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IRS lacks clout to enforce mandatory health insurance USA Today

Still, compliance with the health reform law will be largely voluntary, says Timothy Jost, a law professor at Washington and Lee University. "By taking criminal sanctions and liens and levies off the table, the IRS' hands are tied, to a considerable extent."

The IRS is "being put in a position where it will be sending notices that will annoy people" and not much else, says James Maule, professor of law at Villanova University and author of the tax blog MauledAgain . "It's basically designed for failure."

Shulman said he believes most Americans will comply with the law. The experience of Massachusetts , which has required residents to have health insurance since 2006, would appear to support that view. In 2008, 98% of state tax filers who were required to provide health insurance information with their state tax returns met that filing requirement, and 96% had coverage, according to a preliminary report issued in December by the Massachusetts Department of Revenue.

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America's Health Care Priorities V: Taxes, Fees and Public Health New York Times
America's Health Care Priorities V: Taxes, Fees and Public Health New York Times Seattle Post IntelligencerAmerica's Health Care Priorities V: Taxes, Fees and Public HealthNew York TimesThe individual was first discouraged from obtaining individual health insurance in 1942 when congress made health premiums tax deductible to employers President Obama Explains His New Health Care Plan – Public Option Health Reform's Benefits for Middle Class Under ScrutinyTwo Centsall 4,565 news articles »

Designing the Health Insurance Exchanges Washington Post Blogs
Designing the Health Insurance ExchangesWashington Post BlogsIt's open to everyone: The unemployed, the self-employed, and any business, no matter the size, that wants to buy its workers in. There's risk adjustment to and more »

Obama's Challenge: Selling Health Reform to the Middle Class McClatchy Washington Bureau
Obama's Challenge: Selling Health Reform to the Middle Class McClatchy Washington Bureau The Associated PressObama's Challenge: Selling Health Reform to the Middle ClassMcClatchy Washington BureauNina Hogan, a self-employed Realtor in Mason, Ohio, is one of those who potentially could be helped by the Democrats' proposals. Health reform? Women say it's about work, wagesMainers Rally for Universal Healthcare in Bangorall 290 news articles »

National Health Care Day of Service Observations Daily Kos
National Health Care Day of Service ObservationsDaily KosI talked to a woman who was self-employed and who had lacked adequate health insurance for years: she had either lacked insurance or had high-deductible and more »

Uninsured farm and ranch families feel health care costs pinch Grand Island Independent
Uninsured farm and ranch families feel health care costs pinchGrand Island Independent found that farm and ranch operators, like many self-employed Americans, cannot afford the cost of health insurance offered to small business owners. and more »