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> it makes sense for healthcare costs to be deductible period.

It's also hard to draw lines. Is Viagra covered, for example? This is one of the reasons there's a threshold — to make sure the deduction is only being granted where there are non-routine expenditures. The tax code views some level of medical expenditures as routine, and therefore non-deductible.




> It's also hard to draw lines

It's easier if you don't draw unnecessary and illogical lines to start with, which is what the dollar threshold is.

> Is Viagra covered, for example?

Apparently, if you buy enough relative to your income.

> This is one of the reasons there's a threshold — to make sure the deduction is only being granted where there are non-routine expenditures.

Which is both a dumb idea and not done well by a share of income rule.

> The tax code views some level of medical expenditures as routine, and therefore non-deductible.

Routine expenditures being non-deductible isn't an intelligent rule; if it is a kind of expenditure that should be deductible, being routine doesn't really change that. If it is a routine expense that is assumed covered by the standard deduction, then you just require itemization to take a specific deduction for the purpose; we don't need special handling for something for which we already have a better and more general solution.




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