High earners
Households for whom a flat premium is a small share of pay, and who pay more under income-based taxes.
Under your mix of paths
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Problems that hurt them
Paths that fix these help them.
- Replacing premiums with taxes: They pay more under income-based taxes than they did in flat premiums.
Problems they gain from
Paths that fix these cost them.
- Premiums are a large, flat, hidden tax on wages: A flat premium is a small share of high pay.
- Two-tier care: a private fast lane for those who can pay: Paying privately buys faster care.