Need a Good Dentist? You Might Want to Head to Mexico
Can you say “dentista?”
Increasingly expensive dental care costs are forcing seniors to bite down hard—and head to Mexico to preserve their pearly whites, the Associated Press reports.
Nearly 70 percent of seniors do not have dental insurance, according to a 2013 Harris Interactive survey commissioned by Oral Health America. Medicare does not cover dental care, and many employers do not offer post-retirement health benefits. You can get dental coverage through the Affordable Care Act, but only if you purchase general health coverage first. (Many seniors already have that coverage.)
Even with coverage, crowns, bridgework, implants and dental surgery can easily exceed the annual limit. As a result, seniors who need extensive dental work may have limited options and could face out-of-pocket costs running into the thousands or tens of thousands of dollars; 23 percent of seniors in the Oral Health America survey said they have not seen a dental provider in five years.
Related: The Hidden Costs of Dental Neglect
Just as people traveled to Canada to buy their prescription drugs at lower cost or traveling the world for other medical services and procedures, more Americans are now flocking to places like Los Algodones, Mexico for dental care. Dental care in Mexico is much cheaper, thanks to lower labor costs and fewer regulatory requirements — factors that you should keep in mind before heading south of the border. The dentists in Mexico maintain that they may not have as much education as their American counterparts, but they spend more time practicing clinical work.
It’s not just people who live in border cities like El Paso, Texas crossing the border to take care of their teeth. The Associated Press reports that shuttle services exist to take dental patients from the Phoenix area to Los Algodones, a 200-mile trip.
Before you book a trip, though, remember that should something go wrong you may not have the same legal recourse as in the U.S., and the dentists may use different types of equipment--so do your research first.
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Goldman Sachs Says Corporate Tax Rate Cuts May Get Phased In
Despite the challenges the Republican tax overhaul faces, Goldman Sachs still puts the chances of a plan becoming law by early next year at about 65 percent — but its analysts see some substantial changes coming before that happens. “The proposed tax cut is more front-loaded than we have expected; official estimates suggest a tax cut of 0.75% of GDP in 2018. However, we expect the final version to have a smaller near-term effect as competing priorities lead tax-writers to phase in some cuts—particularly corporate rate cuts—over time,” Goldman said in a note to clients Sunday.
The Hidden Tax Bracket in the GOP Plan
Politico’s Danny Vinik: “Thanks to a quirky proposed surcharge, Americans who earn more than $1 million in taxable income would trigger an extra 6 percent tax on the next $200,000 they earn—a complicated change that effectively creates a new, unannounced tax bracket of 45.6 percent. … The new rate stems from a provision in the bill intended to help the government recover, from the very wealthy, some of the benefits that lower-income taxpayers enjoy. … After the first $1 million in taxable income, the government would impose a 6 percent surcharge on every dollar earned, until it made up for the tax benefits that the rich receive from the low tax rate on that first $45,000. That surcharge remains until the government has clawed back the full $12,420, which would occur at about $1.2 million in taxable income. At that point, the surcharge disappears and the top tax rate drops back to 39.6 percent.”
Vinik writes that the surcharge would have affected more than 400,000 tax filers in 2015, according to IRS data, and that it could raise more than $50 billion in revenue over a decade. At a Politico event Friday, House Ways and Means Chairman Kevin Brady said the surcharge, sometimes called a bubble rate, was included to try to drive more middle-class tax relief.
Read the Republican Tax Bill, Plus the Talking Points to Sell the Plan
House Republicans on Thursday released a 429-page draft of their "Tax Cuts and Jobs Act." Read the bill below, or scroll down for the House summary or a more digestible GOP list of highlights.
Another Analysis Finds GOP Tax Plan Would Balloon Deficits
A study by the University of Pennsylvania’s Wharton School, using the Penn Wharton Budget Model (PWBM), finds that three modeled versions of the plan would raise deficits by up to $3.5 trillion over 10 years and as much as $12.2 trillion by 2040. The lowest-cost plan modeled in the study — a version that would tax corporate income at 25 percent instead of the GOP’s proposed 20 percent and pass-through income at 28 percent instead of 25 percent, among a host of other assumptions and tweaks — would lose $1.5 trillion over 10 years, or $1 trillion after accounting for economic feedback effects. (The budget adopted by Republicans last week allows for up to $1.5 trillion to the added to the deficit.) The study also found that workers’ wages would increase by about 1.4 percent over a decade, far shy of the estimated benefits being claimed by the White House.
The Budget Vote May Depend on a SALT Deal
House GOP members concerned about the proposal to repeal the deduction for state and local taxes are supposed to meet with party leaders Wednesday evening. They’re reportedly looking to reach a compromise deal to keep the tax break in some form — and the budget vote might be at stake, Bloomberg reports: “House Republicans hold 239 seats and need 217 votes to adopt the budget — a critical step to passing tax changes without Democratic support. That means 23 defections could sink the budget resolution — assuming no absences or Democratic support.”