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zoom RSS 富裕層への増税で医療改革 下院民主党案/米国医療事情 オバマ政権

<<   作成日時 : 2009/07/11 15:50   >>

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画像 歳入委員会委員長は、下院民主党は富裕層への5500億ドルの所得税増税により医療制度改革の資金とする予定だと金曜日に述べた。総所得が個人で28万ドル、家族で35万ドル以上について付加税を要求し、医療改革立法の資金の約半分、10年間で約5500億ドルを生み出そうという。残りの資金はメディケア医療費の削減などによりカバーしようとしている。
 しかし、上院が同意するかどうかは不明瞭であり、ほとんどの共和党員は中道派の民主党員とともに反対している。255:178で民主党が多数派であるリベラルな下院とはいっても、増税案にはコストがかかる。
 今週、民主党保守会派Blue Dog Coalitionは、医療改革法について懸念を表明した。しかし、金曜日のイタリアでオバマ大統領は国債の追加発行はしないと強調した。請求書の代金は支払わなければならないと。
 上院保健委員会は今週ではなく来週に承認をとりたいとしている。
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富裕層への増税で医療費捻出/米国医療事情 オバマ政権
http://kurie.at.webry.info/200902/article_44.html
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July 10, 2009, 7:04 pm
House Democrats Plan to Tax the Wealthy to Pay for Health Care Reform
By David M. Herszenhorn
http://thecaucus.blogs.nytimes.com/2009/07/10/house-democrats-plan-to-tax-the-wealthy-to-pay-for-health-care-reform
To pay for a sweeping overhaul of the health care system, House Democrats will propose a surtax on individuals earning $280,000 and up and couples earning more than $350,000, the chairman of the tax-writing Ways and Means Committee said on Friday.

Read David M. Herszenhorn’s complete report.

In all, the proposal is projected to generate roughly $550 billion over 10 years, which would cover about half of the estimated cost of the $1-trillion-plus health care legislation. The balance of the cost is expected to be covered by lower government spending on Medicare and other savings in the health care system.

But it remains unclear if the Senate would approve such an across-the-board income tax on the wealthy. Although some Democrats said they would gladly vote to tax the rich to pay for an improved health care system, most if not all Republicans and some centrist Democrats seem to be opposed.

The Ways and Means chairman, Representative Charles B. Rangel of New York, said the surcharge would begin at 1 percent and would step up for individuals earning more than $400,000 and couples earning more than $500,000, and step up yet again for individuals earning $800,000 and up, and couples earning more than $1 million.

Lawmakers were also planning to insert language that would increase the surtax in 2013 if expected cost-savings in the health care system do not materialize.

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Leaders in House Would Tax Rich for Health Plan
http://www.nytimes.com/2009/07/11/health/policy/11health.html
By DAVID M. HERSZENHORN
Published: July 10, 2009

WASHINGTON ― House Democrats will ask the wealthiest Americans to help pay for overhauling the health care system with a $550 billion income tax increase, the chairman of the tax-writing Ways and Means Committee said Friday.

The proposal calls for a surtax on individuals earning at least $280,000 in adjusted gross income and couples earning more than $350,000, said the chairman, Representative Charles B. Rangel of New York.

It would generate about $550 billion over 10 years to pay about half the cost of the legislation, Mr. Rangel said. As the proposal envisions it, the rest of the cost would be covered by lower spending on Medicare, the government health plan for the elderly, and other health care savings.

With the economy still hobbled and Republicans already sharpening their tax-and-spend attack line, the proposal is perhaps the clearest expression yet of the mandate that Democrats believe they won last November, when voters expanded Democratic majorities in Congress and sent Barack Obama to the White House.

An aide to the House speaker, Representative Nancy Pelosi of California, said she and other leaders were supportive of the idea, which they concluded would be their main way to pay for Mr. Obama’s top policy priority: expanding health insurance coverage to virtually all Americans and curtailing the steep rise in the cost of medical care.

But it remains unclear whether the Senate will go along. Most Republicans there, if not all, oppose the idea, along with some centrist Democrats.

Even in the more liberal House, where Democrats have a majority of 255 to 178, the tax proposal will most likely cost a substantial number of Democratic votes. The Blue Dog Coalition, made up of 52 fiscally conservative Democrats, expressed apprehension this week about the unfolding health care legislation, and that was before Mr. Rangel’s announcement.

In recent days, efforts to advance the legislation in both houses of Congress have slowed. That development calls into question whether Democrats will be able to meet their goal of passing the bills before the August recess, reconciling differences between the two versions upon their return and then getting a final measure to Mr. Obama’s desk by October.

Among the biggest hurdles is the question of how to pay for the measure, which Mr. Obama has insisted not add to the national debt, a point he made again Friday at a news conference in Italy.

“Whatever bill is produced has to be paid for,” he said. “And that creates some difficulties, because people would like to get the good stuff without paying for it And so there are going to be some tough negotiations in the days and weeks to come, but I’m confident that we’re going to get it done.”

“I never believe anything is do-or-die,” the president added, “but I really want to get it done by the August recess.”

Republicans, who have pummeled the Democrats over the $787 billion economic stimulus, pounced at word of the proposed tax increase, which they said would primarily hurt small-business owners.

“In the middle of a serious recession, with unemployment nearing double digits, the last thing we need is a tax increase on small businesses, which will cost the American economy even more jobs,” said Michael Steel, a spokesman for the House Republican leader, Representative John A. Boehner of Ohio.

The Senate health committee had hoped to approve its version of the health care legislation this week, but now expects to do that early next week. And Mr. Rangel and other House leaders had initially said they would announce their plan to pay for the legislation on Thursday, only to be slowed by an array of disagreements.

But emerging from daylong committee negotiations Friday, Mr. Rangel said the income surtax would take effect in 2011 and begin at 1 percent of adjusted gross income ― earnings before deductions like those for mortgage interest and charitable contributions ― and would apply to individuals earning more than $280,000 and couples earning more than $350,000.

The surtax would be increased for individuals earning more than $400,000 and couples earning more than $500,000, and step up again for individuals earning $800,000 and couples earning more than $1 million. The precise extent of these increases has not been announced.

Mr. Rangel’s committee is also planning to insert language that would raise the surtax in 2013 if expected cost savings in the health care system do not materialize.

Mr. Rangel said the surtax was the “best way” to raise money for the health care overhaul, and it seemed to highlight a broader unwillingness by Ms. Pelosi and her caucus to compromise on what they see as crucially needed improvements to the system, including the creation of a government-run insurance plan that would compete against private insurers.

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