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How much on average per month does medical insurance cost in America?

In the USA, no insurance plan forever covers everything nationwide with every doctor, facility, drug, treatment or provider. The best you can do is minimize your likely total spending on healthcare, with annual reassessment of your finances, your health status, your location and available policies. Premium payments may be dwarfed by other healthcare costs if one chooses poorly or is unfortunate in health.Total Healthcare Costs =Premium Payments (= 12 x monthly premium)+ Deductible (e.g. $1000–$15,000); this is a financial disincentive to seek medical care+ Maximum Out-of-Pocket; this is what you have to pay of health costs since a policy may only cover a portion of an expense. However, if you are very ill, covered medical care is completely paid by the policy after you will have spent out this threshold maximum+ Non-covered expenses (e.g. experimental treatment, para pharmaceuticals, convalescent stays, out-of-State, out-of-network etc.)2. Policies are infinitely configurable and therefore almost impossible to easily compare. It all depends (your age, your place of residence, your health status, your income level, your choice of doctors, hospitals, drugs, your mobility, your family status, your employer…)!Before “Obamacare” there were no minimum national coverage requirements.Coverage options are subject to change every year, requiring constant reexamination in choice of plans3. This is almost an impossible question to answer for several other reasons:There is no national insurance market; it is fragmented by State. Each State has an independent health insurance market. If you leave that State and get medical care in another State, it is usually considered “out of network” and coverage may be limited to emergency care. The cost of everything is not regulated (drugs, hospital services and doctors’ charges…)There is, barring specific groups, only private insurance for working adults, or, for those 65+, as “wrap around” or “complementary” policies to Medicare. All insurers offer a variety of plans that bear elements of financial disincentive to “consume” healthcare provision. Health insurance in the United States - Wikipedia The insurers control costs and reimburse using structured protocols:HMO’s (Health maintenance organization - Wikipedia) operate similarly to single payor health systems found in the UK. You can ONLY use specific doctors, facilities and providers and specialist coverage requires a gatekeeper doctor and authorization from the insurer.PPO (Preferred provider organization - Wikipedia). In this case, you can consult with specialists directly within a region or network. In some cases, you may also use any other doctor but you are only partly covered.Traditional Indemnity. As in car insurance, you pay out of pocket and submit a claim. Usually, you are only reimbursed a percentage of billed costs.Public insurance (Federal or State) are “niche” plans for specific groups. e.g.Medicare (United States) - Wikipedia for those 65+ years or, at any age, the permanently disabled,Tricare - Wikipedia for active duty military or ex-military until age 65. The only public insurance besides FSBP with overseas coverage.Medicaid - Wikipedia Mostly Federally funded for the indigent (but administered by the State that also has to make up any gap); also includes CHIP for children of indigent parents. Medicaid covers some 40% of births in the US!Foreign Service Benefit Plan A highly subsidized insurance plan with overseas coverage; it can be used by certain types of Federal employees worldwide.Federal employee retirees. Medicare vs FEHB Enrollment If one is a federal employee for the 5 years prior to retirement, you may be entitled to get health coverage from the FEHB. It is not equivalent to Medicare in that it has overseas coverage and para-medical elements; you can have both Medicare Part A (hospitalization policy) which is often free as well as FEHB.4. No one fully knows what anything truly costs, even doctors, and uncoordinated billing by multiple players after the “act” can lead to years of disputed issues. The problem is that with multiple payor, multiple policy terms, obscure negotiated fee scales and multiple billers for each “incident”, it is almost impossible toknow beforehand what a disease or injury would cost in totalknow the amount and from which providers you will be billed (or even if all bills are issued in reasonable time) andto whom one should address mistakes, especially as debt collectors “buy” debts and you end up on commercially-sold databases ad infinitum.The currently best guide for only the component of premium levels is to visit the Get 2017 health coverage. Health Insurance Marketplace website (Obamacare or PAHA derived marketplace) and check out the premium for a given age, State and gender. Almost all plans, public or private, have a financial disincentive to use, such as “copays” (a flat fee per use) that can go from $5 to $200 to see a doctor, or $1 to $100 for a prescription, and the use of partial (as %) coverage for other expenses.If you work for a large employer or the civil service, part of your “compensation package” may be access to a negotiated “group insurance plan” (or plans) at subsidized rates. This is one reason that employees, especially with families, are extremely reluctant to leave a company without another job lined up, and are more likely to put up with difficult working environments than in countries with universal healthcare decoupled from employment.Lowest premium - young, single healthy adult male - $150+ per month for basic (“bronze”) planHighest premium - near retirement age - $2,000+ per month for more comprehensive (“gold”) plan.After retirement (65+ yrs) - Medicare public insurance,Medicare Premium = several hundred dollars a month Medicare 2017 costs at a glance - Medicare coverage is NOT 100% COMPREHENSIVE and not accepted by all providers,Premium of optional complementary private plan or simply pay uncovered costs out of pocket (if you can afford it).

