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It’s Time to End the Preference and Tax Capital Gains as Ordinary Income

The United States entered the COVID-19 crisis with an unusually large budget deficit for an economy at or close to full employment. Even if employment,…

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The United States entered the COVID-19 crisis with an unusually large budget deficit for an economy at or close to full employment. Even if employment, output, and growth were to recover quickly to where they were at the end of 2019 (something that is far from certain), the deficit, under current law, will remain large.


The good news is that interest rates are likely to remain well below the rate of GDP growth for the foreseeable future, as they have since the beginning of the century. As long as that remains the case, there is no danger of an “exploding debt” scenario in which a large but constant federal deficit causes debt to grow without limit as a share of GDP. At this point, the greatest danger to the recovery is premature austerity. Still, as the recovery proceeds, we are sure to hear it argued on both economic and political grounds that the deficit should be reduced.


At that point, the search will be on for ways to close the budget gap. Although everyone will roll out their favorite spending cuts, much of the heavy lifting is going to have to come on the revenue side of the budget. As former Trump adviser Gary Cohn put it recently, talking to CNN’s Fareed Zakaria,
Our next Congress, the Congress that sits down in 2021, almost has to sit down and look at our spending and our revenue side. … How we spend money? There are a lot of places where we could cut back. In addition to that, I think they have to look at our tax system and think of ways that we raise revenue.
No area of the tax code is more ripe for reform than the preferential treatment given to capital gains. While incomes from wages and salaries face a maximum tax rate of 37 percent, capital gains on assets held for more than a year, in most cases, are taxed at a maximum rate of just 20 percent.

The benefits of the capital gains tax preference flow predominantly to the rich. Some 70 percent of the benefits go to taxpayers with annual incomes of $1 million or more, who enjoy annual benefits of $145,000 each. Benefits for households with incomes of $50,000 or less average about $10. For years, backers have tried to find broader justifications for this tax break, contending that benefits to the few somehow trickle down to the rest, but their efforts are less than convincing.


Here are some of the many issues raised by the capital gains tax preference, and the many reasons why its elimination should be at the top of the list in the search for additional sources of federal revenue.



Are capital gains really income?


One argument for lenient tax treatment is that even if income is to be taxed, capital gains are not income at all, but only a reflection of a transfer of ownership of an existing asset. If we want assets to come under the control of those who can put them to best use, say defenders of the preference, we should not erect barriers to their purchase and sale. Just as we tax labor income when it is paid out to workers, we should tax capital income only when it is paid out as interest, dividends, royalties, or whatever, but not when ownership of an asset is transferred from one party to another.


That might make sense if it were possible to distinguish cleanly between income and capital gains, but it is not. Instead, it is all too easy to transform income from almost any source into something that looks like a capital gain.


Consider a fanciful example: I make a contract with my wife to supply 2,000 hours of labor over the coming year for a payment of $2,000. Under the terms of the contract, she can, if she wants, call on me to use those hours in any way she wants. She could ask me to mow the lawn and make lasagna for dinner, but she could also sell the local university an option that would allow it to buy my services at the same $2,000 she paid for them. The university willingly pays her $95,000 for the option, which is a good deal for them since they would otherwise have had to pay me $100,000 to teach my quota of courses. When we file our joint tax return come April 15, we will be taxed at the capital gains rate on my wife’s $95,000 income from the option sale, while I report ordinary income of $2,000. Our before-tax income is a little lower than it otherwise would be, but our total taxes are a lot lower.


Although this example seems absurd, the real world is full of situations where businesses can do much the same — structure a transaction to make it look like a capital gain instead of ordinary income. In fact, one law firm advertises an options-based strategy exactly like that described above, except that it is used to shelter income from real estate rather than from labor. Choices like organizing a firm as a partnership instead of a corporation, paying executives with stock options instead of a salary, or imaginatively structuring a real estate deal can also convert ordinary income to capital gains. The strategies are endless.


