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New Medicare levy proposal

25 Sep, 2008 05:05 PM
Health Minister Nicola Roxon has introduced the federal government's redrawn Medicare levy bill into the lower house.

The Senate voted down the government's original bill last night when key balance-of-power senator, Family First's Steve Fielding, sided with the coalition.

That original bill aimed to increase the income threshold - from $50,000 to $100,000 for singles and from $100,000 to $150,000 for couples - at which taxpayers without private health insurance must pay a one per cent surcharge on top of the Medicare levy.

The bill was killed before there was a chance to debate the government's revised threshold for singles of $75,000.

The new bill provides for a singles threshold of $75,000 and indexes the thresholds to wages growth - concessions to the original legislation already announced by the government. The couple's threshold remains at $150,000.

Ms Roxon the Medicare Levy Surcharge (MLS) had been intended to apply to high income earners to encourage them to take out private health insurance when the Howard government introduced the measure in 1997.

The then treasurer, Peter Costello, said it was a tax he hoped nobody would have to pay, Ms Roxon said.

"But since 1997, courtesy of the Liberal government's failure to adjust the thresholds, the Medicare Levy Surcharge has become a tax trap that has caught more and more working families to the point where people earning below the average full-time wage are now confronted with the choice of taking out private health insurance that they cannot afford or paying a tax that is meant to apply only to high income earners."

Ms Roxon said 167,000 people were hit with the MLS in 1997 and by 2006 that number had soared to 465,000.

She said the government had listened to the private health sector and cross bench senators and decided to reduce the MLS income threshold for singles to $75,000.

"Unfortunately we won't be providing tax relief to as many people as we would have liked - the Liberals saw to that in the other place (the Senate) last night," she said.

"But this measure will deliver immediate tax relief to 330,000 Australians - a significant number of people."

She said the government's revised proposal was reasonable and a measure the opposition should support.

"In his first press conference as leader, the new leader of the opposition (Malcolm Turnbull) said `I know what's it like to be short of money, I know Australians are doing it tough and some Australians, even in years of greatest prosperity, will always do it tough'," Ms Roxon said.

"Well, now he has his very first test on whether he wants to help and whether he really understands that some people are doing it tough in our community."

Ms Roxon said $50,000 was not a high income.

"This being the case, you have to ask yourself why the Liberal party would be opposed to putting $500 in the pocket of someone earning a working salary of $50,000 a year who is currently forced to pay the Medicare levy surcharge right now," she said.

"Why on earth would the Liberal party continue to support slugging people on working salaries with a tax that was meant to apply only to high income earners?"

Debate on the Tax Laws Amendment (Medicare Levy Surcharge Thresholds) Bill (No.2) 2008 was adjourned.

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If those people who have taken out private health insurance just for the tax dodge leave then obviously they didn't want private health insurance in the first place. Those on higher incomes can afford a small increase and why should those on lower incomes continue to subsidise them? Steve Fielding shouold rename his party to the Rich Familes First Party. Who keeps voting this idiot into parliament?
Posted by Felix, 25/09/2008 12:48:33 PM
Felix, "those on lower incomes continue to subsidise them?". Is that a joke?
Posted by Judge Dredd, 25/09/2008 1:47:49 PM
Felix - I think you might find those people looking for the "tax dodge" were actually in a situation where it was cheaper to join a health fund than pay the medicare levy consequently freeing up the public hospitals for those on lower incomes. If you could explain how the low income earners subsidise those on higher incomes, actually in any arena, I would be most interested.
Posted by B, 25/09/2008 2:43:26 PM
B - You yourself say that it "was cheaper to join a health fund than pay the medicare levy". This is only true because of the public subsidies and the additional impost of the MLS. It is fair to view private insurance for many as a "tax minimization strategy" (or "tax dodge" as some have said earlier). People, particularly younger taxpayers less likely to call on the services, are opting in to avoid paying additional tax. The aggregate benefit of someone taking out insurance is the public subsidy (the 30% rebate) and, if earning over the threshold, avoiding the penalty of the MLS. This policy is a blunt instrument to push people into private health insurance that otherwise wouldn't take it out. If younger people, who are more likely to earn salaries around the current MLS threshold at $50,000, don't take out insurance the pool of funds insurers receive from clients unlikely to claim is significantly smaller and most of those opting in are likely to claim regularly. In these circumstances, this forces premiums up for those who take it out, but these people have chosen to have the insurance to get the level of service they want. In our system universal healthcare provides people with easily accessible emergency (not elective) care for serious (taken in by ambulance) conditions a low cost. Sure, you'll be able to name one or two cases where things were a disaster, but it is not the norm. The people most likely to take out private health insurance are the most likely to claim on it for elective type conditions. Extending our universal healthcare system covering dental and elective would be a better option, removing the classical insurance problems described above of adverse selection and moral hazard. The former relates to suppressing information to pass the selection filters for insurance and the latter a decrease in personal care and responsibility after being admitted knowing that the insurance will carry most of the cost thereafter. We have a pretty good system in Australia, but there are better operating as a single system, and in all cases there are strong Government conditions regulating the industry. The US has a strong reliance on private healthcare, it is ridiculously expensive and, due to this, many people get far worse care than us in Australia and have little hope of getting anything better.
Posted by Ok Call it Tax Minimisations Strategies, 25/09/2008 4:37:46 PM
I quote "We have a pretty good system in Australia." The public health waiting list for a dentist (Qld) is 3 years .Emergency surgery is available in a few days (pull tooth out) Here is how this top system works. A tooth that only requires a small filling or teeth that only need cleaning are left for 3 years to rot so they can be removed .Once all the teeth have been removed that reduces the waiting list by one. We do it best in Australia
Posted by gummy, 23/07/2009 2:15:23 PM, on The Canberra Times

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Health Minister Nicola Roxon
Health Minister Nicola Roxon
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ARTICLES
25 September, 2008
POLL
Q: What should the income thresholds be for the Medicare levy surcharge?

$100k for singles, $150k for couples
(37.4%)

$75k for singles, $150k for couples
(36.6%)

$50k for singles, $100k for couples
(26%)

Total Votes: 1183
Poll Date: 24 September, 2008

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