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Old 12-22-2017, 02:05 PM
 
Location: Living rent free in your head
42,845 posts, read 26,259,081 times
Reputation: 34056

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Quote:
Originally Posted by Jim1921 View Post
Arithmetic is a branch of math. Your clarification is not necessary.

Secondly, some birth control should not be OTC. Many consumers do not read labels. Oral contraceptives (and other hormone containing contraceptives), for example, should not be taken by women who smoke. They are also contraindicated in patients with a history of a heart attack, stroke, coronary heart disease, history of blood clots, impaired liver function, known or suspected cancer of the breast or reproductive system.

Further, there are concerns as to OC’s in patients that have severe headaches, hypertension, diabetes or strong family history of diabetes, gallbladder disease, acute mononucleosis, sickle cell disease and/or undiagnosed abnormal vaginal bleeding.

Access to contraceptives are not as hard as you make it out to be. If you don’t have access to a clinic, you can call you county health department and they will direct you to resources. Further, if you look at the data, the bigger problem is patient compliance. When you look at prescription data, there is a big gap between new prescriptions and refills. That means we have a good number of patients that have received an initial prescription for a contraceptive, but then the refill rate drops off.
When is the last time you got your prescription for contraceptives Jim?
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Old 12-22-2017, 02:08 PM
 
15,424 posts, read 7,477,525 times
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Quote:
Originally Posted by rodentraiser View Post
I can does math. If I bring home $12 an hour and work 40 hours a week, I should be bringing home $1920 per month. But my paycheck was only a little over $1400 per month. That figures out to be roughly 25% of my paycheck gone. Where? Well, I looked at my paycheck and that money went for taxes, federal taxes, state taxes, whatever.

Yes, I got "some" back when I filed. Certainly not $6000 a year, though. And when you're talking to someone who depends on the money they make from the hours they work, we don't care what the exemptions are or whether the state has tax or not. We only care about what we can put in the bank in dollars and cents. Period. Full stop.

I guess you missed the part where I said short form only and no deductions, making an even playing field. If higher income earners couldn't write off everything from soup to nuts, then I'd be convinced they were paying their fair share.
Higher income earners can't write off everything. They can write off state and local taxes, mortgage interest, and gifts to charities to the extent those items exceed the standard deduction of 6,350 for singles, and 12,700 for married couples, and not much more unless they have high medical bills, etc.

If you make $12 per hour and take no days off, you will earn $24,960 over 52 weeks. You will pay $1909 in social security and medicare tax, and your income tax would be $1,720 for the year. If you used one deduction for withholding, you will have had about $2,300 withheld for federal taxes, and would then get about $600 back when you file. Your effective income tax rate is 6.9%, social security and medicare is 7.65%, bringing your overall Federal taxes to about 14.5%.

For your hypothetical "wealthy" person who makes $120k, let's assume he is single and has no 401k or other item that would use pre-tax dollars, and rents an apartment, so no mortgage interest or property tax deduction, and lives in a no state income tax state. His Federal income amount would be $23,670, and his social security and medicare amount would be $9,180, for a total Federal tax of $32,850. His income tax rate would be 19.73%, and the total federal tax percentage would be 27.3%. From my own experience, if he has a reasonably normal mortgage and property taxes, his income tax rate would drop to about 16% with the extra deductions over the standard amount. I really don't think you can argue that higher earners don't pay their fair share.
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Old 12-22-2017, 02:09 PM
 
1,067 posts, read 623,318 times
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Originally Posted by 17thAndK View Post
Are you taking that out of hand or have you tracked patients who move or otherwise come to have a new prescription from a new doctor?

