In my last article in The Journal1I gave a brief picture of the field of estate analysis and the need for sound, constructive planning. In this discussion I would like to go further and deal specifically with the large losses physicians suffer in their lifetimes and their estates suffer at their deaths, losses which are at least partially avoidable.
We are all familiar with the history of England in the last few decades in its attempts to wipe out the so-called landed gentry through a system of confiscatory taxation. It has resulted in leveling out of the economic strata so that there are few persons of great wealth, although the system has not, apparently, decreased the number of the very poor. As the Committee on Ways and Means of the House of Representatives stated in its minority report on the Revenue Act of 1951 (H. R. 4,473),2
Appleman JA. SAVING TAXES THROUGH ESTATE ANALYSIS. JAMA. 1952;149(2):126–128. doi:10.1001/jama.1952.02930190028007
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