THE UNITED STATES SENATE HAS A PLAN PENDING TO REFORM HEALTH CARE. THE PLAN INCLUDES A 5% TAX ON COSMETIC MEDICAL PROCEDURES. THIS TAX DISCRIMINATES AGAINST YOUR PATIENTS, WOMEN, AND THE MIDDLE CLASS. THE STATE EXPERIENCE HAS DEMONSTRATED THAT IT IS A FAILED POLICY, ONE THAT WILL NOT RESULT IN THE PROJECTED REVENUE. CONGRESS NEEDS TO HEAR FROM YOU AND YOUR PATIENTS. PLEASE SHARE THE TALKING POINTS BELOW WITH YOUR PATIENTS, SO THEY MAY ALSO TAKE ACTION. CONGRESS IS STATING THAT THEY ARE NOT HEARING ANY OPPOSITION TO THE COSMETIC TAX; MAKE SURE YOUR VOICE AND THE VOICE OF YOUR PATIENTS IS HEARD TODAY! HEALTHCARE PLAN IN THE SENATE TODAY WILL UNFAIRLY DISCRIMINATE AGAINST YOU! Perhaps you've heard of the current healthcare bill before the US Senate, Page 2045 Sec. 9017, Excise Tax on Elective Cosmetic Medical Procedures included in the "Patient Protection and Affordable Care Act. This section institutes a tax on all cosmetic procedures as partial payment for the healthcare overhaul our current administration is attempting to implement.
So what's the problem? YOU would be paying this tax, the FIRST time this country has levied a tax on patients for medical procedures. What's at stake?
- This is a discriminatory tax. 86% of cosmetic surgery patients are working women.
- This is a discriminatory tax. Most Gynecomastia Surgery is considered cosmetic by insurance companies.
- This will not have considerable consequences on the wealthiest patients but, as usual, affects the middle class. ASPS, found that 71% of plastic surgeries were for individuals making less than $60,000 a year. Working women and scores of others who carefully save and budget to improve their appearance and self esteem will be penalized for doing so. The tax clearly violates the President's pledge to only tax persons making over $250,000 a year.
- The tax compromises patient safety. The provision is limited to procedures performed "by a licensed medical professional" -- establishing a tax loophole to avoid paying the tax by seeking elective cosmetic and medical procedures from non-medical personnel at salons, spas and other locations.
- Procedures such as breast reduction that have been cited in the literature for improving self esteem and quality of life would be taxed as well.
- Your doctor as tax collector: This provision places physicians in the role of tax collector and holds physicians liable should an individual fail or refuse to pay the tax. Is that the relationship you want with your medical provider?
What you can do: Take action today and tell your Representatives that medical care should not be used as a tool to fix broken finances. Contact your Members of Congress and request that they oppose a cosmetic tax.
Call your Members of Congress in their Washington, DC and District offices. Please call your Members of Congress in both their Washington, D.C. offices and district offices. Call early and call often. The U.S. Capitol switchboard is 202-225-3121 where you can be connected to your Members of Congress. NOTE: You must know the name of your Member of Congress prior to calling the switchboard; they will not be able to tell you who your Member of Congress is. If are not certain who your Senator is, go to
http://www.senate.gov/general/contact_information/senators_cfm.cfm and scroll by state. You can also determine the name of your Representative by going to
www.house.gov and enter your zip code in the top left hand corner.
Michael Bermant, M.D.