Medicare is the government-run health insurance program for people over 65 years of age. It is a very well-run program and funded by a tax on income that is automatically deducted from people’s paychecks. The Medicare tax is not huge. It is 2.9% for most people and 3.8% for high earners. If you are self-employed, or get any income that is not a salary or wage, you are still obliged to pay that tax when you file your annual income tax. I have done so routinely with any outside income I got from giving talks or from my writings. You fill in a separate form to report self-employment income and another form to pay the tax on it. It is pretty straightforward.
ProPublica has gone through the tax records and found that very wealthy people have exploited a loophole that enables them to avoid paying any Medicare taxes on their income. The article focuses on three of the most egregious tax avoiders.
The trove of tax records behind ProPublica’s “Secret IRS Files” series contains plenty of examples of billionaire financiers who avoided Medicare tax despite earning huge amounts from their companies. In 2016, Steve Cohen, the owner of the New York Mets, paid $0. So did Stephen Schwarzman, head of the investment behemoth Blackstone. Bill Ackman, the headline-grabbing hedge fund manager, was able to shield almost all his income from the tax.
…But these maneuvers by the rich hasten Medicare’s future crisis. Sometime in the 2030s, the program’s trust fund is due to run dry. Closing the loophole, along with eliminating other ways around the tax for wealthy business owners, could raise more than $250 billion over 10 years for Medicare, according to recent government estimates.