Set up the new taxes

Months 0–18 · Treasury, IRS, SSADiscuss this step

New revenue (central, steady state): employer tax $873.4B, household premium $512.2B, recaptured income tax $95.3B, top-end $330.1B; remaining general revenue need $97.2B. IRS implementation is about $1B, inside existing appropriations.

Cost item	Type	2024 / before	Amount
Employer health payroll tax (new) 8 calculation steps	Funding source	$0.0B	$742.8B
Income-based health premium (new) 5 calculation steps	Funding source	$0.0B	$512.2B
Top-end surtaxes & financial transactions tax (new) 6 calculation steps	Funding source	$0.0B	$330.1B
Federal employer health payroll tax (new) 8 calculation steps	Funding source	$0.0B	$30.0B
State & local employer health payroll tax (new) 8 calculation steps	Funding source	$0.0B	$100.5B
Remaining federal general revenue requirement 3 calculation steps	Funding source	$0.0B	$97.2B
Household: Family of four, $100k, job-based coverage 10 calculation steps	Household	—	+$12,459
Household: Single worker, $45k, job-based coverage 10 calculation steps	Household	—	+$3,458
Household: Family of four, $60k, Marketplace plan 10 calculation steps	Household	—	+$2,239
Household: Retired couple, $50k AGI, Medicare + Medigap 7 calculation steps	Household	—	+$11,900
Household: Family of three, $30k, Medicaid 9 calculation steps	Household	—	−$1,414
Household: High-earning family, $400k, job-based coverage 10 calculation steps	Household	—	−$12,190
Household: Self-employed, $80k, unsubsidized Marketplace 9 calculation steps	Household	—	+$2,175
Household: Very high income, $3M AGI 12 calculation steps	Household	—	−$598,143
Who gains and who pays more, by income (family of four with employer coverage) 21 calculation steps	Household	—	+$240,000