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CMAJ
CMAJ - September 8, 1998JAMC - le 8 septembre 1998

Still here, still flawed, still wrong: the case against the case for taxing the sick

Table 1: Estimated revenues in a health benefits tax system based on distribution of services and potential taxpayer groups*
Variable Potential taxpayer group Total
Top 2% of users Next 8% of users Bottom 90% of users
No. of people 254 000 1 016 000 11 430 000 12 700 000
Cost of services, $ 9 126 000 000 6 900 600 000 6 232 800 000 22 259 400 000
Average tax benefit per person, $ 2 000 2 000 545
Weighted average tax rate, % 33.56 33.56 33.56
Total revenue, $ 170 480 000 681 920 000 2 091 668 787 2 944 068 787
*Estimated revenues are based on those given by Gordon and colleagues (page 495), with the following assumptions applied: (1) the publicly funded health expenditures totalled $53 billion, (2) there are 12.7 million taxpayers (as stated by Gordon and colleagues), accounting for 42% of the population, (3) taxpayers use 42% of total services (probably overestimated), (4) 2% of people use 41% of services and 10% use 72% of services, and (5) the weighted average marginal tax rates are the same as those given by Gordon and colleagues.

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