What do I do if my company only offers Anthem HSA or Kaiser and I am not familiar with HSA?

I agree with Ashton, without knowing the details it’s hard to tailor the response. So much of healthcare is specific to the individual. Preferences, usage and risk tolerance all factor into the decision. That said, below are a few principles to keep in mind when selecting your healthcare options:1. Healthcare costs will continue to rise. Understanding how health insurance works enables you to save money. Healthcare costs have been on the rise for the past few decades. Employees have largely been sheltered from this dynamic, as until recently employers absorbed the rising healthcare costs. This ischanging. Most companies can no longer afford the full cost of the annual increase and are “cost sharing” with employees. Your choice of insurance plan, as well as how you use the services – in network vs. out of network providers, prescription drug benefits, price shopping, etc. – will matter more and more to your checking account.Fortunately, employers are rolling out decision support tools (e.g. Meet Alex of Jellyvision) to help employees understand their healthcare options better. Knowing how health insurance works will become increasingly important to your financial bottom line.2. Kaiser’s approach may work for some. Kaiser wants to coordinate healthcare delivery using their network, and in theory provide better care for a lower cost. Kaiser’s price compared with more traditional insurance carriers depends on the geographic market. In some cases Kaiser may be higher, lower or about the same (so I am told). However, and as with all health insurance, you are paying for services you may or may not use. Whether your plan represents a “good value” depends in large part on your usage.3. Health insurance is two parts: 1) insurance and 2) pre-negotiated service agreements. Health insurance bundles individual health risks – you plus many others – and estimate costs for covering the entire pool. In some years you never use your health insurance, in which case you will pay for a service you don’t use, in effect subsidizing the pool. Other years you may make extensive use of the health network and receive more service than you paid for. This represents the insurance portion, more or less, and acts like other forms of property casualty insurance (car, home). The second element of health insurance is the “network.” Health insurance carriers negotiate pricing with hospitals, doctors, prescription drug networks, etc., and afterwards recommend you to one of these “preferred provider” relationships. Health providers agree to lower compensation in exchange for a large volume of customers. In theory you receive a lower price for the “bulk buy” arranged on your behalf. It is also why you are penalized when you go “out of network.” However, and for reasons beyond the scope of this response, this is changing. There is a mostly quiet, “consumer-driven” healthcare revolution occurring.4. Expect health plans to change frequently. Because the health industry is under increasing pressure to balance cost with value - health as a segment of the economy is expected to grow from 18% of GDP currently to 20% over the next decade - networks, premiums, co-pays, deductibles and many of the other details are likely to change, sometimes year to year. Employers are sensitive to this dynamic and avoid plan changes where possible, but in the end they must balance total employee compensation costs with other expenses. Sometimes they have no choice but to pass along cost increases, as well as implement other plan design changes. It may not always feel like it, but you and your employer are trying to make the best choices in a dynamic market.5. A high deductible health plan (HDHP) and Health Savings Account (HSA) combination can be a good hedge against increasing healthcare costs. Neither you nor your employer can control healthcare expansion as a percentage of GDP, but you can (and should) look for ways to save on your healthcare costs. In general, the health premiums for HDHP’s are lower than traditional PPO/HMO plans and increase at a lower annual rate. On average you should save money on monthly premiums compared with your traditional healthcare plan alternatives, in exchange for accepting a higher deductible. [This is, by the way, how other forms of insurance work, and why a $300 deductible car insurance policy is cheaper than a $50 deductible plan.] However, one of the biggest advantages to a HDHP is the Health Savings Account, which allows you to save money tax free and grow it tax free, to pay for future medical costs. Much the way compound interest growth of healthcare costs have accelerated healthcare insurance costs, an HSA allows you to use compound interest to your advantage– you have the ability to invest your account balance and grow your account it faster than the average annual rate of growth in healthcare costs. For example, according to the Kaiser Foundation healthcare costs grew 4.5% in 2014 (for comparison and to underscore the issue the Consumer Price Index (CPI) increased only 0.8%), you can use your HSA to invest in the market where over the long term you can expect 7-10% annual growth. Not only can you keep up with medical inflation, you have the opportunity to outpace it.6. You can choose any HSA provider you like, not just the one offered through your employer. Unlike a 401(k) plan, an employee can select any HSA provider they like. All you have to do is open a second HSA account and roll your funds from your first account into the second one via a trustee-to-trustee transfer, much the way you can an IRA. Three things to keep in mind when selecting a different HSA: 1) employer payroll deposits will only be made to the employer selected HSA plan and payroll tax savings of 7.65% can only be saved through direct payroll deposits; b) you are limited to one rollover per year if you take the distribution yourself (trustee to trustee transfers are unlimited - see IRS Pub 969 for details); c) many HSA plans penalize accounts with low balances by charging a monthly fee. This may not be worth the trouble for small HSA balances. But if you choose to save and incorporate your HSA into your overall retirement savings plan (see more about this at our startup, HSA Coach), you may find you appreciate the flexibility and find an HSA provider with better, cheaper investment options.Health insurance is complicated – even for people who work in the industry – so you are right to be asking questions. It’s a habit that will serve you well. Unfortunately, because of the dynamics of the industry your options and plan specifics will move around. You’ll have to invest a little time to make sure you understand what you are paying for year to year. Finally, keep your eye on the healthcare consumer model. Your bank account may thank you.

