The Poor Don't Pay Taxes? They Sure Do—For Obamacare!

One of the few certainties of the Affordable Care
Act is the
tax load with which it’s laden. The medical device tax, income
tax surcharge on high-earners, tax on investment income, and others
have all fueled complaints and, possibly, even killed
some jobs. But these are all supposedly taxes on businesses and
relatively prosperous families and individuals—the sort of people
who make for unsympathetic victims when politicians are playing to
the crowd. But, according to Christopher J. Conover
of the Center for Health Policy & Inequalities Research at Duke
University, low-income Americans shouldn’t get too comfortable,
because they’re in for a soaking, too, as taxes on medical goods
and services get passed along to them.

At Forbes,
Conover writes:

Even the lowest income families (earning less than about $19,000
in 2012) will be on the hook for nearly $7,000 in Obamacare taxes
over the decade that started last year.

Let’s be clear. Obamacare also absolutely and positively is
socking it to the “rich” (approximately the top 2%). I calculate
that families in that income range will end up paying $177,000 over
the same decade. But the much more surprising figure is that such
families will end up bearing only 34% of the Obamacare tax burden.
It’s true that the top 20% of families will bear about 56% of the
overall burden, but such families also account for 50% of after-tax
income (at least according to the Consumer Expenditure Survey data
I used to make my calculations).

In contrast, families in the lowest income 20% receive 3.1% of
after tax income, yet will bear 7.3% of Obamacare’s tax burden. To
be sure, many of these same families will be recipients of massive
subsidies through Medicaid and the Exchanges. But it’s important
for such families to understand that quite a bit of what’s being
given by the right hand of government is being taken right back by
the left hand of government in the form of all sorts of taxes on
health services, health insurance and other goods and services that
will be passed right back to them in the form of higher prices.

Lower-income individuals who work for large firms, points out
Conover, will get relatively few benefits from Obamacare, but will
still be on the hook for the taxes. They’ll effectively be
subsidizing their friends and neighbors at small firms.

Nothing comes for free, but sometimes the cost is distributed a
little bit farther than politicians like to pretend.