dragoni:

Many Americans won’t be getting refunds because of the Trump-Republican tax cuts  — many are paying more in taxes  — trickle down — no health care. #TaxScam  #TrumpCare

• Falling tax refunds highlight the Republican tax scam, Washington Post
• Tax refunds so far this year are down by $6 billion from 2018, CBS News
  

The federal deadline for people to file income taxes is April 15. Out-of-pocket spending on health care jumps about 60 percent in the week after people get their refunds, according to an analysis of account data published last year by the JPMorgan Chase Institute, a research group that draws on the bank’s data. The bulk of that money is spent during face-to-face encounters at clinics, hospitals or other medical providers.

That suggests people aren’t merely using refunds to pay down old debts; they’re waiting until they have cash in hand to get treated.

• Refunds trigger about a 10 percent increase in the number of people making in-person health-care payments on weekdays, according to the group’s research.
• More than 1 in 3 working-age Americans skipped a doctors’ visit or medical test, or didn’t fill a prescription, because of the cost last year, according to a recent survey by the Commonwealth Fund, a nonprofit health-research foundation.
  

“Year after year, what patients will say to me is, ‘Let’s just wait until April 1 or May 1 when I get my tax refund’”, dentist  Mark Vitale

Shocked by Your Tax Refund? Next Year Could Be Worse Unless You Act Now, NYTimes