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African National Congress aid tax analysis becomes taxable benefit packages Broomberg budget calculated Central Revenue Fund changes Commission of Inquiry contributions to medical decrease demand for medical disposable income economic efficiency elasticity of demand employer contributions Employer pays 50 Figure Firstly health expenditure impact income tax increase Johannesburg keeping total health lost tax concession mechanism medical aid contributions medical aid cover medical aid expenditure medical aid members medical aid spending medical expenses medical scheme members patients pension price elasticity price of medical price ratios private health sector private hospital private providers private services public health sector public hospital public sector Q Private reduction in aggregate reduction in medical Registrar of Medical removing tax removing the concession removing the subsidy removing the tax result of removing Scenario shift South Africa substitution tax deduction tax revenue tax subsidy total medical aid utilisation constant Value Added Tax variation World Bank