Donald Trump observed that health care policy is “so complicated.” The next item on his agenda, tax policy, will be just as knotty.
“Health care is a very, very complicated issue,” Treasury Secretary Steve Mnuchin said last week in an interview with Mike Allen at Axios. “[Tax reform’s] a lot simpler.”
America’s health-care industry is roughly one-sixth of the economy, or about $3 trillion. U.S. federal tax revenue is roughly one-sixth of the economy, or about $3 trillion. Health care is a complex national cross-subsidy, where, for example, the healthy support the sick. Taxes are a national cross-subsidy, where, for example, workers support retirees. With health care, Americans interact with with an amorphous institution, with a maze of entrenched interests, in which they ultimately just want access to an excellent bundle of services at an affordable price. With the federal government, Americans interact with ... okay, I think you get the point.