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IEET > Rights > Economic > Life > Innovation > Health > Vision > Futurism > Trustees > Arthur Caplan

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A Modest Proposal: to solve health spending crisis, Tax Cats


Arthur Caplan
Arthur Caplan
msnbc.com

Posted: Jun 3, 2012

Lots of Americans buy the argument that we should ration health care according to lifestyle. So do many employers who are trying to charge their obese employees more for health insurance.  But if we are going to penalizing the health care sinners amongst us, shouldn’t we target all of those who raise our collective health care bill through poor lifestyle choices? This means you, cat owners.

The costs of a cat-loving America ought to be looked at in the same vein as recent calls to tax fat people.

According to a Forbes magazine poll, one in three Americans believe that obese people should pay more in taxes than those who maintain a healthy weight. The same sentiments prevail among doctors in the UK

Overweight people cost the system a ton. People seem to think it’s fair to ask them to pay more if they choose to munch chips while reclining on the Lazyboy watching Paula Deen on TV. Let’s apply the same logic to all lifestyle choices. Cats are costing each one of us a lot of money to treat the allergies, asthma, skin problems and hospitalizations that they cause.

According to the Humane Society of the United States, there are over 86 million owned cats in the USA.  Nearly a third of you own these furry disease vectors. More than half of you cat owners have the gall to own more than one! 

At a recent meeting on immune diseases in Chicago, doctors and scientists who are studying allergies made it clear that cats are a menace. I learned that 17 percent of Americans, or 60 million of us, have allergies to cats.  So that means the odds are high that either you are allergic or someone you have over to your house could be.

Once a cat is in a home it is nearly impossible to get the cat allergens out of the bedding, carpets and furniture. The cost to all of us of treating cat-induced asthma, rhinitis, skin reactions and allergies is big. While there are no specific numbers for paying for the shots and drugs to treat the health problems due to cats, the overall medical cost for treating all allergies in the USA exceeds $7 billion.  And that does not include time lost from work or days out of school due to allergies.

One drug that is now frequently prescribed for kids and adults with chronic asthma due to exposure to cats, omalizumab, costs anywhere from $6,000 to $24,000 a year depending on dose. One in 2,000 of those with cat allergies require a trip to the hospital in any given year due to an acute adverse reaction to shots or drugs!

If we apply the “fat tax” logic, the obvious ethical question is why the heck are we cat-free citizens paying for the health problems associated with tolerating cat ownership? If you choose to own a cat or refuse to get rid of one even after being told to do so by your doctor, then why should I pay for this gross irresponsibility? 

So bring on the fat tax—but tax all those who choose to make themselves, their kids and visitors sick by lifestyle choices, whether it’s eating too much junk food or housing felines. And hey, employers, don’t hire cat owners, or at least make them go to classes where they can learn about the true cost that kittens impose on us all.  

While we are at it, let’s impose a fine on those who fail to wear a hat while at the beach, risking melanomas, and a skiing tax for those nutty enough to speed downhill knowing that the orthopedic clinic awaits at the bottom.

Of course, none of this applies to dogs or dog owners such as me. Those who own them should receive a tax break. Pet ownership has a lot of benefits for your health, particularly if the pet is a dog. 

But cats are a very different matter. Those who insist that personal responsibility ought to drive what everyone pays for health insurance had better let cat owners know what is best for them.

 

 

The original publication of this article, by msnbc.msn.com, is HERE

 


Arthur L. Caplan, Ph.D., is the Drs. William F and Virginia Connolly Mitty Professor and head of the Division of Bioethics at New York University Langone Medical Center in New York City.
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COMMENTS


Basement cat hungers for your soul now.





Hmm.. increasing concerns from allegies and health risks from Cats, but not from sales of unhealthy, handicapping, fast food production and corporate market manipulation by “mostly” US capitalist imperialism?

Sounds like yet more authoritarianism dressed as progressive liberalism?

Surely, the techno-progressive/Trans-human ideal would be not to penalise and tax but to cure allegies and ails?

Although, if I had my way I would stamp on all unhealthy, brainwashing, fast food profiteers!





In fact..

Let us not bother to prevent any harms and afflictions for the masses, but rather encourage them in such bad and unhealthy ways, and tax them to the hilt for every misdemeanour?

Let’s get this sick socioeconomic system back on the road to health?

God save the Queen!





I agree with Cygnus - these kinds of targeted taxes are wrong because they over-systemize the authority of the state. Income taxes should really only be relative dependant on income, and good and services (sales) taxes as flat as possible, in order to encourage diversity of action from the members of the state -hetereogeneity increases strength in my opinion. There may be a case for taxing the sales of cats like the sale of cigarettes based on your argument, but perhaps only if it was stronger: Isn’t it the case that cats tend to remain close to home and their owners tend not be allergic? Therefore, interactions between cats and cat allergy sufferers must be fairly scarce? Also, allergic reactions are pretty manageable - take an antihistamine, no reason to be missing work. How is 7 billion figure the for the cost of allergies broken down? My guess would be that the majority is accounted for by emergency ward visits for unexpected life threatening allergies (nuts, bees etc), not cats.

Its different from the case of smoking where there are direct problems for those who smoke both actively and passively, which can be measured in a quantifiable way. I think from this point of view, a tax on unhealthy food is better justified, at least as a sales tax, not an income tax on the obese.

The reductio ad absurdum argument that these kind of taxes could potentially create a state actively procuring funds by encouraging the consumption of addictive, highly taxed products is interesting. Drug legalization anyone?

~ A cat lover allergic to cats (its complicated).

 





*facepalms*

Guy, Cyg, would this article have made more sense written in SARCASM font? I mean, come on, he even titled it after Swift.





How about taxing sarcasm?
If one has the wish to crack jokes, probably his or her economic conditions are more than acceptable. Therefore, there is room for some additional, more or less reasonable, financial contribute.





oh its sarcasm? I might have picked that up if it was more outrageous.





Combine this with the Obesity Tax, and Tax Fat Cats.





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