A big driver of the higher taxes in healthcare is a doomed Affordable Care Act fee on health insurers. The amount each insurer pays is based on premium revenue. President Donald Trump in late December signed a spending bill repealing that tax in 2021 and beyond.
“It’s just one weird example that there is an industry-specific tax that other industries don’t have to pay, and it meaningfully affects their effective tax rate,” said Matthew Gardner, a senior fellow at the tax institute and lead author of the study, which included 379 companies.
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