TY - JOUR T1 - THe role of tax reform in health care reform AU - Floyd JS, Wolfe SM, Angell M Y1 - 2009/03/25 N1 - 10.1001/jama.2009.300 JO - JAMA SP - 1226 EP - 1227 VL - 301 IS - 12 N2 - First, a VAT would inflict a higher tax rate on the poor than the wealthy because the poor spend more of their income on consumer goods. For many poor Medicaid recipients who currently pay little or no federal taxes, a VAT would likely represent a severe financial hardship. Sessions and Lee state that this effect would be cushioned by adjusting other elements of the tax system, but they do not say how. SN - 0098-7484 M3 - doi: 10.1001/jama.2009.300 UR - http://dx.doi.org/10.1001/jama.2009.300 ER -