OPINION | We can afford Medicare for All…

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OPINION | We can afford Medicare for All…
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Opinion: Not only can we afford Medicare for All, but it could also deliver the biggest pay raise to the middle class

The system is opaque enough that workers can’t see such costs clearly, but they aren’t completely hidden. Health care costs are sometimes visible on your pay slip as the “employer contribution to medical insurance.” The full cost of employer and employee premiums is also usually reported on the W-2 form that you use to file your income taxes.

No government would out-of-the-blue impose a head tax to fund health care; it would be a crushing burden on the working and middle classes. And yet in essence that’s what the U.S. government does today by mandating that employers manage a huge head tax to fund health insurance for workers.If you see the health system this way, it changes how you understand the entire U.S. tax system.

The solution to this mess is simple: The head tax currently paid by workers in the form of mandatory premiums should be replaced by actual, normal taxes based on ability to pay. If employer-sponsored health insurance premiums were transformed into wages, that’s a $13,000 pay increase that each covered worker would get on average, the biggest pay raise in a generation, and one that is long overdue.

To address this problem, the government should legislate the conversion of employer health care premiums into a permanent wage increase at the time of the transition to Medicare for All. From the point of view of employers, this conversion would be neutral: for them, the cost of each worker would not change. Because health insurance premiums are already reported on W-2 forms and pay slips, this wage increase would be easy to enforce and monitor.

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