We use cookies, including third-party cookies from Google to serve personalized ads through AdSense, to operate this site and understand how it is used. By continuing to browse, you accept this use. See our Privacy Policy and Terms of Use for details, including how to opt out of personalized advertising.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: “Closing Loopholes” Could be a Form of Health Care Reform
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > “Closing Loopholes” Could be a Form of Health Care Reform
Health ReformPolicy & Law

“Closing Loopholes” Could be a Form of Health Care Reform

DavidEWilliams
DavidEWilliams
Share
3 Min Read
SHARE

Both President Obama and Mitt Romney are interested in “closing loopholes” as part of broader tax reform, and both are famously reluctant to say exactly which loopholes they are talking about. The problem is that these “loopholes” are pretty popular and also fairly fundamental to the economy.

Both President Obama and Mitt Romney are interested in “closing loopholes” as part of broader tax reform, and both are famously reluctant to say exactly which loopholes they are talking about. The problem is that these “loopholes” are pretty popular and also fairly fundamental to the economy. By far the biggest loophole (or “tax expenditure” as official government documents term them) is “exclusion of employer contributions for medical insurance premiums and medical care.” That deduction costs the federal treasury $184B in 2012. The second biggest item is “deductibility of mortgage interest on owner-occupied homes,” at $99B, and then it drops off from there to $68B for 401(k) plans, $61B for step-up basis of capital gains at death and $51B for exclusion of imputed rental income.

Read through the list (Table 17-3 on p. 252 of this document) and you’ll understand why politicians are reluctant to say what they’re going to eliminate. The larger “loopholes” are mostly well-established, broad based and popular. Most people don’t think of deductibility of 401(k) plans as a loophole, for example, but rather a fundamental part of how they operate.

I’d love it if we could find bipartisan consensus on reducing (though not eliminating) deductibility for employer contributions for health insurance. I have at least a wee bit of optimism on this count. So-called private health insurance is heavily subsidized through the tax code. That means there’s less attention given to careful spending. All else being equal tax deductibility drives costs up. The Affordable Care Act actually addresses this issue through the so-called “Cadillac tax,” which will penalize the priciest plans. A major impact will fall on unionized employers, who tend to have the richest plans.  One would think that Republicans could get behind the idea of limiting deductibility to the first $x dollars of per employee costs, and then making anything above that amount subject to taxation.

More Read

Health Links for Senior Citizens
How to Start an Adult Discussion on Medicare
Cartoon Characters Impact Kids’ Cereal Preferences
Career Searching? Don’t Forget Nursing!
Some Big Health Plans Must Think Exchanges Will Succeed

Going after deductibility of health insurance is tricky business, because it could lead employers to abandon their sponsorship of health care. If it’s done in a partial and gradual way, though, it could remove distortions in the health insurance market and reduct the deficit.

 


TAGGED:tax loopholes
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5KFollowersLike
4.5KFollowersFollow
2.8KFollowersPin
136KSubscribersSubscribe

Latest News

The Case for Proactive Nutrient Support and Where IV Therapy Fits In -- AI-generated illustration
The Case for Proactive Nutrient Support and Where IV Therapy Fits In
Health Therapies
October 5, 2026
Biofeedback Technology in Addiction Treatment: What the Evidence Shows So Far -- AI-generated illustration
Biofeedback Technology in Addiction Treatment: What the Evidence Shows So Far
Addiction Addiction Recovery
September 28, 2026
Charity Care Is Written Into Hospital Policy. It Rarely Makes It Onto the Bill. -- AI-generated illustration
Charity Care Is Written Into Hospital Policy. It Rarely Makes It Onto the Bill.
Business Hospital Administration
September 25, 2026
A Global Perspective on Medicine: Lessons Learned Across Borders -- AI-generated illustration
A Global Perspective on Medicine: Lessons Learned Across Borders
Medicines
September 23, 2026

You Might also Like

Data Mining
BusinessFinanceHealth Reform

How Are You Using Physician Data Mining?

April 24, 2014
ai and cybersecurity in healthcare
Artificial IntelligenceGlobal Healthcare

AI in Healthcare: Balancing Innovation with Cybersecurity

March 20, 2024
Image
Public Health

How Can Social Networking Help Promote Healthy Eating?

April 9, 2012
Hospital AdministrationMedical EducationPublic Health

Why Is There a Critical Shortage of Primary Care Physicians?

April 8, 2014
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2026 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?