Means testing already started a few years ago. If you earn a certain amount of money, you will pay a higher Medicare premium. The higher your income the higher your premium will be.
So, for example, if you sell a lot of stocks one year, taking big profits, you might expect to pay a higher Medicare premium the following year.
The problem with it is that it's not indexed for inflation. Right now no one cares because it only hits those who are considered wealthy. But as incomes rise for future generations, millions will be affected. This will be the same as the Alternative Minimum Tax. At first it was only designed to hit a few of the top income earners. But as years went by it affected millions of taxpayers because it was not indexed for inflation.
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