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Abstract

The imbalance of Medicare financing and cost sharing consumption is rooted in the Medicare tax collection and its main purpose to serve the aged population. The unfairness of Medicare tax collection includes its regressivity for all income levels and the incomplete tax collection among income groups. Those suffering from premature death, especially black males, lose the chance to enjoy longevity and the coverage of Medicare. The solution to the unfair redistribution posited is: alteration of Medicare enrollment age for different races and sexes, differential Medicare tax based on the population characteristics, and progressive taxation on all individuals to raise Medicare funds. Meanwhile, the generational medical debts that strangle the national fiscal condition can be paid off by a heavier inheritance tax.

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