A proposal in the House of Representatives to expand health care coverage envisions surtaxes on taxpayers with relatively high adjusted gross incomes. Reliance on tax revenue from high-income earners poses a dilemma for proponents of the House health care scheme: The spending and tax provisions in the health-care scheme are unsustainable, leading to ever growing Federal government deficits; or, the scheme proves to be sustainable, but only if income inequality continues to grow.