The AMT was put in place to prevent this - after all, the looters feel they MUST get their "share of the action".

Actually, it is worse. Sometimes it is only 20% or 30% depending on the specifics. Then again, I generally dislike charities. They are always having their hands out. I believe that the best charitable contribution is to be the best in your chosen field or profession since when you trade value for value both sides benefits. When you give to the charity instead of the government, you are siding with the moochers over the looters. I prefer to provide my talents to those who can (and do!) pay for them.

Perhaps you could start your own charity called the H6163741 Health Care Fund, you could donate the maximum to your charity and then use the fund to pay for your medical expenses. That is probably illegal but it's the way my silly head works.

At the risk of being un-Galt-like, you can write off some of that money through a contribution to support my research group at Florida Tech, the closest thing you will find to a Patrick Henry University. I will gladly perform materials analytical work, 3D printing, or something in nanotechnology in exchange. I would also be quite willing to have my students perform other work on your behalf, but we would have to discuss what that might be. I don't want to take a straight out donation. Value for value AND avoiding the looters in one fell swoop! I would be very glad to talk to you about our private, non-tenure-granting university and specifically about our nanotechnology minor program for which I am the chair. My own daughter chose my university of her own free will with no prodding from Dad. I was financially relieved that she did. She says that Dagny is her hero.