Did Trump dismantle Obamacare? Will Biden restore Obamacare or something similar? Is it a good thing?

Donald Trump tried to chip away at Obamacare, and he did some very minor damage…. but the answer is no. Donald Trump did not “dismantle” Obamacare. It is still the law of the land.Donald Trump did manage to remove the individual mandate. That led to to about 1.5 million of our poorest Americans who were insured, before that, but who today have no insurance at all. They are back to running to an emergency ward, whenever anything happens. And, bringing their mostly empty wallets. Ouch. (That is not a good thing.)Donald Trump also has never suggested any replacement, or any improvements. He has merely railed for years about “dismantling” what exists, or “overriding” what exists, or “removing” what exists. To this day, though, Donald Trump has never offered any replacement. None. Nada. Zip. He promised this, even before he was elected. He still repeated this promise, as of November 1, 2020. To this day, though, Donald Trump has never offered any substitution. To this day, though, Donald Trump has never offered any alternative. Donald Trump does not offer any solutions, to anything, ever. He merely plays around with public relations, and propaganda, and his own media, and his own belief that “the message he sends” is all that matters.As far as Joseph Biden’s plan, when it comes to Obamacare, and health care in the US:He has been shouting it, for the past five months. You may have missed it, but here it is:“On March 23, 2010, President Obama signed the Affordable Care Act into law, with Vice President Biden standing by his side, and made history. It was a victory 100 years in the making. It was the conclusion of a tough fight that required taking on Republicans, special interests, and the status quo to do what’s right. But the Obama-Biden Administration got it done.“Today, the Affordable Care Act is still a big deal. Because of Obamacare, over 100 million people no longer have to worry that an insurance company will deny coverage or charge higher premiums just because they have a pre-existing condition – whether cancer or diabetes or heart disease or a mental health challenge. Insurance companies can no longer set annual or lifetime limits on coverage. Roughly 20 million additional Americans obtained the peace of mind that comes with health insurance. Young people who are in transition from school to a job have the option to stay covered by their parents’ plan until age 26.“But, every day over the past ten years, the Affordable Care Act has been under relentless attack.“Immediately after its passage, Congressional Republicans began trying again and again to repeal it. Following the lead of President Trump, Republicans in Congress have only doubled down on this approach since January 2017. And, since repeal through Congress has not been working, President Trump has been unilaterally doing everything he can to sabotage the Affordable Care Act. Now, the Trump Administration is trying to get the entire law – including protections for people with pre-existing conditions – struck down in court.“As president, Biden will protect the Affordable Care Act from these continued attacks. He opposes every effort to get rid of this historic law – including efforts by Republicans, and efforts by Democrats. Instead of starting from scratch and getting rid of private insurance, he has a plan to build on the Affordable Care Act by giving Americans more choice, reducing health care costs, and making our health care system less complex to navigate.“For Biden, this is personal. He believes that every American has a right to the peace of mind that comes with knowing they have access to affordable, quality health care. He knows that no one in this country should have to lay in bed at night staring at the ceiling wondering, “what will I do if she gets breast cancer?” or “if he has a heart attack?” “Will I go bankrupt?” He knows there is no peace of mind if you cannot afford to care for a sick child or a family member because of a pre-existing condition, because you’ve reached a point where your health insurer says “no more,” or because you have to make a decision between putting food on the table and going to the doctor or filling a prescription.“THE BIDEN PLAN TO PROTECT & BUILD ON THE AFFORDABLE CARE ACTI. GIVE EVERY AMERICAN ACCESS TO AFFORDABLE HEALTH INSURANCEFrom the time right before the Affordable Care Act’s key coverage-related policies went into effect to the last full year of the Obama-Biden Administration, 2016, the number of Americans lacking health insurance fell from 44 million to 27 million – an almost 40% drop. But President Trump’s persistent efforts to sabotage Obamacare through executive action, after failing in his efforts to repeal it through Congress, have started to reverse this progress. Since 2016, the number of uninsured Americans has increased by roughly 1.4 million.As president, Biden will stop this reversal of the progress made by Obamacare. And he won’t stop there. He’ll also build on the Affordable Care Act with a plan to insure more than an estimated 97% of Americans. Here’s how:Giving Americans a new choice, a public health insurance option like Medicare. If your insurance company isn’t doing right by you, you should have another, better choice. Whether you’re covered through your employer, buying your insurance