I was on Sunday Square Off last month with Democratic Diva Donna Gratehouse and she complained that Arizona has a regressive tax system. My response was that if Democrats don't like a system in which the poor pay a higher percentage of their income in taxes than do the rich and middle class, then the Democrats should stop proposing tax increases on the poor that are used to provided services to the middle class. It's pretty simple really.
Take the Tobacco tax. We know that the poor smoke in disproportionate numbers. We also know that the poor already qualify for AHCCCS. So when folks like the Bashas propose to increase tobacco taxes in order to expand AHCCCS eligibility, they are raising taxes on the poor and the benefits (by definition) go to those who are not poor.
That's fine with me it you want to propose it. Just stop whining about how unfair it is.
Now the Hospital association has a proposal that will undoubtedly be regressive, undoubtedly supported by the state's Democratic Leadership...and whose results will undoubtedly be whined about as "unfair."
The Arizona Hospital and Healthcare Association is working with consultants on an initiative it hopes will make it to the ballot in November. It would raise money to stop the state from cutting more than 310,000 people from the Arizona Health Care Cost Containment System, the state's Medicaid program.
Exactly what form the proposed levy would take has yet to be worked out. Laurie Liles, the association's lobbyist, said consultants and pollsters are looking at what kind of tax would be most palatable to voters. Historically, voters have been particularly receptive to taxing cigarettes; the total levies on those are now $2 per pack.
We don't know what items are going to be taxed, but you can be sure that it's cigarettes, alcohol, soft drinks and a host of other items that the poor consume at a disproportionately high rate. And who does the money go to? The 310,000 people who would otherwise be removed from the AHCCCS roles. And since there are about 1.3 million people on AHCCCS*, those 310,000 represent the highest income tranch of the current AHCCCS population.
Of course, the proposal isn't really about the poor vs. the middle class. The proposal is more about the financial security of the hospitals. Of course, that shouldn't surprise you much...after all, the proposal is from the Hospital association.
Post Script:
Folks from Donna to Warren Buffett have done a great job equating "Regressivity" with "Fairness." After all, why is it fair that a guy living in poverty pays a higher percentage of his income in taxes than a guy living in Paradise Valley? That sounds like a good argument, but it's actually a statistical and rhetorical trick.
Take the guy who lives in poverty. He pays very little actual tax--primarily on tobacco and if he lives in Phoenix a new sales tax on food. He probably pays no income tax or property tax. Of course, what little tax he actually pays can look like a fairly high percentage, because he has almost no income.
But what does he get from the state? Well, if his kids are in school, the state pays about $8,000 per year per kid to educate them and his family has free health care that's worth another $5,000 to $10,000 a year. So if he has 3 kids, he receives about $30,000 a year in direct services from the state.
And the guy in Paradise Valley? He gets the same basic services that the poor guys gets, but he surely has health insurance and his kids are likely grown, or they went to private school. So he pays income taxes and property taxes and gets almost nothing in services while the poor guy pays taxes on his cigarettes and gets $30K a year in direct benefits.
That's fine with me. We live in a democracy and the people say that wealthy people should pay more so that poor people have a better standard of living. I'm OK with that.
But stop whining that it's unfair! Stop telling the poor guy with his free school and his free healthcare that he's being abused by the process because he pays $2 a pack tax on cigarettes. And stop lecturing my about how heartless I am to support such an unfair system.
Finally, if you think it's bad that poor people pay a higher percentage of their income in taxes...stop supporting tax increases on poor people.
Footnote: There are currently about 1.4 million people on AHCCCS. When I was in the legislature, there were about 80,000. Over the last 20 years, the system has morphed from a safety net for the poor into the preferred form of insurance for 20% of the state's population. That policy shift has had remarkably little debate.
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