The Right Way to Pay for Health Reform: Surcharge on the Richest
Posted on November 18th, 2009 by Jason Rosenbaum in Congress Watch|
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Majority Leader Harry Reid seems to be moving away from taxing so-called "Cadillac" health care benefits as a means to pay for health reform, a tax that would eventually hit 40% of health care plans in the country. This is good news. As I've argued before:
Why tax the very people health care reform is supposed to help to pay for it?
The middle class doesn't need another tax hike. Health reform should indeed be paid for, but it should be paid for by those in society who can most afford it.
And Reid may be thinking about doing just that, financing reform the way the House did, with a surtax on the richest members in society.
The case for the surtax is clear: It will help millions, and it would only affect the very richest among us. The bill passed by the House would tax only individuals earning more than half a million dollars per year, 0.3% of the taxpaying population, or 422,510 households in America. In return, by 2013, 29,210,600 more uninsured people would gain coverage, rising to 36 million by 2019.
Here's the breakout, state-by-state, of households who would be affected by the surtax vs. the number of uninsured who would gain coverage under the House plan (click for full report [pdf]):
Those four hundred thousand households making more than a half-million per year can afford the modest tax increase. After all, they had their taxes drastically lowered by President Bush. We're only asking them to pay their fair share again.
Thankfully, the American people get this. The Associated Press found 57% favor this method of paying for reform.
Health reform can and will do a lot of wonderful things for a lot of people in this country. It will cover vast numbers of the uninsured. It will end medical bankruptcies and help everyone afford the care they need. It will give us a choice of a public health insurance option. But it should not at the same time tax the people it is trying to help.

I think it is a step in the right direction to tax the people who can afford it. It is only right that they pay their fair share. Healthcare is important to everyone. Whether we pay a tax or a premium, for the middle and lower socioeconomic classes it needs to be affordable.