By using this site, you agree to the Privacy Policy and Terms of Use.
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

How Employers Plan to Respond to the New Health Reform Law
Person-Centered HealthCare: Using Infographics to Educate Audiences About the Flu
Mobile Health Around the Globe: Health eVillages Helps Improve Quality of Care in Haiti
7 Helpful And Important Tips For Improving Patient Experience
Your daughter painted on the dining room wall….

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

fight againt cancer
Breakthroughs in RNA Sequencing Provide New Insights in the Fight Against Cancer
Cancer News Specialties
February 1, 2026
aging in modern healthcare
Why Aging in Place Is Becoming a Cornerstone of Modern Healthcare
Global Healthcare Senior Care
January 29, 2026
Mental Health EHR
What Are the Core Features of a Mental Health EHR?
Mental Health Therapies
January 28, 2026
ADHD in adulthood
ADHD In Adulthood And Its Lasting Effects
Health
January 27, 2026

You Might also Like

Massachusetts Wins the Prize for Most Expensive Healthcare

January 22, 2014
Health carePublic HealthWellness

Overcoming Trauma And PTSD With Mindful Practices

September 28, 2018
healthcare app development
Global HealthcarePolicy & LawTechnology

13 Mobile App Development Tips for Healthcare Startups

May 27, 2022
what you need to know about life insurance
Health care

Here is What You Need to Know About Life Insurance

March 24, 2021
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Go to mobile version
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?