Universal HealthcareBy NextBestFit

Set up the new taxes

Months 0–18 · Treasury, IRS, SSADiscuss this step
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Household: Very high income, $3M AGI

Executive with $500k salary, $2.5M in capital gains and dividends, family plan.

Result
−$598,143

How it's calculated

#StepArithmeticValue
1
AGI today
$3,000,000
2
Employer premium (hidden compensation)
$20,143
3
Worker premium contributions end
Paycheck deductions for health insurance stop.
$6,850
4
Covered out-of-pocket costs end
Deductibles, copays, coinsurance, and uncovered dental, vision, and hearing.
$3,000
5
Slower wage growth from employer tax
Employer owes $37,500 in new health payroll tax on this worker; over time that is passed into lower wage growth.
−$13,705
6
Income tax on newly taxable compensation
Premiums were paid with pre-tax dollars; wages are taxed. Federal + state.
$3,153
7
Employee FICA on newly taxable compensation
7.65% Social Security and Medicare. The Social Security part also raises future benefits.
$524
8
Income-based health premium
4.0% of AGI above the $32,000 exemption for a household of 4.
−$118,446
9
7% surtax on income above $1M
Top-end measure.
−$139,520
10
Capital gains taxed as ordinary income above $1M
37% instead of 20% on gains above the threshold.
−$340,000
11
Net change per year, long run
−$598,143
12
Net change per year, Year 1
−$593,299
Trade-off: Behavioral responses (timing gains, moving income offshore) would reduce what this household actually pays; the revenue estimate already discounts for that.