amounts. there s nothing you can do on that. it is income you get from work, so it is what it is. on the investment income, there s a 3.8% surcharge, which is on interest that you get from your bank account, capital gains, dividend income, anything that is considered investment-related income. that you have a lot of control over. how so? well, i mean, for example, instead of being in taxable interest, i can be in municipal bonds. those are exempt from the surcharges. if i have a capital gain and i have to sell out of a security, what i can do is sell something that has a loss to offset the gain. if i m thinking about getting married, marry someone with a loss carry forward to offset the gains i have. it s also a brand new dating strategy. it is. the next one is unreimbursed medical expenses for those under 65. for the most part, you won t get a deduction on your medical. you have to exceed 10% of your income to document your medical