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Soon the one exception, medical expenses, is expanded significantly to a large list of other exemptions and you then have just as complicated system as we have today.

I understand what you are saying. However, this sort of taxation on non-discretionary medical expenses could very easily ruin someone even faster than just the medical bills themselves. There is very little way to predict or control your emergency expenses in the medical area. You can choose to live in an apartment or a luxury home, buy mac and cheese or filet, but if you need a triple bypass?

The emergency nature of these bills, not to mention the sheer size of them, requires a different treatment.

I wonder how quickly the affluent would simply jet over to some exotic destination to have their medical needs taken care of...or indeed, simply spend their money overseas altogether. How would they be taxed if they were expats?

I agree this flat tax will never least not as a replacement for the current system, though probably eventually in addition to.

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