How the Medicare Surtax Affects Middle- and Upper-Income Households
📰 Original title: The little-known Medicare surtax may hammer millions in Obamacare tax battle
🤖 IA: It's clickbait ⚠️
👥 Users: It's clickbait ⚠️
View full AI summary: https://en.killbait.com/how-the-medicare-surtax-affects-middle-and-upper-income-households.html?utm_source=mastodon_world&utm_medium=social&utm_campaign=killbait.mastodon_world

The article discusses the 0.9% Medicare surtax, a relatively obscure tax introduced under the Affordable Care Act in 2013, which could surprise many taxpayers. This surtax applies to high earners, with married couples paying it on income exceeding $250,000 and single filers over $200,000. Unlike Social Security taxes, the surtax is not clearly displayed on paychecks, leading to unexpected tax bills for dual-income households where neither spouse individually crosses the threshold. For example, a couple earning a combined $330,000 may only discover their surtax liability during tax filing, creating frustration. Politically, this tax is appealing because it allows lawmakers to raise revenue for Medicare without cutting benefits for seniors. The article warns that what starts as a 'tax on the rich' can gradually expand to affect upper-middle-class families, highlighting the potential for tax creep. Democrats may emphasize this tax during elections as a measure to fund Medicare, appealing to public support for protecting seniors' healthcare. The broader implication is that as Medicare funding becomes an increasing fiscal challenge, hidden taxes like this one may grow, affecting households who do not consider themselves wealthy but still face substantial tax burdens.
How the Medicare Surtax Affects Middle- and Upper-Income Households
📰 Original title: The little-known Medicare surtax may hammer millions in Obamacare tax battle
🤖 IA: It's clickbait ⚠️
👥 Users: It's clickbait ⚠️
View full AI summary: https://en.killbait.com/how-the-medicare-surtax-affects-middle-and-upper-income-households.html?utm_source=mastodon_social&utm_medium=social&utm_campaign=killbait.mastodon_social

The article discusses the 0.9% Medicare surtax, a relatively obscure tax introduced under the Affordable Care Act in 2013, which could surprise many taxpayers. This surtax applies to high earners, with married couples paying it on income exceeding $250,000 and single filers over $200,000. Unlike Social Security taxes, the surtax is not clearly displayed on paychecks, leading to unexpected tax bills for dual-income households where neither spouse individually crosses the threshold. For example, a couple earning a combined $330,000 may only discover their surtax liability during tax filing, creating frustration. Politically, this tax is appealing because it allows lawmakers to raise revenue for Medicare without cutting benefits for seniors. The article warns that what starts as a 'tax on the rich' can gradually expand to affect upper-middle-class families, highlighting the potential for tax creep. Democrats may emphasize this tax during elections as a measure to fund Medicare, appealing to public support for protecting seniors' healthcare. The broader implication is that as Medicare funding becomes an increasing fiscal challenge, hidden taxes like this one may grow, affecting households who do not consider themselves wealthy but still face substantial tax burdens.

The Threat of Hantavirus and How MAGA's Imperial Health Boomerang Will Crush America RFK Jr., Trump, and MAGA Billionaires' attack on vaccines, Medicaid, and our public health care infrastructure is designed to create a "viral collapse" that will make Americans poorer and sicker. https://thelefthook.substack.com/p/the-threat-of-hantavirus-and-how?r=36kin&utm_campaign=post-expanded-share&utm_medium=web
3/ It looks like the reason #Ohio is pausing the Home Waiver program provider enrollment is because of a recent hit piece by right-wing The Daily Wire.
The next day, Republicans on the House Oversight Committee wrote to the director of Ohio’s Medicaid program questioning the validity of paying family caregivers following a critical report by a conservative website.
It should be noted, the home waiver programs saves Federal and State Medicaid programs around $100K per patient getting nursing home level care at home vs warehoused in a nursing home, run substandard by a venture capital firm and private equity. Most of the labor is free.
Congress letter https://oversight.house.gov/wp-content/uploads/2026/05/Ltr-to-Ohio-Dept-of-Medicaid.pdf
One of the home health companies on the list, ZNC Health Care, has a state audit.
https://ohioauditor.gov/Auditsearch/Reports/2022/ZNC_Health_Care_LLC_2022_Franklin_FINAL.pdf
#Ohio #Medicaid #HomeHealth #Medicare
All home waiver providers get a yearly review, including documentation, billing, etc. Public Consulting Group does them now.
2/ Ohio to pause enrollment for home health, nursing home care at home (waiver program) and hospice providers for six months while existing providers undergo a program integrity review. Provider types impacted:
16 - other accredited Home Health Agency
25 - Personal care
26 - Home care attendants
38 - Non-agency nurse all specialties
44 - Hospice
45 - Waiver organizations
55 -Waiver individual provider
60 - Medicare Certified Home Health

There is no governmental mechanism to pay for an AI agent that monitors a patient between visits, calls to check in, coordinates a housing referral, or makes sure someone picks up their medication. ACCESS creates that mechanism for the first time.