One of the most controversial ploys is the carried interest rule, which allows hedge fund and private-equity managers to structure the income they receive for their services in a form that qualifies for taxation as capital gains. Even some commentators who are otherwise enthusiastic about lenient taxation of capital gains draw the line at carried interest. For example, David Frum, who thinks a lower tax rate for capital gains is good policy, agrees that the rule is “utterly unjustifiable. If you’re investing with other people’s money,” he says, “What you are earning is income — and it should be taxed as such.” The 2017 Tax Cuts and Jobs Act, which slashed the corporate tax rate, was supposed to close the carried interest loophole, but it ended up making only minor modifications. For the most part, say tax analysts, the rule lives on.


Tax avoidance strategies that convert ordinary income to capital gains would be a problem even if they did nothing but generate inequities and reduce federal revenues, but that is not the whole story. Such strategies may require more than just waving an accountant’s wand over something a firm would do anyway. Instead, structuring transactions to take advantage of specific tax rules often requires changing actual business practices, such as the choice of financing methods, the timing of investments, even the choice of one’s whole line of business. Often, the changes would be unprofitable except for their tax advantages. Although proponents of the capital gains preference claim it supercharges growth and efficiency, tax-induced changes in business practices are a significant drag on the real economy.


Do we need a capital gains preference to correct for inflation?


A second argument used by supporters is that we need low tax rates on capital gains to avoid taxing “phantom” gains produced by inflation. The argument is superficially plausible. When there is inflation, asset owners may be taxed on nominal gains even when real asset values do not increase.


For example, suppose you buy some shares of stock at $100 and sell them for $120 a couple years later. Inflation has meanwhile pushed up the cost of living by 10 percent. That leaves you with an inflation-adjusted pretax gain of just $10. If you pay 37 percent tax as ordinary income on the $20 nominal gain, your tax rate on the $10 real gain is 74 percent. Cutting the rate on nominal capital gains to 20 percent reduces the real rate to 40 percent — not quite enough even to fully level the playing field, but a move in the right direction, it would seem.


But there are two flaws in that argument.


First, any arbitrary rule, such as a fixed lower tax rate or an exclusion of a portion of capital gains, can only crudely approximate the necessary adjustment for inflation. The 20 percent rate that is close to right in the example we just gave becomes too low if inflation slows (as it has in recent years). If inflation instead accelerated, it would become too high. Second, the rate that just levels the playing field for a person in one tax bracket could be too high or too low for those in other brackets.


A more nuanced approach would be to index the basis on which capital gains are calculated to reflect actual inflation between purchase and sale. That would avoid the taxation of phantom capital gains, but not a second, equally serious problem: Other forms of investment income, too, are subject to phantom taxation when there is inflation.


Suppose, for example, that in a zero-inflation world, borrowers would offer a 5 percent coupon rate on top-rated corporate bonds. If the rate of inflation rises to 5 percent, borrowers would be willing to offer a 10 percent nominal coupon rate on the bond, since they know they will be able to pay future interest and principle in less valuable dollars. The 10 percent nominal rate leaves your real return and their real interest cost at 5 percent. So far, so good. But suppose now that you are subject to a 20 percent tax on your interest income. In the zero-inflation case, your interest income after tax is 4 percent. In the inflationary case, you have to pay tax on the whole 10 percent nominal rate, leaving you an 8 percent nominal return after taxes. When you subtract 5 percent inflation, that 8 percent nominal return becomes just 3 percent. In short, even if borrowers adjust nominal interest rates to fully reflect inflation, inflation increases the effective tax rate on bondholders.


The situation would be similar for income from the common stock of a firm that has constant real profit, from which it pays a constant fraction in dividends. Faster inflation would increase the real effective rate of taxation on the dividends.


A helpful 1990 paper from the Congressional Budget Office explores the problem in detail. The paper confirms that faster inflation raises the effective tax rate on investment income, but it points out that the effect is inherently smaller for capital gains than for dividend or interest income. Attacking the problem of phantom capital gains in isolation by whatever means — a preferential capital gains rate, an exclusion, or indexation — only widens the gap between the way inflation affects capital gains and the way it affects interest and dividends. Doing so increases the attractiveness of tax avoidance strategies that involve inefficient business practices.


