Those are all strategies to reduce taxable income, which is a different discussion than rate of tax. Certainly a valid discussion, but unrelated. If I don't have taxable income, the tax rate can be 100%, it doesn't matter because I don't need to pay. But you do bring a good point, if they are willing to pay accountants hundreds of thousands to manage those tax strategies, the easiest strategy to avoid this new MA tax is very cheap, to just leave, no accountant necessary.