on your own, or going without coverage altogether, Biden will give you the choice to purchase a public health insurance option like Medicare. As in Medicare, the Biden public option will reduce costs for patients by negotiating lower prices from hospitals and other health care providers. It also will better coordinate among all of a patient’s doctors to improve the efficacy and quality of their care, and cover primary care without any co-payments. And it will bring relief to small businesses struggling to afford coverage for their employees.Increasing the value of tax credits to lower premiums and extend coverage to more working Americans. Today, families that make between 100% and 400% of the federal poverty level may receive a tax credit to reduce how much they have to pay for health insurance on the individual marketplace. The dollar amount of the financial assistance is calculated to ensure each family does not have to pay more than a certain percentage of their income on a silver (medium generosity) plan. But, these shares of income are too high and silver plans’ deductibles are too high. Additionally, many families making more than 400% of the federal poverty level (about $50,000 for a single person and $100,000 for a family of four), and thus not qualifying for financial assistance, still struggle to afford health insurance. As President, Biden will help middle class families by eliminating the 400% income cap on tax credit eligibility and lowering the limit on the cost of coverage from 9.86% of income to 8.5%. This means that no family buying insurance on the individual marketplace, regardless of income, will have to spend more than 8.5% of their income on health insurance. Additionally, Biden will increase the size of tax credits by calculating them based on the cost of a more generous gold plan, rather than a silver plan. This will give more families the ability to afford more generous coverage, with lower deductibles and out-of-pocket costs.Expanding coverage to low-income Americans. Access to affordable health insurance shouldn’t depend on your state’s politics. But today, state politics is getting in the way of coverage for millions of low-income Americans. Governors and state legislatures in 14 states have refused to take up the Affordable Care Act’s expansion of Medicaid eligibility, denying access to Medicaid for an estimated 4.9 million adults. Biden’s plan will ensure these individuals get covered by offering premium-free access to the public option for those 4.9 million individuals who would be eligible for Medicaid but for their state’s inaction, and making sure their public option covers the full scope of Medicaid benefits. States that have already expanded Medicaid will have the choice of moving the expansion population to the premium-free public option as long as the states continue to pay their current share of the cost of covering those individuals. Additionally, Biden will ensure people making below 138% of the federal poverty level get covered. He’ll do this by automatically enrolling these individuals when they interact with certain institutions (such as public schools) or other programs for low-income populations (such as SNAP).Learn more about how Biden’s plan for health care benefits communities of color >>II. PROVIDE THE PEACE OF MIND OF AFFORDABLE, QUALITY HEALTH CARE AND A LESS COMPLEX HEALTH CARE SYSTEMToday, even for people with health insurance, our health care system is too expensive and too hard to navigate. Biden will not only provide coverage for uninsured Americans, it will also make health care more affordable and less complex for all.The plan’s elements described above will help reduce the cost of health insurance and health care for those already insured in the following ways:All Americans will have a new, more affordable option. The public option, like Medicare, will negotiate prices with providers, providing a more affordable option for many Americans who today find their health insurance too expensive.Middle class families will get a premium tax credit to help them pay for coverage. For example, take a family of four with an income of $110,000 per year. If they currently get insurance on the individual marketplace, because their premium will now be capped at 8.5% of their income, under the Biden Plan they will save an estimated $750 per month on insurance alone. That’s cutting their premiums almost in half. If a family is covered by their employer but can get a better deal with the 8.5% premium cap, they can switch to a plan on the individual marketplace, too.Premium tax credits will be calculated to help more families afford better coverage with lower deductibles. Because the premium tax credits will now be calculated based on the price of a more generous gold plan, families will be able to purchase a plan with a lower deductible and lower out-of-pocket spending. That means many families will see their overall annual health care spending go down.The Biden Plan has several additional proposals aimed directly at cutting the cost of health care and making the health care system less complex to navigate. As President, Biden will:Stop “surprise billing.” Consumers trying to lower their health care spending often try to choose an in-network provider. But sometimes patients are unaware they are receiving care from an out-of-network provider and a big, surprise bill. “Surprise