Universal HealthcareBy NextBestFit

Set up the new taxes

Months 0–18 · Treasury, IRS, SSADiscuss this step
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Federal employer health payroll tax (new)

The federal government pays the employer tax on its civilian and military payroll like any employer.

Result
$30.0B
$0.0B → $30.0B
Per resident, per year
$88
÷ 341.1M people
Per household
$227
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
Wages & salaries, 2024 (BEA)
$12.39T
2
Remove payroll under each employer's $250,000 exemption (6%)
$12,388.0B × (1 − 6%)$11.64T
3
Tax at 7.5%
$11,644.7B × 7.5%$873.4B
4
Private employers' share of wages
$10,739.0B ÷ ($10,739.0B + $1,887.0B)85.05%
5
Private employers pay
$873.4B × 85.05%$742.8B
6
Government employers pay
$873.4B − $742.8B$130.5B
7
Federal (23% of government wages)
$130.5B × 23%$30.0B
8
State & local
$130.5B − $30.0B$100.5B

Inputs used

InputKindValue
Wages & salaries, 2024data, high confidence$12.39T
Share of total payroll exempted by the $250k exemptionestimate, medium confidence6%
Payroll exempt per employerpolicy, high confidence$250,000
Employer health payroll tax ratepolicy, high confidence7.5%
Private-industry wages & salaries (Q4 2024 annual rate)data, high confidence$10.74T
Government wages & salaries (Q4 2024 annual rate)data, high confidence$1.89T
Federal share of government wages (civilian + military)estimate, medium confidence23%
Trade-off: A new, visible tax replaces premiums and out-of-pocket costs. It is proportional to income or payroll instead of flat per person.