The ideal solution to distortions caused by inflation would be to index the entire tax system. Indexation would have to cover not only all forms of investment income, but also taxation of ordinary income, real estate, inheritance, and everything else. But trying to remove the effect of inflation on capital gains taxes separately is likely to make things worse, not better.


Do we need the preference to avoid double taxation of corporate profits?


“Double taxation” of corporate profits is a third common argument in defense of lenient tax treatment of capital gains. The idea is that corporate profits are taxed once at the business level and then again at the individual level when they are paid out as management bonuses, dividends, or capital gains.


It is true that a preferential rate on capital gains would be one way to attack the distortion — one way, but a bad one. A much better way would be to fix the flaws in corporate taxes that are the source of the problem rather than apply a Band-Aid to capital gains.


Actually, part of the job was done in the 2017 Tax Cuts and Jobs Act, which lowered corporate tax rates across the board. A further step would be to get rid of the numerous loopholes in the corporate tax system that allow a big chunk of corporate profit to escape taxation altogether while those unlucky enough not to qualify pay much more.


But the 2017 corporate tax cut left a key part of the job unfinished. If we want to enjoy the potential efficiency benefits of corporate tax reform, those taxes should not just be reduced; at the same time they should be shifted to the individual incomes of the managers and shareholders who are the ultimate recipients of corporate profits. To do that would require eliminating the capital gains preference. A regime that had no corporate income tax and full taxation of profits, whether earned by shareholders as capital gains, dividends, or in any other form, would eliminate double taxation once and for all without an unfair redistribution of the overall burden of taxation.


The lock-in effect


The “lock-in” effect is a final problem with capital gains taxation. As the tax is currently administered, people do not have to pay capital gains on an asset until it is sold. As a result, the after-tax return on an appreciating asset increases the longer it is held.


Compare a bond that pays a steady interest income every year to a stock that increases in value by the same amount each year. Over time, the effective tax rate on the stock would be lower even if the statutory tax rate were the same on both interest income and capital gains. The reason is that bondholders have to pay their tax year by year, while stockholders can defer payment of the tax until they sell their shares, possibly many years later.


Moreover, if people still have not sold their stock or other assets when they die, their heirs never have to pay taxes on the capital gains at all. Instead, the value of the assets is “stepped up” to the market value at the time of the original purchaser’s death. In the meantime, the original owners can live quite well by borrowing against the value of the assets. When they die, their heirs can sell enough shares to pay off the loans, without paying capital gains taxes either on those shares or the ones they keep.


The lock-in effect, then, creates an artificial incentive for owners to hold on to stocks or real assets longer than they otherwise would. In many cases, that means that assets do not move smoothly from the hands of those who own them to those of new owners who could make better use of them. Furthermore, the lock-in effect greatly reduces the revenue that the government realizes from capital gains taxes.


Unfortunately, removing the tax preference and taxing capital gains at the same rate as ordinary income would, by itself, make the lock-in problem worse. Assets would move from hand to hand even more slowly than they do now. As a result, the increase in revenue from lifting the capital gains preference would be disappointingly small.


Fortunately, there are ways to overcome the lock-in problem. A recent study from Brookings by Grace Enda and William G. Gale discusses several possible reforms.


Two of the simplest reforms attack the so-called “Angel of Death” loophole that allows heirs to fully or partially escape capital gains taxes. One version would eliminate the valuation step-up at death. Suppose John Sr. buys an asset for $1,000 in 1990 and dies in 2010 when the asset is worth $2,000. John Jr., the heir, finally sells the asset in 2020 when it is worth $3,000. Under the current regime, John Jr. pays no capital gains tax until 2020, and then only on the $1,000 gain that has occurred since the time of inheritance. Without the step-up, John Jr. would pay tax in 2020 on the full $2,000 gain that had taken place since the original purchase. An even stronger version of the same reform would require John Jr. to pay tax on the first $1,000 of the gain in 2010, at the time of inheritance, and pay the tax on the remaining $1,000 when the asset is sold in 2020.