medical billing” could occur, for example, if you go to an in-network hospital but don’t realize a specialist at that hospital is not part of your health plan. Biden will bar health care providers from charging patients out-of-network rates when the patient doesn’t have control over which provider the patient sees (for example, during a hospitalization).Tackle market concentration across our health care system. The concentration of market power in the hands of a few corporations is occurring throughout our health care system, and this lack of competition is driving up prices for consumers. The Biden Administration will aggressively use its existing antitrust authority to address this problem.Lower costs and improve health outcomes by partnering with the health care workforce. The Biden Administration will partner with health care workers and accelerate the testing and deployment of innovative solutions that improve quality of care and increase wages for low-wage health care workers, like home care workers.III. STAND UP TO ABUSE OF POWER BY PRESCRIPTION DRUG CORPORATIONSToo many Americans cannot afford their prescription drugs, and prescription drug corporations are profiteering off of the pocketbooks of sick individuals. Biden will put a stop to runaway drug prices and the profiteering of the drug industry by:Repealing the outrageous exception allowing drug corporations to avoid negotiating with Medicare over drug prices. Because Medicare covers so many Americans, it has significant leverage to negotiate lower prices for its beneficiaries. And it does so for hospitals and other providers participating in the program, but not drug manufacturers. Drug manufacturers not facing any competition, therefore, can charge whatever price they choose to set. There’s no justification for this except the power of prescription drug lobbying. Biden will repeal the existing law explicitly barring Medicare from negotiating lower prices with drug corporations.Limiting launch prices for drugs that face no competition and are being abusively priced by manufacturers. Through his work on the Cancer Moonshot, Biden understands that the future of pharmacological interventions is not traditional chemical drugs but specialized biotech drugs that will have little to no competition to keep prices in check. Without competition, we need a new approach for keeping the prices of these drugs down. For these cases where new specialty drugs without competition are being launched, under the Biden Plan the Secretary of Health and Human Services will establish an independent review board to assess their value. The board will recommend a reasonable price, based on the average price in other countries (a process called external reference pricing) or, if the drug is entering the U.S. market first, based on an evaluation by the independent board members. This reasonable price will be the rate Medicare and the public option will pay. In addition, Biden will allow private plans participating in the individual marketplace to access a similar rate.Limiting price increases for all brand, biotech, and abusively priced generic drugs to inflation. As a condition of participation in the Medicare program and public option, all brand, biotech, and abusively priced generic drugs will be prohibited from increasing their prices more than the general inflation rate. Biden Plan also impose a tax penalty on drug manufacturers that increase the costs of their brand, biotech, or abusively priced generic over the general inflation rate.Allowing consumers to buy prescription drugs from other countries. To create more competition for U.S. drug corporations, Biden will allow consumers to import prescription drugs from other countries, as long as the U.S. Department of Health and Human Services has certified that those drugs are safe.Terminating pharmaceutical corporations’ tax break for advertisement spending. Drug corporations spent an estimated $6 billion in 2016 alone on prescription drug advertisements to increase their sales, a more than four-fold increase from just $1.3 billion in 1997. The American Medical Association has even expressed “concerns among physicians about the negative impact of commercially driven promotions, and the role that marketing costs play in fueling escalating drug prices.” Currently, drug corporations may count spending on these ads as a deduction to reduce the amount of taxes they owe. But taxpayers should not have to foot the bill for these ads. As president, Biden will end this tax deduction for all prescription drug ads, as proposed by Senator Jeanne Shaheen.Improving the supply of quality generics. Generics help reduce health care spending, but brand drug corporations have succeeded in preserving a number of strategies to help them delay the entrance of a generic into the market even after the patent has expired. Biden supports numerous proposals to accelerate the development of safe generics, such as Senator Patrick Leahy’s proposal to make sure generic manufacturers have access to a sample.IV. ENSURE HEALTH CARE IS A RIGHT FOR ALL, NOT A PRIVILEGE FOR JUST A FEWJoe Biden believes that every American – regardless of gender, race, income, sexual orientation, or zip code – should have access to affordable and quality health care. Yet racism, sexism, homophobia, transphobia, and other forms of discrimination permeate our health care system