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Why aren't health care costs 100 percent tax deductible? (Original Post) davishenderson265 Nov 2014 OP
Good question Travis_0004 Nov 2014 #1
Yes the PPACA reduced the deductibility to raise more revenue to pay for the act's other provisions. PoliticAverse Nov 2014 #2
Oh yes. Unless you are a small business owner, then you can deduct all kinds of stuff. Drahthaardogs Nov 2014 #5
Why only 11% tax deductible? Why not 100% tax deductible? Louisiana1976 Nov 2014 #3
The deduction for medical expenses customerserviceguy Nov 2014 #4
Sorry, I mean 100 percent!! davishenderson265 Nov 2014 #6
In effect, with an HSA customerserviceguy Nov 2014 #7
food should be 100% deductable quadrature Nov 2014 #8
High medical bills, low income, no tax deduction Liberal Lolita Nov 2014 #9
Why are there healthcare costs? DavidDvorkin Nov 2014 #10
Isn't that the point of HSAs? (nt) Recursion Nov 2014 #11
 

Travis_0004

(5,417 posts)
1. Good question
Tue Nov 11, 2014, 06:47 PM
Nov 2014

The threshold to deduct medical expenses was 7.5% of AGI. Obamacare raised that to 10% to generate more tax revenue from the sick.

PoliticAverse

(26,366 posts)
2. Yes the PPACA reduced the deductibility to raise more revenue to pay for the act's other provisions.
Tue Nov 11, 2014, 06:57 PM
Nov 2014

Drahthaardogs

(6,843 posts)
5. Oh yes. Unless you are a small business owner, then you can deduct all kinds of stuff.
Tue Nov 11, 2014, 11:03 PM
Nov 2014

I bought Long Term Care Insurance a long time ago... it was steal at my age of purchase and I got a deal with no increasing premiums. You would think that they would make these tax deductible, you know, incentives for people to get private insurance so Medicaid does not have to foot the bill. HOwever, since I am NOT a small business owner, the premiums are largely NOT tax deductible.

The problem with this country is they do not value an hour of labor, only investment. When we did value labor, we were the greatest nation on earth.

customerserviceguy

(25,406 posts)
4. The deduction for medical expenses
Tue Nov 11, 2014, 08:33 PM
Nov 2014

has effectively been shrinking for quite some time. About the only people I know who use it are those who have high expenses, a bit more income than would exempt them from Federal income tax, and somehow, a home mortgage to be able to get past the standard deduction. I suppose there are people who, on medical expenses alone can add up enough to surpass the standard deduction (after the subtraction of ten percent of their adjusted gross income from the total medical expenses), but I've never met one of them.

I use a high-deductible healthcare insurance policy, and fully fund a Health Savings account. That way, whatever I pay for medical expenses (except for my portion of the premium costs) simply doesn't get taxed for Federal income tax purposes, if I choose to pay for them out of the HSA. My employer adds money to the account every quarter, too.

I used to be a tax accountant, and the days of using the tax code to encourage or discourage various economic behaviors has become more and more limited over time. I cannot possibly see itemizable deductions for medical expenses going the other way.

 

davishenderson265

(108 posts)
6. Sorry, I mean 100 percent!!
Tue Nov 11, 2014, 11:35 PM
Nov 2014

I mean, if mortgage interest is 100 percent deductible, why shouldn't the cost of health care?

customerserviceguy

(25,406 posts)
7. In effect, with an HSA
Tue Nov 11, 2014, 11:40 PM
Nov 2014

it is that way, for allowable items. Being able to fully deduct some medical expense from one's taxable income in computing income tax is equal to getting that income tax-free and expending it on only healthcare related items.

 

quadrature

(2,049 posts)
8. food should be 100% deductable
Wed Nov 12, 2014, 02:08 AM
Nov 2014

would make food more affordable.

same with housing costs, car, savings/investment,
and everything else

medical cost would be my last choice
for being deductable

first things first

Liberal Lolita

(82 posts)
9. High medical bills, low income, no tax deduction
Wed Nov 12, 2014, 05:30 AM
Nov 2014

The only year I was ever able to deduct my medical expense was a year when my husband was out of work, my only income was social security, and I had to have 3 surgeries, in addition to my other expensive healthcare costs.
I have a lot of medical problems, and high bills. If I could afford them my medications would cost $800+ a month in co-pays, the medical treatment I need, $100+ a month co-pays. I only have medicare to pay these bills. My income is just over the medicaid threshold, so I'm only eligible for spend-down. I would have to spend $1200 a month, out of pocket to have anything covered by medicaid. That is close to half of our income. We can't afford that, so I go without, and my health suffers. If my husband, and I had a little less income I would get full medicaid, food stamps, and a free cell phone. I could afford the medications I am supposed to take, but i couldn't pay for the other essentials.
After 31 happy years of marriage we have considered a divorce so I can have medical care. It's way past time for universal healthcare, when old married folks have to get divorced to get healthcare.

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