A still more far-reaching reform would be to tax capital gains annually on an accrual or mark-to-market basis. Suppose that your tax rate is 30 percent, and in year 0, you buy 100 shares of stock at $50 a share. They rise in price to $100 in Year 1, fall to $75 in Year 2, and rise again to $150 in Year 3, at which point you sell them. Under mark-to-market taxation, in Year 1 you pay tax of $1,500 on a capital gain of $5,000; in Year 2, you have a negative tax liability of $750 on a capital loss of $2,500, which you can carry forward; and in Year 3, you have a capital gain of $7,500 on which you owe tax of $2,250, $750 of which you cover with the carried-forward loss. Your total tax over the 3 years is $3,000, the same as it would be if you were taxed only at the time of sale, but because there is no deferral of taxes, there is no lock-in effect.


Mark-to-market taxation would be easy to implement for assets like stocks and bonds that were actively traded, but not so easy for hard-to-value assets like real estate or private business interests. An approach called retrospective taxation could be used in such cases. Under that system, capital gains would be taxed at the time of sale, but the tax rate would be higher the longer the asset had been hed. The rate of increase in the tax rate would depend on market interest rates. If it were done right, the cost of the rising tax rate would exactly balance out the benefit of deferring taxes until sale. In short, retrospective taxation would eliminate the lock-in effect without encountering the problem of annual evaluation of hard-to-value assets.


Any of these reforms, alone or in combination, would mitigate the lock-in effect. As a result, capital markets would operate more efficiently, since assets would move more freely into the hands of the owners who could put them to the best use. It would also increase the revenue gain from elimination of the capital gains tax preference.


The bottom line


Those who defend the preferential rate on capital gains are right when they argue that all taxes affect business decisions. But it is a non sequitur to say that because they affect business decisions, capital gains taxes should be as low as possible. The proper conclusion, instead, is that we should consider capital gains taxes in the context of the tax system as a whole:


  • Taxing capital gains at lower rates than other forms of investment income does little to encourage investment in general. However, it does a lot to encourage the structuring of investment in ways that avoid taxes, even if they are inherently less efficient.

  • Theoretically, an ideal tax system would be fully indexed for inflation, but singling out capital gains for special treatment while other forms of capital income are not adjusted actually increases the degree to which inflation undermines the equity and efficiency of the tax system.

  • A case can be made against double taxation of corporate profits, but the proper reform would be to tax capital gains and dividends as ordinary income at the same time that profit taxes at the corporate level were reduced or eliminated.

  • The lock-in effect is real, but the appropriate way to mitigate it would be through elimination of the angel-of-death loophole while taxing all capital gains on a mark-to-market or retrospective basis.

In short, as we look ahead to the likely need for additional federal revenues as the U.S. economy fully recovers from the COVID-19 downturn, a thorough reform of our system for taxing capital gains should be a high priority.


Based on a previous post at NiskanenCenter.org. Photo courtesy of Pixabay.com.



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Are Voters Recoiling Against Disorder?

Are Voters Recoiling Against Disorder?

Authored by Michael Barone via The Epoch Times (emphasis ours),

The headlines coming out of the Super…

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March 9, 2024

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Are Voters Recoiling Against Disorder?

Authored by Michael Barone via The Epoch Times (emphasis ours),

The headlines coming out of the Super Tuesday primaries have got it right. Barring cataclysmic changes, Donald Trump and Joe Biden will be the Republican and Democratic nominees for president in 2024.

