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FACT CHECK: Coverage Requirement Enforced With Tax
Memo to President Barack Obama: It’s a tax.
Obama insisted this weekend on national television that requiring people to carry health insurance — and fining them if they don’t — isn’t the same thing as a tax increase. But the language of Democratic bills to revamp the nation’s health care system doesn’t quibble. Both the House bill and the Senate Finance Committee proposal clearly state that the fines would be a tax.
And the reason the fines are in the legislation is to enforce the coverage requirement.
“If you put something in the Internal Revenue Code, and you tell the IRS to collect it, I think that’s a tax,” said Clint Stretch, head of the tax policy group for Deloitte, a major accounting firm. “If you don’t pay, the person who’s going to come and get it is going to be from the IRS.”
Democrats aren’t the first to propose that individuals be required to carry health insurance and fined if they refuse. The conservative Heritage Foundation called for such a mandate in the 1990s’ health care debate, although its proposal differed from the ones pending in Congress. Heritage has since dropped the idea and now favors using tax credits to encourage people to buy coverage — carrots and not sticks.
During the 2008 political campaign, Obama opposed making coverage mandatory because of the costs. His position has shifted now that it’s becoming clear such a requirement will be part of any legislation that Congress sends him. Conservative activists are calling it a violation of his pledge not to raise taxes on the middle class.
“This is exactly what George Bush Sr. did when he said he wouldn’t raise taxes, and it cost him the next election,” said Grover Norquist, president of Americans for Tax Reform. “Obama is doing the same thing, but he’s insulting people by telling them that if you don’t call it a big purple banana, somehow it wouldn’t be a tax.”
Some liberals acknowledge that Obama might be vulnerable on the insurance requirement. But they say most people will understand as long as the legislation provides enough of a subsidy to make the coverage affordable. That’s a central issue this week as the Senate Finance Committee starts voting on legislation.
“I think it’s a metaphysical question as to whether it’s a tax or not,” said Roger Hickey, co-director of the Campaign for America’s Future. “The real question that will determine whether people are upset is whether the insurance is affordable.”
In an interview that aired Sunday on ABC’s “This Week,” Obama insisted that the insurance requirement is not a tax.
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