And the bucket of reasons why closing PP clinics helps is still looking kind of empty.
You can even see it in the longitudinal data. If you don’t have a planned parenthood, can’t find a clinic, etc., just call your county health department. PP does not have a monopoly on servicing low income patients. The historic barrier in the past was cost, not access. Cost has been driven down substantially.
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Old 12-22-2017, 02:11 PM
 
3,437 posts, read 3,285,767 times
Reputation: 2508
Quote:
Originally Posted by rodentraiser View Post
Not if they keep closing Planned Parenthood clinics down:


Oh, so you want to hold the poor to a higher standard than you hold yourself and others to. Well, why didn't you say so? I mean, only the rich deserve to drink a coke and smoke a cigarette and watch TV. That sounds about right.
this is the reason why Trump and the GOP are winning. is cable, cigarettes, liquor, soda necessary to live?


if you are poor do you still include the above items in your budget?
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Old 12-22-2017, 02:57 PM
 
15,424 posts, read 7,477,525 times
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Quote:
Originally Posted by Jim1921 View Post
You can even see it in the longitudinal data. If you don’t have a planned parenthood, can’t find a clinic, etc., just call your county health department. PP does not have a monopoly on servicing low income patients. The historic barrier in the past was cost, not access. Cost has been driven down substantially.
These days access is the problem. It is nearly impossible for a poor person in many parts of Texas to find reproductive care, since the PP supported clinics were closed, and the State hasn't managed to find any substitutes, despite giving millions to organizations that faithfully promised to do so.
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Old 12-22-2017, 04:56 PM
 
1,067 posts, read 623,318 times
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Quote:
Originally Posted by WRM20 View Post
These days access is the problem. It is nearly impossible for a poor person in many parts of Texas to find reproductive care, since the PP supported clinics were closed, and the State hasn't managed to find any substitutes, despite giving millions to organizations that faithfully promised to do so.
if you are referring to contraception, reread what I wrote.
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Old 12-22-2017, 05:04 PM
 
Location: (six-cent-dix-sept)
6,639 posts, read 4,571,080 times
Reputation: 4730
Quote:
Originally Posted by WRM20 View Post
Higher income earners can't write off everything. They can write off state and local taxes, mortgage interest, and gifts to charities to the extent those items exceed the standard deduction of 6,350 for singles, and 12,700 for married couples, and not much more unless they have high medical bills, etc.

If you make $12 per hour and take no days off, you will earn $24,960 over 52 weeks. You will pay $1909 in social security and medicare tax, and your income tax would be $1,720 for the year. If you used one deduction for withholding, you will have had about $2,300 withheld for federal taxes, and would then get about $600 back when you file. Your effective income tax rate is 6.9%, social security and medicare is 7.65%, bringing your overall Federal taxes to about 14.5%.

For your hypothetical "wealthy" person who makes $120k, let's assume he is single and has no 401k or other item that would use pre-tax dollars, and rents an apartment, so no mortgage interest or property tax deduction, and lives in a no state income tax state. His Federal income amount would be $23,670, and his social security and medicare amount would be $9,180, for a total Federal tax of $32,850. His income tax rate would be 19.73%, and the total federal tax percentage would be 27.3%. From my own experience, if he has a reasonably normal mortgage and property taxes, his income tax rate would drop to about 16% with the extra deductions over the standard amount. I really don't think you can argue that higher earners don't pay their fair share.
i always found it counter-intuitive that if you are rich enough to afford paying for a house then the government considers it a deduction. but if you are too poor to afford a house then you cant deduct your rent.

there was an article a few years ago that many welfare programs would be paid for each year from the taxes not collected for mortgage interest and home improvement deductions.
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Old 12-22-2017, 05:09 PM
 
1,067 posts, read 623,318 times
Reputation: 1258
Quote:
Originally Posted by 2sleepy View Post
When is the last time you got your prescription for contraceptives Jim?
Tell me what is wrong it what I wrote. I have been in the medical field for over 30 years. By the way, this information is not hard to find, if you would actually do a simple search. If you took the time to do so, you wouldn’t have made a response that just made you look silly.
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Old 12-22-2017, 05:13 PM
 
15,424 posts, read 7,477,525 times
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Quote:
Originally Posted by Jim1921 View Post
if you are referring to contraception, reread what I wrote.
A huge number of Texas counties do not have a county health department or clinic. Residents may have to drive 100 miles to see a doctor.
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Old 12-22-2017, 05:20 PM
 
1,067 posts, read 623,318 times
Reputation: 1258
Quote:
Originally Posted by WRM20 View Post
A huge number of Texas counties do not have a county health department or clinic. Residents may have to drive 100 miles to see a doctor.
Here, let me help you out:

The Division for Regional and Local Health Services - Texas Local Public Health Organizations
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