(Left) President Joe Biden delivers remarks on canceling student debt at Culver City Julian Dixon Library in Culver City, Calif., on Feb. 21, 2024. (Right) Republican presidential candidate and former U.S. President Donald Trump stands on stage during a campaign event at Big League Dreams Las Vegas in Las Vegas, Nev., on Jan. 27, 2024. (Mario Tama/Getty Images; David Becker/Getty Images)

With Nikki Haley’s withdrawal, there will be no more significantly contested primaries or caucuses—the earliest both parties’ races have been over since something like the current primary-dominated system was put in place in 1972.

The primary results have spotlighted some of both nominees’ weaknesses.

Donald Trump lost high-income, high-educated constituencies, including the entire metro area—aka the Swamp. Many but by no means all Haley votes there were cast by Biden Democrats. Mr. Trump can’t afford to lose too many of the others in target states like Pennsylvania and Michigan.

Majorities and large minorities of voters in overwhelmingly Latino counties in Texas’s Rio Grande Valley and some in Houston voted against Joe Biden, and even more against Senate nominee Rep. Colin Allred (D-Texas).

Returns from Hispanic precincts in New Hampshire and Massachusetts show the same thing. Mr. Biden can’t afford to lose too many Latino votes in target states like Arizona and Georgia.

When Mr. Trump rode down that escalator in 2015, commentators assumed he’d repel Latinos. Instead, Latino voters nationally, and especially the closest eyewitnesses of Biden’s open-border policy, have been trending heavily Republican.

High-income liberal Democrats may sport lawn signs proclaiming, “In this house, we believe ... no human is illegal.” The logical consequence of that belief is an open border. But modest-income folks in border counties know that flows of illegal immigrants result in disorder, disease, and crime.

There is plenty of impatience with increased disorder in election returns below the presidential level. Consider Los Angeles County, America’s largest county, with nearly 10 million people, more people than 40 of the 50 states. It voted 71 percent for Mr. Biden in 2020.

Current returns show county District Attorney George Gascon winning only 21 percent of the vote in the nonpartisan primary. He’ll apparently face Republican Nathan Hochman, a critic of his liberal policies, in November.

Gascon, elected after the May 2020 death of counterfeit-passing suspect George Floyd in Minneapolis, is one of many county prosecutors supported by billionaire George Soros. His policies include not charging juveniles as adults, not seeking higher penalties for gang membership or use of firearms, and bringing fewer misdemeanor cases.

The predictable result has been increased car thefts, burglaries, and personal robberies. Some 120 assistant district attorneys have left the office, and there’s a backlog of 10,000 unprosecuted cases.

More than a dozen other Soros-backed and similarly liberal prosecutors have faced strong opposition or have left office.

St. Louis prosecutor Kim Gardner resigned last May amid lawsuits seeking her removal, Milwaukee’s John Chisholm retired in January, and Baltimore’s Marilyn Mosby was defeated in July 2022 and convicted of perjury in September 2023. Last November, Loudoun County, Virginia, voters (62 percent Biden) ousted liberal Buta Biberaj, who declined to prosecute a transgender student for assault, and in June 2022 voters in San Francisco (85 percent Biden) recalled famed radical Chesa Boudin.

Similarly, this Tuesday, voters in San Francisco passed ballot measures strengthening police powers and requiring treatment of drug-addicted welfare recipients.

In retrospect, it appears the Floyd video, appearing after three months of COVID-19 confinement, sparked a frenzied, even crazed reaction, especially among the highly educated and articulate. One fatal incident was seen as proof that America’s “systemic racism” was worse than ever and that police forces should be defunded and perhaps abolished.

2020 was “the year America went crazy,” I wrote in January 2021, a year in which police funding was actually cut by Democrats in New York, Los Angeles, San Francisco, Seattle, and Denver. A year in which young New York Times (NYT) staffers claimed they were endangered by the publication of Sen. Tom Cotton’s (R-Ark.) opinion article advocating calling in military forces if necessary to stop rioting, as had been done in Detroit in 1967 and Los Angeles in 1992. A craven NYT publisher even fired the editorial page editor for running the article.

