No credits. If you are self-employed, making money, do not have employees, and are married a medical expense reimbursement plan (MERP) is a great option. This makes your medical 100% deductible for both income and social security tax. Basically you hire your spouse and pay her with a medical reimbursement. If you have employees or your wife is disabled and not employable there are ways to work around. For example your wife could own a business entity and hire you to do whatever work you are doing.
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