 Equality in Markov's inequality

For a finite-expected value nonnegative random variable and $a>0$, equality in the uncapped Markov's inequality holds exactly when $Y$ takes only $0$ and $a$ almost surely. Indeed the nonnegative difference $Y-a{1}_{\{Y\ge a\}}$ has zero expected value exactly when it vanishes almost surely. Giving $a$ probability $p$ yields $\mathbb{E}Y=pa$ and $\mathbb{P}(Y\ge a)=p$. This shows the bound cannot generally be reduced using only the nonnegative random variable's expected value.