Page: 105.

4. Tax on Innovator Drug Companies ($22.2 bil/Jan 2010): $2.3 billion annual tax on the industry imposed relative to share of sales made that year. Bill: PPACA; Page: 1,971-1,980.

5. Blue Cross/Blue Shield Tax Hike ($0.4 bil/Jan 2010): The special tax deduction in current law for Blue Cross/Blue Shield companies would only be allowed if 85 percent or more of premium revenues are spent on clinical services. Bill: PPACA; Page: 2,004.

6. Tax on Indoor Tanning Services ($2.7 billion/July 1, 2010): New 10 percent excise tax on Americans using indoor tanning salons. Bill: PPACA; Page: 2,397-2,399.

Taxes that took effect in 2011:

7. Medicine Cabinet Tax ($5 bil/Jan 2011): Americans no longer able to use health savings account (HSA), flexible spending account (FSA), or health reimbursement (HRA) pre-tax dollars to purchase non-prescription, over-the-counter medicines (except insulin). Bill: PPACA; Page: 1,957-1,959.

8. HSA Withdrawal Tax Hike ($1.4 bil/Jan 2011): Increases additional tax on non-medical early withdrawals from an HSA from 10 to 20 percent, disadvantaging them relative to IRAs and other tax-advantaged accounts, which remain at 10 percent. Bill: PPACA; Page: 1,959.

Taxes that took effect in 2012:

9. Employer Reporting of Insurance on W-2 (Min$/Jan 2012): Preamble to taxing health benefits on individual tax returns. Bill: PPACA; Page: 1,957.

Taxes that take effect in 2013:

10. Surtax on Investment Income ($123 billion/Jan. 2013): Creation of a new, 3.8 percent surtax on investment income earned in households making at least $250,000 ($200,000 single). This would result in the following top tax rates on investment income: Bill: Reconciliation Act; Page: 87-93.

Capital Gains Dividends Other*
2012 15% 15% 35%
2013+ 23.8% 43.4% 43.4%
*Other unearned income includes (for surtax purposes) gross income from interest, annuities, royalties, net rents, and passive income in partnerships and Subchapter-S corporations. It does not include municipal bond interest or life insurance proceeds, since those do not add to gross income. It does not include active trade or business income, fair market value sales of ownership in pass-through entities, or distributions from retirement plans. The 3.8% surtax does not apply to non-resident aliens.

11. Hike in Medicare Payroll Tax ($86.8 bil/Jan 2013): Current law and changes:

First $200,000
($250,000 Married)
Employer/Employee All Remaining Wages
Employer/Employee
Current Law 1.45%/1.45%
2.9% self-employed 1.45%/1.45%
2.9% self-employed
Obamacare Tax Hike 1.45%/1.45%
2.9% self-employed 1.45%/2.35%
3.8% self-employed

Bill: PPACA, Reconciliation Act; Page: 2000-2003; 87-93

12. Tax on Medical Device Manufacturers ($20 bil/Jan 2013): Medical device manufacturers employ 360,000 people in 6000 plants across the country. This law imposes a new 2.3% excise tax. Exempts items retailing for <$100. Bill: PPACA; Page: 1,980-1,986

13. Raise "Haircut" for Medical Itemized Deduction from 7.5% to 10% of AGI ($15.2 bil/Jan 2013): Currently, those facing high medical expenses are allowed a deduction for medical expenses to the extent that those expenses exceed 7.5 percent of adjusted gross income (AGI). The new provision imposes a threshold of 10 percent of AGI. Waived for 65+ taxpayers in 2013-2016 only. Bill: PPACA; Page: 1,994-1,995

14. Flexible Spending Account Cap � aka �Special Needs Kids Tax� ($13 bil/Jan 2013): Imposes cap on FSAs of $2500 (now unlimited). Indexed to inflation after 2013. There is one group of FSA owners for whom this new cap will be particularly cruel and onerous: parents of special needs children. There are thousands of families with special needs children in the United States, and many of them use FSAs to pay for special needs education. Tuition rates at one leading school that teaches special needs children in Washington, D.C. (National Child Research Center) can easily exceed $14,000 per year. Under tax rules, FSA dollars can be used to pay for this type of special needs education. Bill: PPACA; Page: 2,388-2,389

15. Elimination of tax deduction for employer-provided retirement Rx drug coverage in coordination with Medicare Part D ($4.5 bil/Jan 2013) Bill: PPACA; Page: 1,994

16. $500,000 Annual Executive Compensation Limit for Health Insurance Executives ($0.6 bil/Jan 2013). Bill: PPACA; Page: 1,995-2,000

Taxes that take effect in 2014:

17. Individual Mandate Excise Tax (Jan 2014): Starting in 2014, anyone not buying �qualifying� health insurance must pay an income surtax according to the higher of the following

1 Adult 2 Adults 3+ Adults
2014 1% AGI/$95 1% AGI/$190 1% AGI/$285
2015 2% AGI/$325 2% AGI/$650 2% AGI/$975
2016 + 2.5% AGI/$695 2.5% AGI/$1390 2.5% AGI/$2085
Exemptions for religious objectors, undocumented immigrants, prisoners, those earning less than the poverty line, members of Indian tribes, and hardship cases (determined by HHS).Bill: PPACA; Page: 317-337

18. Employer Mandate Tax (Jan 2014): If an employer does not offer health coverage, and at least one employee qualifies for a health tax credit, the employer must pay an additional non-deductible tax of $2000 for all full-time employees. Applies to all employers with 50 or more employees. If any employee actually receives coverage through the exchange, the penalty on the employer for that employee rises to $3000. If the employer requires a waiting period to enroll in coverage of 30-60 days, there is a $400 tax per employee ($600 if the period is 60 days or longer).Bill: PPACA; Page: 345-346

