> Our major uses of our $4.9tn of annual healthcare funds are 31% to hospital care, 20% to physician and clinical services and 9% to retail prescription drugs.
The adjacent 'National Health Expenditures by type of service and source of funds, CY 1960-2023' paints this picture more clearly, and identifies $1.5T of that $4.9T as going to 'private health insurance'.
It's odd that you overlooked that 30% figure in your summary of major uses (or 'wealthy corporate parasitic recipients', in this case).
I think it's this bit that everyone outside of the USA can't understand the high tolerance for.
> I'm specifically saying these are separate, and that taxing the latter would strike me as fairer than raising taxes on McDonalds franchisees.
Perhaps, but perhaps try both? Anyway, as I said, the USA used to have high corporate tax rates - up until Reagan, I believe - and almost every graph showing something awful happening in the USA at some point in the past 80 years has a suspiciously consistent inflection point of Reagan. [0]
I mention this only as it relates to any proposal to reinstate higher corporate taxes. I don't think anyone's suggesting chasing large numbers of (likely already acceptably taxed) $500k franchisees are the place to focus on. I don't understand why you would assume that's what I meant.
Between 2011 and 2020, Amazon, Facebook, Alphabet (the owner of Google),
Netflix, Apple and Microsoft — known as the "Silicon Six" — paid roughly
$219 billion in income taxes, which amounts to just 3.6% of their $6
trillion-plus in total revenue. [1]
Select the fourth download - as noted above - called "National Health Expenditures by type of service and source of funds, CY 1960-2023 (ZIP)"
I opened the .xlsx, but they ship a csv too. The xlsx file shows on line 6 'Private Health Insurance' - and this is under the sub-heading 'Total National Health Expenditure', itself in the column called 'Expenditure Amount (Millions)'.
I've re-visited your earlier link - https://www.cms.gov/files/document/highlights.pdf - and can't see anything - especially 'top of the second paragraph' that tries to explain that figure differently.
In any case, the full ledger has a lot more clarity.
(Oh, in your highlights document - on page three - there's a 'Health Spending by Major Sources of Funds' - but I note that it's Health Spending they're describing there.)
The adjacent 'National Health Expenditures by type of service and source of funds, CY 1960-2023' paints this picture more clearly, and identifies $1.5T of that $4.9T as going to 'private health insurance'.
It's odd that you overlooked that 30% figure in your summary of major uses (or 'wealthy corporate parasitic recipients', in this case).
I think it's this bit that everyone outside of the USA can't understand the high tolerance for.
> I'm specifically saying these are separate, and that taxing the latter would strike me as fairer than raising taxes on McDonalds franchisees.
Perhaps, but perhaps try both? Anyway, as I said, the USA used to have high corporate tax rates - up until Reagan, I believe - and almost every graph showing something awful happening in the USA at some point in the past 80 years has a suspiciously consistent inflection point of Reagan. [0]
I mention this only as it relates to any proposal to reinstate higher corporate taxes. I don't think anyone's suggesting chasing large numbers of (likely already acceptably taxed) $500k franchisees are the place to focus on. I don't understand why you would assume that's what I meant.
[0] https://daughternumberthree.blogspot.com/2020/01/graphing-re...[1] https://www.salon.com/2021/06/01/amazon-facebook-and-other-t...