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Because Congress in its infinite wisdom decided that you get a break if you have a large amount of medical bills you get some tax relief (that amount over 7 1/2% of your gross.
The very same folks will let you deduct it all if your employer has a section 125 or cafeteria plan.
Can you guess who (individuals or insurance companies (who wrote most of the early section 125 plans) has the best lobbyists?
Taxes normally do not pass any common sense test.
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