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Could a health care insurance tax rein-in premiums?

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Could a tax on health care premiums, applied to both businesses and individuals, slow the increase in health insurance premiums?

It seems implausible, but indeed it could. Here's why:


As part of a universal health care bill passed by Congress, if a 7% or 10% tax is slapped on top of the monthly premium, that would create an additional incentive for both corporations large and small, and individuals, to shop around and seek a better offer. Perhaps these parties will even negotiate to keep the monthly premium the same or ask for a reduction, knowing full well that any premium increase will automatically be 7% or 10% higher. That might provide more of an incentive for businesses and individuals to slow the growth in health care spending.

The free market at work

Further, the tax might also prompt insurers to wring more inefficiencies out of the insurance system and/or decrease their profit margins, out of concern that they may lose business in subsequent years by having their premiums priced too high.

The tax could be phased-in over three years: for a 10% tax, it would be 3% in the first year; followed by 7%, then 10%.

Funds from the tax would help subsidize health insurance premiums for those citizens in the United States who otherwise would not have health insurance: the poor, working poor, and low-income working families.

The premium tax would have the additional advantage of redistributing income (in the form of a health care benefit) from higher-income citizens to lower-income citizens, thus decreasing, in a small way, the maldistribution of income in the United States, and helping to equalize benefits - each of which will strengthen U.S. society.

Financial Editor Joseph Lazzaro is writing a book on the U.S. presidency and the U.S. economy.

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Last updated: November 23, 2009: 04:19 PM

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