Evidence of visible and tangible discontent with increasing violence and its consequences—barren and locked shelves in Manhattan chain drugstores, skyrocketing carjackings in Washington, D.C.—is as unmistakable in polls and election results as it is in daily life in large metropolitan areas. Maybe 2024 will turn out to be the year even liberal America stopped acting crazy.

Chaos and disorder work against incumbents, as they did in 1968 when Democrats saw their party’s popular vote fall from 61 percent to 43 percent.

Views expressed in this article are opinions of the author and do not necessarily reflect the views of The Epoch Times or ZeroHedge.

Tyler Durden Sat, 03/09/2024 - 23:20

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Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

The…

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March 9, 2024

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Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

The U.S. Department of Veterans Affairs (VA) reviewed no data when deciding in 2023 to keep its COVID-19 vaccine mandate in place.

Doses of a COVID-19 vaccine in Washington in a file image. (Jacquelyn Martin/Pool/AFP via Getty Images)

VA Secretary Denis McDonough said on May 1, 2023, that the end of many other federal mandates “will not impact current policies at the Department of Veterans Affairs.”

He said the mandate was remaining for VA health care personnel “to ensure the safety of veterans and our colleagues.”

Mr. McDonough did not cite any studies or other data. A VA spokesperson declined to provide any data that was reviewed when deciding not to rescind the mandate. The Epoch Times submitted a Freedom of Information Act for “all documents outlining which data was relied upon when establishing the mandate when deciding to keep the mandate in place.”

The agency searched for such data and did not find any.

“The VA does not even attempt to justify its policies with science, because it can’t,” Leslie Manookian, president and founder of the Health Freedom Defense Fund, told The Epoch Times.

“The VA just trusts that the process and cost of challenging its unfounded policies is so onerous, most people are dissuaded from even trying,” she added.

The VA’s mandate remains in place to this day.

The VA’s website claims that vaccines “help protect you from getting severe illness” and “offer good protection against most COVID-19 variants,” pointing in part to observational data from the U.S. Centers for Disease Control and Prevention (CDC) that estimate the vaccines provide poor protection against symptomatic infection and transient shielding against hospitalization.

There have also been increasing concerns among outside scientists about confirmed side effects like heart inflammation—the VA hid a safety signal it detected for the inflammation—and possible side effects such as tinnitus, which shift the benefit-risk calculus.

President Joe Biden imposed a slate of COVID-19 vaccine mandates in 2021. The VA was the first federal agency to implement a mandate.

President Biden rescinded the mandates in May 2023, citing a drop in COVID-19 cases and hospitalizations. His administration maintains the choice to require vaccines was the right one and saved lives.

“Our administration’s vaccination requirements helped ensure the safety of workers in critical workforces including those in the healthcare and education sectors, protecting themselves and the populations they serve, and strengthening their ability to provide services without disruptions to operations,” the White House said.

Some experts said requiring vaccination meant many younger people were forced to get a vaccine despite the risks potentially outweighing the benefits, leaving fewer doses for older adults.

“By mandating the vaccines to younger people and those with natural immunity from having had COVID, older people in the U.S. and other countries did not have access to them, and many people might have died because of that,” Martin Kulldorff, a professor of medicine on leave from Harvard Medical School, told The Epoch Times previously.

The VA was one of just a handful of agencies to keep its mandate in place following the removal of many federal mandates.

“At this time, the vaccine requirement will remain in effect for VA health care personnel, including VA psychologists, pharmacists, social workers, nursing assistants, physical therapists, respiratory therapists, peer specialists, medical support assistants, engineers, housekeepers, and other clinical, administrative, and infrastructure support employees,” Mr. McDonough wrote to VA employees at the time.

“This also includes VA volunteers and contractors. Effectively, this means that any Veterans Health Administration (VHA) employee, volunteer, or contractor who works in VHA facilities, visits VHA facilities, or provides direct care to those we serve will still be subject to the vaccine requirement at this time,” he said. “We continue to monitor and discuss this requirement, and we will provide more information about the vaccination requirements for VA health care employees soon. As always, we will process requests for vaccination exceptions in accordance with applicable laws, regulations, and policies.”