just as in every other part of society. As president, Biden will be a champion for improving access to health care and the health of all by:Expanding access to contraception and protect the constitutional right to an abortion. The Affordable Care Act made historic progress by ensuring access to free preventive care, including contraception. As President, Biden will build on that progress. Biden supports repealing the Hyde Amendment because health care is a right that should not be dependent on one’s zip code or income. And, the public option will cover contraception and a woman’s constitutional right to choose. In addition, Biden will: Reverse the Trump Administration and states’ all-out assault on women’s right to choose. As president, Biden will work to codify Roe v. Wade, and his Justice Department will do everything in its power to stop the rash of state laws that so blatantly violate the constitutional right to an abortion, such as so-called TRAP laws, parental notification requirements, mandatory waiting periods, and ultrasound requirements. Restore federal funding for Planned Parenthood. The Obama-Biden administration fought Republican attacks on funding for Planned Parenthood again and again. As president, Biden will reissue guidance specifying that states cannot refuse Medicaid funding for Planned Parenthood and other providers that refer for abortions or provide related information and reverse the Trump Administration’s rule preventing Planned Parenthood and certain other family planning programs from obtaining Title X funds. Just as the Obama-Biden Administration did,President Biden will rescind the Mexico City Policy (also referred to as the global gag rule) that President Trump reinstated and expanded. This rule currently bars the U.S. federal government from supporting important global health efforts – including for malaria and HIV/AIDS – in developing countries simply because the organizations providing that aid also offer information on abortion services.Reducing our unacceptably high maternal mortality rate, which especially impacts people of color. Compared to other developed nations, the U.S. has the highest rate of deaths related to pregnancy and childbirth, and we are the only country experiencing an increase in this death rate. This problem is especially prevalent among black women, who experience a death rate from complications related to pregnancy that is more than three times higher than the rate for non-Hispanic white women. California came up with a strategy that halved the state’s maternal death rate. As president, Biden will take this strategy nationwide.Defending health care protections for all, regardless of gender, gender identity, or sexual orientation. Before the Affordable Care Act, insurance companies could increase premiums merely due to someone’s gender, sexual orientation, or gender identity. Further, insurance companies could increase premiums or deny coverage altogether due to someone’s HIV status. Yet, President Trump is trying to walk back this progress. For example, he has proposed to once again allow health care providers and insurance companies to discriminate based on a patient’s gender identity or abortion history. President Biden will defend the rights of all people – regardless of gender, sexual orientation, gender identity – to have access to quality, affordable health care free from discrimination.Doubling America’s investment in community health centers. Community health centers provide primary, prenatal, and other important care to underserved populations. Biden will double the federal investment in these centers, expanding access to high quality health care for the populations that need it most.Achieving mental health parity and expanding access to mental health care. As Vice President, Biden was a champion for efforts to implement the federal mental health parity law, improve access to mental health care, and eliminate the stigma around mental health. As President, he will redouble these efforts to ensure enforcement of mental health parity laws and expand funding for mental health services.SUPPORTING HEALTH, NOT REWARDING WEALTHJoe Biden believes in rewarding work, not just wealth – and investing in hard-working Americans’ health, not protecting the most privileged Americans’ wealth. Warren Buffett said it best when he stated that he should not pay a lower tax rate than his secretary.As President, Biden will make health care a right by getting rid of capital gains tax loopholes for the super wealthy. Today, the very wealthy pay a tax rate of just 20% on long-term capital gains. According to the Joint Committee on Taxation, the capital gains and dividends exclusion is the second largest tax expenditure in the entire tax code: $127 billion in fiscal year 2019 alone. As President, Biden will roll back the Trump rate cut for the very wealthy and restore the 39.6% top rate he helped restore when he negotiated an end to the Bush tax cuts for the wealthy in 2012. Biden’s capital gains reform will close the loopholes that allow the super wealthy to avoid taxes on capital gains altogether. Biden will assure those making over $1 million will pay the top rate on capital gains, doubling the capital gains tax rate on the super wealthy.Learn more about how Biden’s plan for health care benefits communities of color >>

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