Individuals can pay directly for the services they receive. Others may use health insurance as a tax exemption for their employment. Military personnel, their families, and veterans receive medical insurance through the federal government. American elderly depend on health insurance, low-income mothers and children, and some disabled people in the United States to receive medical assistance through Medicaid. "(" US "nlm.nih.gov) Men and women who do not pay medical expenses may not be affected by the increase of" sin tax "unless they are heavy smokers or drinkers.
Single payer medical care (the government pays for universal insurance, usually through tax payment) helps reduce costs for two reasons. In other words, the government can adjust and negotiate the prices of pharmaceuticals and medical services. Medical insurance bureaucracy At this burden, two thirds are on the shoulder of the government, one of which is the right (medical insurance and Medicaid), the cost of health insurance for civil servants, and the private insurance plan for others It is a tax deduction for subsidies. . David Himmelstein, a professor of public health at the City University of New York, says in part and in part, "Most Americans are publicly financing medical care." "Government expenditure is much more than in other countries, but it is an opaque system." The government's role is to fund astronomical costs set mainly by commercial markets.
Tax on expensive insurance (2018): The Health Care Act imposes a consumption tax on health plan insurance companies sponsored by employers with annual premiums of more than $ 10,200 and individual underwriting fees of $ 27,500 per year It is. "In the first two years the medical industry will incur a cost of $ 3.2 billion (CSM), pharmaceutical manufacturers will pay $ 16 billion between 2011 and 2019 and health insurance companies will pay $ 4.7 billion From January 1, medical device manufacturers imposed a GST of 2.9% on product sales, home health care insurance payments declined by $ 40 billion over a decade, hospital payment cuts by 2019 Will increase by $ 2.2 billion. * 99.5% of Swiss citizens have health insurance
"Medical expenses have risen sharply in recent years and one of the main factors affecting the overall healthcare costs today is the high cost of prescription medicine.A government, insurance company, private enterprise, individual consumer eventually Where both are affected, the elderly most affected is that it is often necessary to increase bonds to meet the growing demand for prescription drugs "(Attorney General 's Office) 2001 According to the survey of the elderly in the eight provinces, almost a quarter of people spent at least $ 100 on prescription medication per month. Even in patients with serious diseases such as heart disease and diabetes, the prescribed dosage can be reduced because the cost of medicine is high.