The version of the shots cleared in the fall of 2022, and available through the fall of 2023, did not have any clinical trial data supporting them.

A new version was approved in the fall of 2023 because there were indications that the shots not only offered temporary protection but also that the level of protection was lower than what was observed during earlier stages of the pandemic.

Ms. Manookian, whose group has challenged several of the federal mandates, said that the mandate “illustrates the dangers of the administrative state and how these federal agencies have become a law unto themselves.”

Tyler Durden Sat, 03/09/2024 - 22:10

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Low Iron Levels In Blood Could Trigger Long COVID: Study

Low Iron Levels In Blood Could Trigger Long COVID: Study

Authored by Amie Dahnke via The Epoch Times (emphasis ours),

People with inadequate…

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March 9, 2024

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Low Iron Levels In Blood Could Trigger Long COVID: Study

Authored by Amie Dahnke via The Epoch Times (emphasis ours),

People with inadequate iron levels in their blood due to a COVID-19 infection could be at greater risk of long COVID.

(Shutterstock)

A new study indicates that problems with iron levels in the bloodstream likely trigger chronic inflammation and other conditions associated with the post-COVID phenomenon. The findings, published on March 1 in Nature Immunology, could offer new ways to treat or prevent the condition.

Long COVID Patients Have Low Iron Levels

Researchers at the University of Cambridge pinpointed low iron as a potential link to long-COVID symptoms thanks to a study they initiated shortly after the start of the pandemic. They recruited people who tested positive for the virus to provide blood samples for analysis over a year, which allowed the researchers to look for post-infection changes in the blood. The researchers looked at 214 samples and found that 45 percent of patients reported symptoms of long COVID that lasted between three and 10 months.

In analyzing the blood samples, the research team noticed that people experiencing long COVID had low iron levels, contributing to anemia and low red blood cell production, just two weeks after they were diagnosed with COVID-19. This was true for patients regardless of age, sex, or the initial severity of their infection.

According to one of the study co-authors, the removal of iron from the bloodstream is a natural process and defense mechanism of the body.

But it can jeopardize a person’s recovery.

“When the body has an infection, it responds by removing iron from the bloodstream. This protects us from potentially lethal bacteria that capture the iron in the bloodstream and grow rapidly. It’s an evolutionary response that redistributes iron in the body, and the blood plasma becomes an iron desert,” University of Oxford professor Hal Drakesmith said in a press release. “However, if this goes on for a long time, there is less iron for red blood cells, so oxygen is transported less efficiently affecting metabolism and energy production, and for white blood cells, which need iron to work properly. The protective mechanism ends up becoming a problem.”

The research team believes that consistently low iron levels could explain why individuals with long COVID continue to experience fatigue and difficulty exercising. As such, the researchers suggested iron supplementation to help regulate and prevent the often debilitating symptoms associated with long COVID.

“It isn’t necessarily the case that individuals don’t have enough iron in their body, it’s just that it’s trapped in the wrong place,” Aimee Hanson, a postdoctoral researcher at the University of Cambridge who worked on the study, said in the press release. “What we need is a way to remobilize the iron and pull it back into the bloodstream, where it becomes more useful to the red blood cells.”

The research team pointed out that iron supplementation isn’t always straightforward. Achieving the right level of iron varies from person to person. Too much iron can cause stomach issues, ranging from constipation, nausea, and abdominal pain to gastritis and gastric lesions.

1 in 5 Still Affected by Long COVID

COVID-19 has affected nearly 40 percent of Americans, with one in five of those still suffering from symptoms of long COVID, according to the U.S. Centers for Disease Control and Prevention (CDC). Long COVID is marked by health issues that continue at least four weeks after an individual was initially diagnosed with COVID-19. Symptoms can last for days, weeks, months, or years and may include fatigue, cough or chest pain, headache, brain fog, depression or anxiety, digestive issues, and joint or muscle pain.

Tyler Durden Sat, 03/09/2024 - 12:50

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