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Financial Planning > Tax Planning > Tax Reform

Debate: Would Biden’s Proposed Payroll Tax Hike Protect Medicare’s Solvency?

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The White House recently released a fact sheet outlining some of President Joe Biden’s tax and spending proposals. Among those proposals is a plan to increase the Medicare payroll tax from 3.8% to 5% on both earned and unearned income in excess of $400,000. The proposed tax increase is a part of the president’s budget proposal, which contains several provisions designed to keep the Medicare insurance program solvent through at least 2050.

We asked two professors and authors of ALM’s Tax Facts with opposing political viewpoints to share their opinions about Biden’s latest proposal to increase the Medicare payroll tax for higher-income taxpayers.

Below is a summary of the debate that ensued between the two professors.

Their Votes:

thumbs up Bloink
Thumbs down Byrnes

Their Reasons:

Bloink: The Medicare program is a government-subsidized system that provides critical health coverage benefits for each and every American. It’s absolutely essential that we take steps to keep the program solvent. Unfortunately, it’s the lowest-income taxpayers who end up paying a much higher portion of their income toward the taxes that keep this program running.

That’s because lower-income taxpayers receive all of their income from employment — and, unlike the wealthy, don’t have the opportunity to use asset sales and other techniques to generate income that is not taxed at the higher ordinary income tax rates to which payroll taxes apply.

Byrnes: Higher income taxpayers don’t receive any additional Medicare benefits above and beyond what every other American receives. In fact, these taxpayers are likely to pay much more into the system because they often purchase “Medigap” plans to cover any excess expenses not covered by traditional Medicare — and, by definition, they are subject to the current Medicare rate on a higher amount of income than lower-income taxpayers. By these standards, high-income Americans are already paying more for the same benefits.

Bloink: By requiring the highest income taxpayers to pay an additional percentage on any income above $400,000, we can both protect the Medicare program’s solvency and ensure that the wealthiest Americans are paying their fair share for benefits they too receive. It’s important to remember that this tax would apply to both earned and unearned income — meaning it would also apply to dividends and other passive types of income that are often subject to lower tax rates.

Byrnes: Raising the tax rate for Medicare payroll taxes would be extremely inequitable given the nature of this so-called entitlement program — given that every American is eligible to receive only the same basic Medicare benefit regardless of their tax rate. Yet another tax hike earmarked toward the Medicare program is not the way to solve the program’s solvency issues.

Bloink: The bottom line is that wealthy Americans have the ability to skirt taxes like the Medicare payroll tax through the use of many different tax loopholes. To date, we’ve been unable to eliminate those loopholes to ensure all Americans are paying their fair share. Imposing this Medicare surtax on every type of income above $400,000 would serve to make sure that Americans are unable to avoid paying into this program that is crucial to all Americans.

Byrnes: Now is not the time to be increasing taxes. Our economic climate is extremely fragile right now. Businesses are nervous about market conditions, inflation and the possibility of entering a protracted recession. We should be focused on reining in the costs of health care and reducing the impact of inflation for all Americans. These tax hikes are unrealistic and will never actually become law.


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