How Many Uninsured Are There, Really?
Keith Hennessey has a great breakdown of what the real number of uninsured is in America. The short answer is that there is NOT, in fact 47 million. It's a great deal less:
Open Letter from ATR to Congress:<br> No More Spending Until Obama Releases<br> Latest Economic Data
An open letter to the United States Congress:
This week, you will continue to vote on multi-hundred billion dollar appropriations bills that continue to put the budget into the red and keep taxpayers on the hook. At the same time, the Obama Administration this week announced it was putting off revealing the updated over-spending (aka "deficit") numbers for this fiscal year until the August recess.
The clear intent is to neither impede the march toward high-tax government medicine, nor to give the Congress any pause in writing more checks on the taxpayer account. Reports indicate that the spending-over-taxes for 2009 may approach $2 trillion. This is a vast sum when one considers that it's over four times last year's level, and is equal to all of federal spending as recently as 2002!
As such, Congress simply doesn't have all the facts to proceed. It's unconscionable to be voting on bills totaling hundreds of billions of dollars each without knowing how much of an over-spending problem we have.
Therefore, I am calling on the Congress to suspend all legislative activity that involves appropriating taxpayer dollars until the Obama Administration sees fit to release its latest estimate of the over-spending amount for 2009.
ATR Supports H.R. 3218, "Improving Health Care for<br> All Americans Act" by Cong. John Shadegg
ATR sent the following letter today to Congressman John Shadegg (R-AZ):
Congratulations on your introduction of H.R. 3218, the “Improving Health Care for All Americans Act” this week. Your free-market health care bill gives all Americans better options for health care without raising taxes or increasing the role of government.
The heart of H.R. 3218 is the creation of refundable and advanceable tax credits for the purchase of health insurance or other health coverage. This $5000 family credit (half that for singles) is an additional option for getting a healthcare tax benefit. Existing options—most namely the employer-provided exclusion—remain in place as alternate mechanisms. Unlike other plans which would displace existing coverage, the “Improving Health Care for All Americans Act” truly gives a “yes-and” solution.
Additionally, H.R. 3218 creates “Individual Membership Associations.” This would allow any American to join in a national pool in order to purchase coverage. In so doing, more Americans will have greater access to affordable insurance.
Finally, H.R. 3218 provides a $0.50 on the $1.00 federal match to states to incentivize the creation and full funding of high risk pools. Over the past decades, dozens of states have found that high risk pools are the best solution for the most difficult cases. Some Americans just can’t qualify for insurance without a government mandate, but high risk pools allow insurance companies to bring someone on with a bit more of a safety net. No American should be left behind if they want to purchase affordable insurance, and high risk pools ensure that even our sickest neighbors can get health insurance.
All Members of Congress should co-sponsor H.R. 3218, the “Improving Health Care for All Americans Act.”
Will Congress Turn to a VAT to<br> Pay for Health Care Spending?
Now that the Congressional appetite for a small business surtax or taxing your health benefits seems to be cratering, taxpayers need to be on the lookout for the next tax hike idea to be floated.
One good candidate would be a VAT.
House Dem Healthcare Tax Hike<br> Breaks Obama's Tax Pledge
Besides being the largest tax hike in American history, the House Democrat health care tax increase breaks Obama’s pledge not to raise any taxes on any American making less than $250,000:
“I can make a firm pledge. Under my plan, no family making less than $250,000 a year will see any form of tax increase. Not your income tax, not your payroll tax, not your capital gains taxes, not any of your taxes.” (Barack Obama, September 12, 2008, Dover, NH)
The following tax increases will directly hit Americans making less than $250,000 per year:
- a tax on individuals failing to sign up for health care equal to the lesser of 2.5% of adjusted gross income (AGI) or the average individual premium amount. There is no income floor on this, so this would hit any uninsured American of any income
- a tax on employers for not providing a health care plan equal to 8% of payroll. This becomes 0, 4, or 6 percent of payroll as payday totals dip below $400,000 annually. This will even hit the smallest of small businesses, those making profits of less than $250,000
- codification of the "economic substance doctrine," whereby taxpayers would not be able to engage in legal tax avoidance techniques without demonstrating a bona fide business purpose. This would apply not only to large companies and wealthy individuals, but any taxpayer of any income who engages in a legal tax avoidance technique
These are only the tax increases which would fall directly on Americans making less than $250,000. This doesn’t account for the other tax increases in the bill on small businesses which will kill jobs and slash wages.
President Obama should publicly repudiate these taxes, which are a clear and direct violation of his campaign promise he made again and again in 2008 not to raise any taxes at all on families making less than $250,000.
Surtax to Pay for Government Medicine<br> Is a Taxpayer Protection Pledge Violation
On Friday, House Ways and Means Committee Chairman Charlie Rangel (D-NY) announced a new tax increase to pay for government-controlled health care. Under the plan, taxpayers making as little as $280,000 per year will see a surtax of between 1% and 3% of adjusted gross income.
This “surtax” is merely a thinly-veiled way to raise the top marginal tax rate. A 3% surtax on married couples making $1 million or more would raise the top marginal tax rate in 2011 to 42.6%, up from 35% today.
