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  • Ask The Taxgirl: Tax Dollars For Illegal Immigrant Health Care?

Ask The Taxgirl: Tax Dollars For Illegal Immigrant Health Care?

Kelly Phillips ErbApril 28, 2008December 4, 2019

Taxpayer asks:

Dear Taxgirl,

In the last couple months, I’ve received a spammy e-mail asking me to sign an “electronic petition” against a tax increase so the government can provide health care to illegal aliens. I deleted this whenever I got it, because it just sounds like some urban legend to me. I mean who in their right mind would propose this?

The other day in the US mail I received an update from my congressman which included a survey for his constituents to fill out and mail back. One of the questions was “Do you support a 71 billion dollar tax increase to provide government healthcare for illegal aliens?” In my research I can not find any such pending legislation. Have you heard of anything or do you know where I could look besides the websites of the house & senate? I think my representative may just be trying to stir the pot. I do plan to contact his office, but would like to be armed with as much info as possible before I hold his feet to the fire.

Taxgirl says:

Well, it certainly sounds as though your Representative is trying to create some controversy… But I am not sure that I can help.

There is not, to my knowledge, a recent bill floating around which has as its main purpose, a $71 billion tax increase to provide government healthcare for illegal aliens. Here are some bills that reference health care and illegal immigrants:

– There has been constant chatter about a bill that allows the federal government to reimburse states like California and Arizona for money that those states expend on health care for illegal immigrants but that was resolved by law in 2005.

– Creating a lot of debate was the extension of the State Children’s Health Insurance Program. You may recall that a compromised version of the bill was passed last year and was vetoed twice by President Bush. The Senate was not able to override the veto. The Congressional Budget Office estimated that the total of that bill would be $71 billion over 10 years financed by increased tobacco taxes, and a change in timing of corporate income taxes in 2012. A version of that bill did, however, become law last year. You can find more information about the history of the bill here.

– But what I think they’re most likely referring to is a vague reference to an as yet unsettled universal health care bill. Some worry that the bill could extend taxpayer-funded health care to illegal immigrants. It is estimated that about 10 million of the estimated 47 million uninsured US residents are thought to be illegal immigrants. This has been a hot button issue for border states but has recently extended to states like Ohio where it became an election issue for the Gillmor seat.

I am not aware of a realistic bill addressing this issue that has been introduced in Congress. However, I could be wrong – it’s tax season and I having been following some of the bills as closely as normal.

If you have more – or different – information, let me know.

And chime in – where do you stand on universal health care? Should it be funded by taxpayers? And should there be limits based on citizenship or employment? I’m curious to hear what you think.

Before you go: be sure to read my disclaimer. Remember, I’m a lawyer and we love disclaimers.
If you have a question, here’s how to Ask The Taxgirl.

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Kelly Phillips Erb
Kelly Phillips Erb is a tax attorney, tax writer, and podcaster.
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13 thoughts on “Ask The Taxgirl: Tax Dollars For Illegal Immigrant Health Care?”

  1. jennydecki says:
    April 28, 2008 at 11:08 am

    I’m all for illegal immigrants getting tax funded healthcare! As soon as they pay taxes and social security…like everyone else that works. It’s that whole melting-pot-equality thing…pay into the system so you can get things out of the system.

    I mean…that just makes sense, right?

    Reply
  2. Kelly says:
    April 28, 2008 at 11:19 am

    Jennydecki – Statistics suggest that illegal immigrants are paying tax – the number of ITINs has risen dramatically and those are (generally) assigned to folks who cannot get a Social Security Number.

    The catch-22 is that illegal immigrants cannot pay tax without an ITIN. Some immigrants are scared to get an ITIN because they are afraid they’ll be arrested for being here illegally. So we’re asking them to pay tax but making it difficult.

    It’s a policy decision. Most folks agree that it would be impossible to return all of the immigrants said to be in the US illegally. The question becomes what to do with those here. Should we make it easy for them to pay taxes and perhaps become citizens? Or do we make it hard to become citizens but pay for their services ourselves?

    A version of an amnesty program introduced by President Bush suggested that illegal immigrants who pay taxes could be considered for amnesty. The GOP had a tough sell on this. Tax has been a key component of most immigration reform bills.

