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Property taxes going up? The 340B Program might be partly responsible

pricepoints.health

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Re: Property taxes going up? The 340B Program might be partly responsible

#21

Post by bickfordb »

stephen_cagle wrote: post #17

Really seems to me that there should be no exemption for land tax for non profits or religious reasons. It is just far too subject to abuse, and it means that we have large churches in the middle of incredibly dense cities that pay almost nothing in taxes.

In my metro area it irks me to see the churches with large empty parking lots empty most of the week. We have a housing shortage and they seem to have no little incentive to convert their parking to more productive use.

I agree, the whole ruse that these 501s meaningfully does charitable work for our communities is laughable and their tax exemption should be revoked, at least with regard to land taxes.

Re: Property taxes going up? The 340B Program might be partly responsible

#22

Post by afewscribbles »

stephen_cagle wrote: post #17

Really seems to me that there should be no exemption for land tax for non profits or religious reasons. It is just far too subject to abuse, and it means that we have large churches in the middle of incredibly dense cities that pay almost nothing in taxes.

Do you think a government should be able to seize property under eminent domain if they believe that selling it to a third party to commercially develop would lead to higher tax revenue?

Re: Property taxes going up? The 340B Program might be partly responsible

#23

Post by bilbo0s »

stephen_cagle wrote: post #17

Really seems to me that there should be no exemption for land tax for non profits or religious reasons. It is just far too subject to abuse, and it means that we have large churches in the middle of incredibly dense cities that pay almost nothing in taxes.

I don't know man?

The issue is that, most of the time, "incredibly dense cities" are not the places where this is hitting the hardest. It's the smaller towns where the impact of hospital rollups hits hardest on the property tax rolls.

Problem is, of course, that if we don't get one of the hospitals in, say, Houston, to put a facility in, say, Nacogdoches, on its books; then that facility may go away entirely. In which case you'd have issues in the market with inequity of access for the very populations who may need that access most. (Elderly and poor.) But if you do allow it, well, you have issues with property tax rises.

So local leaders are put in a position of having to weigh the value of having a hospital or clinic be available locally, against any potential decrease in property tax revenues. Now you hope they get that cost-benefit analysis correct, but there's no guarantee.

But churches? Yeah. Not so much.

Re: Property taxes going up? The 340B Program might be partly responsible

#24

Post by afewscribbles »

At least the early comments seem very focused on churches despite this article literally mentioning "religious" uses once and focusing nigh exclusively on hospitals.

Universities and hospitals are some of the worst offenders in situations like this, especially in urban cores, likely empowered by their clear transformation into state-sanctioned "non-profit" businesses that provide a good we are compelled to consume if we are a normie who wants a reasonable guarantee of a comfortable, healthy economic existence.

Re: Property taxes going up? The 340B Program might be partly responsible

#25

Post by ihsw »

stephen_cagle wrote: post #17

Really seems to me that there should be no exemption for land tax for non profits or religious reasons. It is just far too subject to abuse, and it means that we have large churches in the middle of incredibly dense cities that pay almost nothing in taxes.

Or property taxes should be eliminated because they are subject to abuse, and instead sales tax should be the primary source of income for all governments.

Re: Property taxes going up? The 340B Program might be partly responsible

#26

Post by shigawire »

I'll not dispute the impact on expansion and consolidation, but I will say in recent months I have seen a number of hit pieces on the 340B program, mostly bankrolled by pharma companies (not this one just calling out the trend).

The exact implementation might be flawed, but if 340b is eliminated it will kill many hospitals in underserved communities.

So any plan to change 340B should really also explain how to fund these critical hospitals.

In the way that surgeries used to be the "money maker" to subsidize other expensive service lines like an ED, pharmacy has filled that gap in recent years.

It is less hospitals getting rich off overcharging insurance for drugs and more hospitals overcharging insurers for drugs since everything else they do is a drain on finances.

Re: Property taxes going up? The 340B Program might be partly responsible

#27

Post by stevenwoo »

xnx wrote: post #20

We need a prominent [even more] obvious scam "church" to abuse the system so badly that the exemption is eliminated for all.

The largest landowner in the USA is the Mormon church and it has two or more senators in its pocket to prevent that ever happening.

Re: Property taxes going up? The 340B Program might be partly responsible

#28

Post by shimman »

afewscribbles wrote: post #22
stephen_cagle wrote: post #17

Really seems to me that there should be no exemption for land tax for non profits or religious reasons. It is just far too subject to abuse, and it means that we have large churches in the middle of incredibly dense cities that pay almost nothing in taxes.

Do you think a government should be able to seize property under eminent domain if they believe that selling it to a third party to commercially develop would lead to higher tax revenue?

The government already has and does do exactly this. Is this suppose to be a gotcha? If you have very valuable property, you should pay taxes on it. Claiming that you have ownership over land on this planet is odd, you didn't create the land and governments change overtime.

Re: Property taxes going up? The 340B Program might be partly responsible

#29

Post by bearjaws »

340B is half the reason hospitals can even help treat homeless individuals, people who can't afford their bills, people on end of life care, etc.

I've consulted with two large health systems that begin with A and they use 340B to subsidize all sorts of treatment.

Unfortunately American healthcare naturally seeks to socialize treatment, but instead of it being direct its in the most round about ways.

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