The Supreme Court may decide that individual mandates for insurance purchases oversteps the authority of the federal government. If Obamacare is overturned, there is a better alternative — single-payer in the shape of Dr. Zeke Emanuel’s plan for a dedicated VAT paying for vouchers to be used in an exchange. The VAT tax, dedicated to health insurance, would have precedent for the Supreme Court, e.g., the Social Security tax.
With a dedicated VAT tax, the citizenry would have a measure of health care costs vs. benefits that should work to restrain additional demands for more expensive tests and services. Corporations would be on an even footing in that the amount of medical insurance would no longer be a competitive benefit for employees.
Of great importance, the VAT burden would saddle imports equally with the burden of healthcare, and exports would not carry the burden. VAT is the border-adjustable tax for this era of globalization, i.e., added to imports and subtracted from exports. That is why it is used by all of our trading partners — to our competitive disadvantage.
Dr. Emanuel, Rahm’s brother, published a book detailing the plan, “Universal Healthcare Guaranteed.” Links to information about the Emanuel plan and VAT can be found at: http://wp.me/p18NCA-1o