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“Ideally, where we should going is to join the rest of the industrialized the world and guarantee health care to all people as a right. And that's why I'm going to introduce a Medicare-for-all single-payer program,” Sanders said.
In the short term, Sanders advocated his bill that would lower the cost of prescription drugs. “President Trump said a whole lot of stuff on the campaign trail. One of the things he talked about was lowering the cost of prescription drugs. There is wonderful legislation right now in the Senate to do that. “President Trump, come on board. Let's work together. Let's end the absurdity of Americans paying by far the highest prices in the world for prescription drugs…”
A 6.2 percent employer-paid “income-related premium” – Under this policy, employers would pay a tax equal to 6.2 percent of their workers’ income. Practically speaking, this would likely have to take the form of a payroll tax, like the one already paying for Social Security and Medicare. An increase in income tax rates for high earners – Currently, household income is taxed at 33 percent above $250,000, 35 percent above $413,000, and 39.6 percent above $467,000. Sen. Sanders would tax income at 37 percent above $250,000, 43 percent above $500,000, 48 percent above $2 million, and 52 percent above $10 million.
Taxing capital gains and dividends as ordinary income and tax capital gains at death – Currently, long-term capital gains and qualified dividends are taxed at a top rate of 20 percent (plus a 3.8 percent surtax). Sen. Sanders would tax this income the same as earned income for households making above $250,000, resulting in a top rate of 52 percent (plus 10 percent in surtaxes, including the effects of his Social Security plan).
This plan would also tax capital gains as if sold when the owner dies, with a limited exemption, which we discuss in more detail in a followup analysis. Reforming tax expenditure limits – Currently, the Alternative Minimum Tax (AMT), personal exemption phaseout (PEP), and Pease limitation are all used to limit the value of various deductions in different ways. Sen. Sanders would replace all of these with a 28 percent limit on the value of itemized deductions, which prevents them from rising in value for those above the 28 percent bracket.
Increasing the estate tax – Sanders would increase the top estate tax rate from 40 to 65 percent, lower the threshold for being taxed from $5.45 million to $3.5 million, and close various loopholes.
As we explained recently, Sen. Sanders may also be understating the cost of his plan – by more than $1 trillion per year, according to health expert Kenneth Thorpe. If Thorpe’s analysis is correct, Sen. Sanders’s plan (revenue included) could end up costing as much as $14 trillion more than he estimates over a decade before interest or economic impact
The NHS will no longer pay for everyday medicines, including painkillers and cough mixture, the head of the health service has said. Simon Stevens has outlined plans for patients to have to pay for basic items, such as hay fever drugs, indigestion pills and gluten-free food, in a money-saving drive. The cuts are part of new measures to reduce £1 billion of costs in the health service, which is struggling to cope with a surge in demand caused by a rising population.
Under the new rules, doctors will be banned from “routinely” prescribing items that are cheaply available in high street chemists.
Sufferers of Coeliac disease will be forced to buy their own gluten-free food, and patients will also be denied free travel vaccinations.
Outlining his new plans, Mr Stevens also called on families to take some of the strain off the health service by taking better care of elderly relations and more closely controlling children's diets.
The new strategy involves fresh targets to move more elderly people who are not in need of critical care out of hospital to free up beds, as well as a further crackdown on hiring expensive locum doctors.edit on 28-3-2017 by FauxMulder because: (no reason given)
originally posted by: brutus61
I recently wrote a letter to President Trump expressing my opinion of some of the problems with mediciad and possible fixes. I have not heard back but will not stop trying nonetheless.
originally posted by: FauxMulder
a reply to: brutus61
A single payer system always has high cost and low quality. A free market and competition is what drives down prices. When you spend your own money on ANYTHING your goal is to maximize quality and minimize costs right? This is what makes companies compete for your business, they seek ways to maximize efficiency and lower cost to deliver a superior product to you at a better price.
Governments on the other hand never worry about efficiency. Can you name one thing our government does that is efficient in all cost, quality, and time?
originally posted by: Flatfish
originally posted by: brutus61
I recently wrote a letter to President Trump expressing my opinion of some of the problems with mediciad and possible fixes. I have not heard back but will not stop trying nonetheless.
While I'm 100% in support of Bernie Sanders and his universal single-payer healthcare system, I don't have much faith in the power of the pen when in comes to the Donald.