Combined score of individual and employer mandate tax penalty: $65 billion/10 years

19. Tax on Health Insurers ($60.1 bil/Jan 2014): Annual tax on the industry imposed relative to health insurance premiums collected that year. Phases in gradually until 2018. Fully-imposed on firms with $50 million in profits. Bill: PPACA; Page: 1,986-1,993

Taxes that take effect in 2018:

20. Excise Tax on Comprehensive Health Insurance Plans ($32 bil/Jan 2018): Starting in 2018, new 40 percent excise tax on �Cadillac� health insurance plans ($10,200 single/$27,500 family). Higher threshold ($11,500 single/$29,450 family) for early retirees and high-risk professions. CPI +1 percentage point indexed. Bill: PPACA; Page: 1,941-1,956

**Goldy1** · 10-09-2012, 07:11 AM

Ok that is a long list of taxes, but who can buy the insurance? lol I just wonder how much it will cost.
I'm not all for tons of taxes, but I don't think its a bad thing to be able to purchase insurance at a "reasonable" rate if you lose your job due to no fault of your own.
Will this help people who want to retire before medicare kicks in? Working full time til 65 is a reality for many who can't afford heath insurance.

It seems unfair to tax someone for not buying insurance, but this one culprit doesn't make the bill evil.

Why is it more fair that people who come to this country from others get free and clear insurance(not to pick on one group of folks and I am not against immigration, we are all immigrants and I am not gonna touch that hot button issue(I could never be a politician), When wokring in a doctors office I just had lots of patients coming into my office on medicaid who were new to the country and couldn't speak English) and our families who fought in wars for this country can get bent and lose all thier savings if they fall ill and unemployed. I had coworkers uninsured in my office who were sick but couldn't afford a doctor visit.

**muexm** · 10-09-2012, 08:45 AM

Background: Starting in 2014, the fine for not having insurance will be either $95 or 1 percent of a person's income — whichever is greater. Then in 2015, the fine will be either $325 or 2 percent of income. In 2016, the fine will be $695 or 2.5 percent of income. After 2016, the fine will be based on the cost-of-living adjustment every year.

Among other things, health reform mandates that by 2014 all states set up a health insurance "exchange," an online marketplace where consumers who are underinsured or uninsured will be able to shop for subsidized coverage, and small businesses can buy more affordable plans for their workers. Unfortunatlely several red states are stating that they will not set up health care exchanges (Texas, Florida, Alabama, Etc.)

There are exceptions to this rule. Americans do not have to purchase coverage if their income is below the Federal Poverty Line and health insurance premiums would cost more than 8 percent of their monthly income. In this case, most would be eligible for Medicaid or federal subsidies to help pay for health insurance. People who are opposed to the individual mandate for religious reasons also do not have to purchase health insurance

Answer: No one knows how much it will cost to participate in the state exchanges but costs will probably vary greatly from state to state. Also, you may not have the health insurance exchange option if you live in a red state, because several states are threatening not to participate.

**feh** · 10-09-2012, 08:52 AM

There is no "national healthcare".

How you might obtain insurance in the event you cannot get it through your employer will vary from state to state. You may want to read this:

Patient Protection and Affordable Care Act - Wikipedia, the free encyclopedia

**Goldy1** · 10-09-2012, 11:09 AM

ok that info helps. It is confusing and I see not all all the same in every state. i saw online in michigan you can buy insurance if you have a serious medical condition thru a high risk type pool. It can't be just high blood pressure etc. It has to be more serious like a heart condition etc. There was a medical condition list. It seems I would be in same boat as before as of today as ever;buying individual policy bc I am relatively healthy .
I"m asking just so I can be a little informed regarding the law. I have health insurance through my husband's job, but we lost it for a year when he was laid off in 2009 and it's possible they could discontinue it one day(if that isn't a kick in the butt to leave his job nothing will ever be). It helps to know what to do if it happens to soften the blow so to speak.

thanks

**elessar78** · 10-09-2012, 12:11 PM

Graphic from the Washington Post:

What does the Supreme Court's health-care ruling mean for me? - The Washington Post

**muexm** · 10-12-2012, 10:22 AM

Goldy1,

In Michigan, it looke like Red & Blues are having a dog fight over the health care exhcange. I find that interesteing because it is hard to believe that a state as broke as Michigan would refuse to set up state exchanges and turn away 9.8 million dollars of federal funding to prove a political point. Very interesteing.

**Blessed** · 10-12-2012, 06:47 PM

Does anyone have any info on the tax payers getting taxed on employer provided insurance? Dh's rep had some info on this but dh forgot to grab it and some of the other stuff. Just th thought of it made me growl! Dh worked his butt off for ages to obtain his job and the perks of his job. i find it crazy he could be taxed for having generous insurance.

**GrimJack** · 10-12-2012, 07:22 PM

Originally posted by Blessed View Post

Does anyone have any info on the tax payers getting taxed on employer provided insurance? Dh's rep had some info on this but dh forgot to grab it and some of the other stuff. Just th thought of it made me growl! Dh worked his butt off for ages to obtain his job and the perks of his job. i find it crazy he could be taxed for having generous insurance.

There is no tax on employer provided insurance. That false and misleading 'urban legend' is meant to make you growl - but it is not true.
Congressional Research Service summary of the bill describes the cost as:
"excludable from the employee's gross income."

the Kiplinger article that most of the scare mail references comes to this conclusion:
"The amount reported is not considered taxable income"
The real reason employers will now be required to list the cost of group insurance on employees' tax forms is that beginning in 2014 it will be the IRS's job to verify whether individuals and their dependents have health care coverage as mandated by the legislation

national healthcare