Quote:
Originally Posted by srh3trinity
The taxation will be interesting. I am a recent graduate from Residency and practicing hospital medicine. I make a nice living. Doctors have taken a 30 percent pay cut or more from Medicare in the not too recent past. My education cost north of 200K and that has an impact on what I bring home. It seems as though there is a breaking point with taxes and your income. I can influence mine easily by how hard I choose to work. I work 16 plus hours a day now, but if this level of work pushes a person into a higher tax bracket, some of my colleagues will choose to work less hours and bring home about the same net dollars and spend more time with their family. If this happens, it will contribute further to the supply/demand issues we are going to have with physicians as baby boomers age. You are almost de-incentivizing hard work. I don't understand the thought of you make more, you should pay more.
Of course, if I become a government employee with Obamacare, I imagine I won't have much control over my tax bracket. It stinks to finally make some money and then the game changes on you in spite of your hard work.
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There is no situation in which you work less and bring home the the same because of tax brackets assuming the amount you work is tied directly to your income. You don't suddenly enter a 100% tax bracket.
Not to mention that tax brackets have only been going down for basically this entire century. The real reasons for supply/demand issues for doctors are varied, and the government certainly plays a part but you can't simultaneously say you should be taxed even less than you are now, and complain about medicare reimbursements that the government is basically putting on a credit card.