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Publication 517 (2020), Social Security and Other Information for Members of the Clergy
and Religious Workers makes it very confusing. It states concerning Health Insurance Costs of Self-Employed Ministers:
"If you qualify, you can take this deduction as an adjustment to income on Schedule 1 (Form 1040), line 16. See the Instructions for Forms 1040 and 1040-SR to figure your deduction.
The following special rules apply to the self-employed health insurance deduction.
You can't take a medical expense deduction on Schedule A (Form 1040) for any expenses you claim for purposes of the self-employed health insurance deduction."
These two statement seem contradictory. Which instruction do we follow for a clergy member who receives a hybrid W2 with no social security or medicare income shown and who has to pay their own social security, medicare and health insurance with no help from the 'employer' in view of the fact that the 'employer' is unaware of any self-employed health premiums paid and has therefore made no deduction from W2 income to account for them?
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