I've heard that he doesn't read anything more than one page long or anything with more than nine bullet points, so my advice to you is to keep it short and to the point.
Who knew healthcare was so complicated???
originally posted by: havok
a reply to: FauxMulder
While I agree with your post 110%....
The "free" market is what has cause the sharp increase in premiums over the last 20 years. Seeing the ruse called the ACA just proved the point. Having insurance companies, hospitals, and facilities running on a strictly for-profit scheme means we all pay for their wildly overcharged and overpriced plans, care, and drugs. It needs regulation because the nature of business is profit over people.
What we need is either single payer system where the gov't has checks and balances or regulation on the market which would drop it from the "free" status. I am not for more regulation or bigger government, but without it....you get people trying to get away with anything they can to make more profits.
Competition is fine and dandy until all the players are turning against you.
originally posted by: NthOther
Can we opt out and get a tax credit? Or at the very least, if we can't get our money back, redirect it into a HSA?
That'd be nice.
Not holding my breath.
originally posted by: DBCowboy
a reply to: brutus61
Regardless as to whether any of us like it, hate it, support it, our healthcare is going to go socialist because the government won't give up control and people aren't that interested in individualism, personal responsibility any more.
I believe the French call it a fait accompli.
originally posted by: brutus61
originally posted by: FauxMulder
a reply to: brutus61
A single payer system always has high cost and low quality. A free market and competition is what drives down prices. When you spend your own money on ANYTHING your goal is to maximize quality and minimize costs right? This is what makes companies compete for your business, they seek ways to maximize efficiency and lower cost to deliver a superior product to you at a better price.
Governments on the other hand never worry about efficiency. Can you name one thing our government does that is efficient in all cost, quality, and time?
According to your figures a 6.2% increase in taxes would amount to $6,200.00 per year per $100,000.00 of income. Some of the deductibles under the current healthcare system are $5,000.00 and then you have to factor in the cost.
Like I said before never has Government fixed anything. Everything they touch gets worse. More regulations, more taxes, more bureaucracy, less freedom.
There needs to be some sort of regulation put in place to prevent abuse. Not all cases are equal and some people will need more visits for extenuating circumstances but overall most people don't need to go to the emergency room more than twice a year if that much.
originally posted by: brutus61
originally posted by: DBCowboy
a reply to: brutus61
Regardless as to whether any of us like it, hate it, support it, our healthcare is going to go socialist because the government won't give up control and people aren't that interested in individualism, personal responsibility any more.
I believe the French call it a fait accompli.
Not sure if I agree with you, but if we go to single payer system then ALL Americans will be covered. Just because it is single payer does not mean the feds have to control all aspects of it. It could be a joint resolution between state and federal government to give the best care for all.
originally posted by: brutus61
If our country has the highest medical costs and lowest care, there is something wrong.
LINK
originally posted by: FauxMulder
originally posted by: brutus61
originally posted by: FauxMulder
a reply to: brutus61
A single payer system always has high cost and low quality. A free market and competition is what drives down prices. When you spend your own money on ANYTHING your goal is to maximize quality and minimize costs right? This is what makes companies compete for your business, they seek ways to maximize efficiency and lower cost to deliver a superior product to you at a better price.
Governments on the other hand never worry about efficiency. Can you name one thing our government does that is efficient in all cost, quality, and time?
According to your figures a 6.2% increase in taxes would amount to $6,200.00 per year per $100,000.00 of income. Some of the deductibles under the current healthcare system are $5,000.00 and then you have to factor in the cost.
That is just ONE of the taxes. Right now my healthcare is $200 a month which covers my entire family (wife, 3 kids) and that amounts to about $2400 a year. There are no deductibles and there is a copay of 20 dollars for a doctor visit and 50 for ER. So you're saying I should pay $6,200 a year, almost triple what I do now? Keep in mind this doesn't include all of the other taxes this would require and it STILL wouldn't pay for itself! How often do taxes not go up? How long before that 6.2 percent turns into 10 percent or 15?
Like I said before never has Government fixed anything. Everything they touch gets worse. More regulations, more taxes, more bureaucracy, less freedom.
There needs to be some sort of regulation put in place to prevent abuse. Not all cases are equal and some people will need more visits for extenuating circumstances but overall most people don't need to go to the emergency room more than twice a year if that much.
originally posted by: FauxMulder
a reply to: brutus61
A single payer system always has high cost and low quality.