    More info about tax and immigration reform here: http://www.taxgirl.com/126-billion-reasons-that-the-immigration-bill-failed-to-pass-the-senate/

    Reply
  3. Jon A says:
    April 28, 2008 at 11:35 am

    When all the grandstanding is set aside, what’s really happening is this: our elites want to permanently integrate 12,000,000+ cheap laborers into our society, creating huge profits for the rich and swelling the ranks of the poor, with the middle class footing the bill.

    These people (1) have a much higher birth rate than Americans, and (2) have received little health care at home. So when they get here, they pack up the kids and make a beeline for any place they can get health care, placing an enormous burden the system. This burden is a tax on us all, whether we pay for it overtly through direct benefits, or covertly, by indirectly subsidizing the “freeloaders” on the system.

    If you don’t believe this, visit the emergency room in any urban area, and you’ll see armies of Mexicans there, most with plenty of small children. If you want to know who’s paying for the services they receive, make a stop in the restroom and look in the mirror.

    Reply
  4. Kelly says:
    April 28, 2008 at 11:38 am

    Thanks Jon.
    You raise a good point. One reason that the GOP, in particular, is struggling with this issue is that its ranks are split for the very reasons you mention.

    Reply
  5. Laura Spencer says:
    April 28, 2008 at 11:46 am

    Good thorough research on a controversial topic!

    I haven’t received the spammy e-mail so I’m not sure what it said, but I think your response to this one is probably correct.

    Reply
  6. jennydecki says:
    April 28, 2008 at 12:26 pm

    It’s not my job to figure out how to make it work, it’s a solution that will work.

    See, if they’re here already and already integrated into society…why kick them back out? I mean, will the middle class suddenly be good as gravy if we just get rid of all “those people” – no – because medicare cards are easy to photocopy and use among many folks the only way is to document and tax who we already have and try to stop the flood.

    Or figure out better ways to integrate people into society.

    But how are they “running for the nearest healthcare” when they don’t have any documentation? Are they going to the little town doctor in the middle of the prairie who doesn’t ask for SS# and photo ID?

    How am I supposed to understand Kelly and the Catch-22 with Jon and the “make a run for over the border healthcare”

    Am I missing something?

    Reply
  7. Kelly says:
    April 28, 2008 at 1:37 pm

    Hospitals are required to provide emergency care for all individuals, regardless of ability to pay. So, there is no “check” at the ER to see if you can pay for services before they are rendered. It’s not regular care visits that are being covered (to be fair, illegal immigrants are probably not getting regular care visits thus ramping up the number of ER visits).

    Reply
  8. Kristen King says:
    April 28, 2008 at 8:19 pm

    Um, wait, do *I* get tax-funded health care? I have no idea. (That’s terrible, I know. Note to self: Get informed.)

    Reply
  9. Kelly says:
    April 28, 2008 at 9:04 pm

    Kristen,
    All folks get tax-funded health care to some extent…
    For example, many hospitals and health insurance companies are tax-exempt – so we bear the cost of those shifted taxes.
    Many health programs – like flu shots – are funded or subsidized by the government (tax dollars).
    And on and on.

    Reply
  10. Miki says:
    April 29, 2008 at 12:45 am

    Let’s see. ‘They’ pay taxes, but aren’t integrated into our system. ‘They’ should do the jobs that Americans won’t do and not complain when they’re stiffed for their money or thrown out of the truck at the hospital enterance when they’re injured on a job. Of course there won’t be any insurance coverage for them, but there isn’t for me, either. Nothing new there.

    Reply
  11. Miranda says:
    April 29, 2008 at 7:31 am

    You go, Miki! At any rate, the whole universal healthcare thing is all about priorities. For one month in Iraq, we could universalize healthcare. For the record, we DON’T have the best healthcare in the world. But we pay more than anyone else. And our costs keep getting higher because our sickcare doesn’t encourage prevention. Instead, it encourages behavior that results in put-off care, over and over, until the emergency room (which costs more) is needed. And that’s by people who are here legally as well as illegally — and even people with healthcare coverage. It’s nice to point to illegals and say “If they were gone, everything would be fine.” But that’s just not true.

    Reply
  12. Miki says:
    April 29, 2008 at 11:46 am

    American citizens used to fight for the underdog, now they are the underdog. I’m told it’s called progress, but you can’t prove it by me.

    Reply
  13. Joseph says:
    September 15, 2009 at 2:24 am

    I am not at my book on the constitution,but its the law ,that illegal aliens are entitle to healthcare according to the amendant in the constitution,i will explore this in the morning,however its there the law that is .

    Reply

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