451–460 of 569 posts
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that will mean, though, that it will be impossible to get insurance to actually cover the things that the public system "covers" if you wait 35,600 years for your turn
You realize the only reason rich Americans don’t wait for healthcare is because poor Americans aren’t getting much if any care.
It's not a zero sum game.
it will be interesting to watch NY (and/or CA) put something like this in place and observe from afar. i strongly feel that states should be much more aggressive running policy experiments if their constituents desire them, and at the national level we all get some benefit of seeing how things turn out in real time. all that said, assuming there is some tangible tax increase, NYC high earners are going to be knocking…
But this impacts poor people disproportionately. If you're poor it'll be hard or impossible to relocate.
it will be interesting to watch NY (and/or CA) put something like this in place and observe from afar. i strongly feel that states should be much more aggressive running policy experiments if their constituents desire them, and at the national level we all get some benefit of seeing how things turn out in real time. all that said, assuming there is some tangible tax increase, NYC high earners are going to be knocking…
Anecdotally, I know so many people in this >1M "high earning" bracket who have moved out of NYC to Austin/Miami/Tampa/Seattle in the last couple of years. Especially now that remote work is a viable choice at many companies. Every year you're saving somewhere between 8-10% in taxes, which is upwards of 100k/year.
Whatever your stance on higher taxes for the wealthy are, as long as viable alternative locations exist in the USA where there is such a massive discrepancy in the taxes, you're not going to be able to raise more revenue in NYS/NYC by simply raising the marginal tax rate for the highest earners.
If they actually increased taxes to fund this, I highly doubt they will be able to raise additional revenue, and the primary effect will be driving up home prices even further in the tax-free cities above
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I didn’t know that. Why does the NIH limit the number of residencies?
Medicare funds medical residency (not the NIH and not the AMA). The 1997 balanced budget act passed by congress limited the expansion of new medical residency training. [0] https://www.npr.org/2018/03/09/592333771/severe-shortage-of-...
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If you own your home and are married the rate comes down until you make >500. I live in NY, not NYC and pay ~18%, or ~22% with property tax.
I can't think of what county you must live in where you'd be able to afford a home in NYS and pay that little in fed+state+local without any special deductions.
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If we're talking wages here, what are the options exactly? Is there anything bigger than 401(k)? This is ignoring charity, which I believe is available to anyone anyway.
I am not an accountant nor someone who benefits from these deductions, but I'm casually interested. From what I've seen, a few: 1. Charity can be meaningfully different from chipping in $200 to something if you can afford to pay for large parts of a program, meaning things can have your name on them, or you can get events that you care about hosted at your church while saving on your taxes. 2. Tax advantaged accounts…
That's not how business expenses work. Talk to an accountant, you're leaving money on the table.
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That's 60% marginal rates. Last year I paid 17% of my total income in taxes.
You paid much more than that. A substantial part of your rent is property taxes. I also doubt you included sales taxes in that number. Then there's more esoteric stuff like tariffs, etc
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You ever been to a Canadian hospital?
> You ever been to a Canadian hospital? As a Canadian: yes. And the bill was $0 at the end of my father's heart bypass and valve replacement surgery. My friend's sister cancer treatment also had a bill of $0. Finished filing my taxes last month, and my average rate (provincial+federal) for last year was 21%. Happy to pay.
“ "Then I found out that this other country — which I thought had a healthcare system that was so superior to the U.S. — doesn't test for the tumour marker that saved my life, and doesn't cover this drug that is responsible for pushing my cancer into remission after traditional chemotherapy failed to do that."”
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Where is that? My parents lived in North County and paid 13k+ a year on a $350k house. Their current place in Tampa is about 400k and the taxes are less than half of what they were in NY. Maybe Florida is a special case?
I'm basing this off of apartments in NYC. I often see ~$600k co-cops with $800 monthly co op fees (of which half is maintenance half is taxes). That seems low to me compared with similarly priced homes elsewhere.
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that will mean, though, that it will be impossible to get insurance to actually cover the things that the public system "covers" if you wait 35,600 years for your turn
Don't know why you were modded down (well I do but I don't want to start a fight), this is exactly how it works in Canada. I know people who have been told to wait years for tests or consultations. Those who can afford it go to the US.
Of course many systems, including Canada's have this problem. The primary motivation for governments to prohibit private competition is specifically so that they can pretend that it can't be better elsewhere, to keep their system alive.
If people realized how likely they were to suffer for years utterly unnecessarily, they wouldn't be willing to put up with the government health systems they have. But because the government banned competition to keep them ignorant of the alternative, people remain peaceful while they wait in pain for years to get treatment that is utterly routine in America.