Monday, February 13, 2006

Tax breaks - foriegn words for the poor

Excerpt from editorial by Sebastian Mallaby in the Washington Post this morning:
 
"Even if the administration were determined to shelter out-of-pocket payments using health savings accounts, why make them so generous? It proposes both a tax deduction and a tax credit when money goes into the accounts; savings would accumulate tax-free and could be withdrawn tax-free also. As Jason Furman points out in a paper for the Center on Budget and Policy Priorities, no other savings vehicle enjoys so many privileges. And then there's the size of these accounts. If the aim is to discipline health spending below the deductible, why subsidize savings up to $5,250 a year -- five times more than the deductible?
In sum, health savings accounts are not just about ending the tax bias in favor of traditional company health plans. The administration is proposing a new kind of 401(k), and using it as an inducement to quit low-deductible insurance. Rich people, who gain most from the tax breaks on saving, will be first to sign on; healthy people, who subsidize sicker people in company health plans, will be right behind them. Their exit may force traditional health plans into a death spiral. The loss of the subsidy from healthy workers will drive premiums up, which will drive more healthy people into health savings accounts, which will drive premiums up further."
 
How far will irresponsible capitalism go? The rich will get richer as well as better health care and the poor will get...well poorer. The continual marginalization of the poor won't last long. And the more we move towards privatization of these type of beneficial social programs, the disparity between the rich and the poor, the haves and the have-nots will be shockingly apparent.

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