Tag Archives: tax

The “Botax” is a Regressive Tax

Although it would supposedly rake in $60 billion over 10 years, the Senate health reform bill’s proposed 5% tax on cosmetic procedures is hardly a tax on the wealthy. On a survey of people planning on having cosmetic surgery:

  • One-third make less than $30,000 a year.
  • More than two-thirds (70 percent) of clients make less than $60,000.
  • Only 13 percent make more than $90,000.
  • About 85 percent of procedures are purchased on credit.

Plus, there may be no net revenue here. New Jersey taxes cosmetic procedures and spends $3 on administration and collections for every $1 it receives. More on this in an article in Slate.

More on Taxing the Sick

This is by Alex Brill (American Enterprise Institute):

Beginning in 2010, the bill would impose a $2.3 billion annual fee on brand name pharmaceutical manufacturers and importers and a $4 billion annual fee on medical device manufacturers… In addition, [there will be] an increase in the Medicaid drug rebate that drug manufacturers must pay to Medicaid.

A brand name pharmaceutical excise tax is expected to result in consumers’ paying higher prices for health care either through higher copays, higher insurance premiums, or both. For the uninsured, the retail price will rise. The increase in the Medicaid rebate will similarly lead the pharmaceutical industry to push up prices on other consumers. In the case of the medical devices fee, the tax will be passed forward to consumers in the form of higher prices as well.