Implications of the 2017 Tax Cuts and Jobs Act for Public Health

The recently passed Tax Cuts and Jobs Act will reduce total federal revenues by about 4% between 2018 and 2027. The law makes multiple changes to the taxation of individuals and corporations. It also repeals the Affordable Care Act's (ACA's) individual mandate penalties, which will erase s...

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Bibliographic Details
Published in:American journal of public health (1971) 2018-06, Vol.108 (6), p.734-736
Main Author: Glied, Sherry
Format: Article
Language:English
Subjects:
AJPH s
Budgets
Companies
Cost control
Debt
Donations
Economic development
Expenditures
Federal Government
Fines & penalties
Fines and penalties
GDP
Government programs
Gross Domestic Product
Health care
Health insurance
Health Reform
Health Services Accessibility - economics
Health Services Accessibility - legislation & jurisprudence
Hospitals
Humans
Indigent care
Insurance Coverage
Law
Laws
Medicaid
Medicare
Other Health Financing
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act - economics
Patient Protection and Affordable Care Act - legislation & jurisprudence
Prevention
Public health
Public Health - economics
Public Health - legislation & jurisprudence
Subsidies
Tax cuts
Tax Cuts & Jobs Act 2017-US
Tax rates
Taxation
Taxes
United States
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Summary:The recently passed Tax Cuts and Jobs Act will reduce total federal revenues by about 4% between 2018 and 2027. The law makes multiple changes to the taxation of individuals and corporations. It also repeals the Affordable Care Act's (ACA's) individual mandate penalties, which will erase some of the gains in insurance coverage achieved since implementation of the ACA's coverage expansions. The resulting increases in rates of uninsurance will likely lead to increased uncompensated care and deflect hospitals and health departments from addressing other prevention and public health needs. In addition, the law is expected to lead to substantial increases in the federal debt and, consequently, to calls for reductions in spending on entitlement programs, particularly Medicare, and on discretionary programs, including public health. Many other provisions of the law could also have second-order effects on public health.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2018.304388