Mikaela’s Blog: Mother’s Perspective
August 19th, 2009
How old is old enough? Mikaela asks me how soon she can get in to see Dr. Bashioum. I once again go through all of the issues related to surgical risk, body image, expectations, etc. As a mother and a nurse in Dr. Bashioum’s office, I want her to make an informed decision. Mikaela has always been a “thinkerâ€, and does not make decisions on a whim. I soon realize that she was certain about moving forward. She has had an amazing senior year of high school and she decides that she will wait until after her Lacrosse season and graduation to have the surgery. I think she has made a wise decision and although there may be other plastic surgeons that would do the surgery sooner, I agree that waiting is best.
Cosmetic Surgery Tax: Paying More to Look Good!
July 29th, 2009
The US Senate Finance Committee is considering a 10% tax on cosmetic surgery. The hope is to fund the State health care plan in part with an anticipated 1 billion dollars in additional revenue. The anticipated collections are based on the American Society of Plastic Surgeons’ estimate of 10.3 billion dollars having been spent on cosmetic surgery and cosmetic medicine in 2008.
I have expected this for years! New Jersey tried a cosmetic surgery tax in 2004 but it fell short of expectations. The tax was repealed in a later legislative session. Minnesota already has a 2% tax on all medical care to fund Minnesota Care, a state provided medical plan care for the needy. As countries look for new tax revenue, the government of India is considering a similar tax (http://www.prlog.org/10279957-new-cosmetic-surgery-tax-in-india-to-hit-medical-tourism-hard.html). The tax will be extended to all direct patient pay medical services and third party (or insurance) reimbursed care outside the Federal plan mirroring the Minnesota model.
Many cosmetic medicine treatments are now delivered within med spa settings. Even hair salons now offer Botox ® and other types of injections. The idea of cosmetic treatment is much broader than one would first think. Braces, teeth whitening, hair care, cosmetics, massages, nail care, hair waxing, and tanning are all services and products which are part of the cosmetic enhancement realm. As the deficit continues to grow and looms ever larger, a strong argument can and will be made to include these services, as well. It is a slippery slope!
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