Raising income taxes at all, and marginal tax rates in particular, is a clear and unambiguous violation of the Taxpayer Protection Pledge. This Pledge has been made by 172 Congressmen and 34 Senators to their constituents and the American people. They promised not to raise income taxes or marginal income tax rates.
The news is worse for small business owners. Small business profits face taxation on their owners’ 1040 forms. Two-thirds of small business profits pay taxes in households making at least $250,000 per year. Thus, this marginal tax rate increase is a tax hike on $2 out of every $3 small business dollars.
This marginal tax hike will affect small employers and their employees. One-third of Americans work in firms with 2 to 100 employees. These small businesses, which must have profits to employ workers, will face these marginal tax rate hikes. The cost will be born out in lower wages and less jobs.
Why raise taxes on job-creating small businesses in the middle of a deep recession with 10% unemployment? It makes no sense to do this economically. When Medicare payroll taxes and state income taxes are added to the mix, a small employer could easily face marginal tax rates approaching 50%, which would be the highest level since the stagflation 1970s.
Health Care Tax Hike Trial Balloon of the Week: Tax Hike on Small Business
Proponents of government-run health care have a problem—they can’t pay for their trillion-dollar plan. So, they want to raise your taxes. Every week, there’s a new tax hike floated—a VAT, a soda tax, taxing your health care benefits, and taxing your charitable contributions to name just a few.
- Small businesses pay taxes on their owners’ 1040s
- Two out of every three dollars of small business profits has tax paid in this top personal tax rate
- There are 28 million sole proprietors, business partners, and Subchapter-S corporation owners in America. Most of the profits generated by these companies will face a higher marginal tax rate
- One-third of Americans work for businesses with fewer than 100 employees. When these successful small businesses have to pay higher taxes, they will cut wages and lay people off
Left Continues to Telegraph VAT Strategy
You can't say they didn't warn us. The latest indication that a value-added tax (VAT) is on the table comes in today's Wall Street Journal by former Clinton Administration Deputy Treasury Secretary Roger Altman:
We all know the recent and bitter history of tax struggles in Washington, let alone Mr. Obama's pledge to exempt those earning less than $250,000 from higher income taxes. This suggests that, possibly next year, Congress will seriously consider a value-added tax (VAT). A bipartisan deficit reduction commission, structured like the one on Social Security headed by Alan Greenspan in 1982, may be necessary to create sufficient support for a VAT or other new taxes.
Talking About Cutting Healthcare Costs?<br> Drug Industry Is Actually Doing It
There's a lot of fast and loose numbers thrown around in Washington these days when it comes to health care. It seems like every other day, President Obama and health industry leaders are pulling some "magic asterisk" out of the air, and claiming to have "cut" real health dollars. When you get past the headline, you find it's more fluff than substance.
This week, PhRMA announced that they would be cutting name-brand drug prices in half for many seniors. Under Medicare "Part D," seniors face heavily subsidized drug coverage for the first few thousand dollars in annual drug spending, and when they have a very large prescription drug bill. However, there is a coverage gap in between those two subsidies that many have called the "donut hole." In this "donut hole," seniors are left to pick up the tab for their medicines. It's in this coverage gap that PhRMA is cutting drug prices in half.
Notice what you don't see there. You don't see a government bureaucrat "negotiating" with drug companies. You don't see a price control bill passed by Congress. What you do see is an industry doing well by doing good. They know that happy customers are consistent customers, and there is a perceived customer relations issue with this coverage gap. So, like any group of companies, they are making their customers feel better about buying their product.
Now, suppose the government had stormed in and demanded this. At that point, PhRMA would have to protect the interests of member companies and shareholders, and would need an adversarial stance against the federal "negotiators." Seniors would have ended up with a far worse deal.
There's nothing wrong with our healthcare system that can't be solved by the government just getting out of the way.
ATR Supports "Health Care Freedom Act"
The following letter was sent from Grover Norquist to Senator Jim DeMint (R-SC) today. The pdf version can be read here:
Congratulations on your introduction of the “Health Care Freedom Act” this week. This will likely be the best free-market alternative to government health care offered this Congress, and I would encourage all senators to co-sponsor this excellent legislation.
The Health Care Freedom Act raises taxes on no one, and cuts taxes for millions of Americans. While leaving all current tax relief related to health insurance alone, it creates a new tax credit for individuals to purchase health insurance on their own. Individuals not covered by an employer, government, or other third party health insurance plan could use an advanceable and refundable tax credit of $5000 ($2000 single) to offset health costs. In addition, health savings account (HSA) dollars would be eligible to be used to purchase health insurance premiums.
The Health Care Freedom Act gives all Americans the tools they need to purchase health insurance as empowered consumers with options. Families would be free to purchase health insurance offered in any state, not just the one in which they reside (which they are limited to under current law). States would be block-granted money to create viable insurance options for those with pre-existing conditions. The cost of care will be kept low by putting a hard cap on non-economic damages in medical malpractice lawsuits. Finally, the price of health care services for the first time will be made available to any patient wanting to shop around for the best care.
The Health Care Freedom Act represents a bold new vision of free market health reform. It would ensure 22.5 million Americans who currently lack insurance. Its tax cuts are fully-offset with spending restraint, so it won’t create new government debt.
For the first time, free market conservatives have a bill they can proudly say they are for when fighting against government medicine this year.