realjohnboy wrote:Good evening from Johnboy in Virginia. I am going to try again to post something about the topic of Health Insurance in the US. It may be a bit long. All I can say is that these are my own thoughts. There is no cutting and pasting. I may, to try to avoid the "Critical Errors," do this in two or three successive posts. You might want to wait to see the whole thing before responding. I have numbered the paragraphs for easier refenence.
1) Last week, the leader of Wal-Mart and the leader of a labor union normally battling Wal-Mart appeared together and suggested that the notion of employer-paid health insurance was dooming American competitiveness versus foreign competitors as the globalization of the economy continues.
They have a point. By saddling employers with a personal expense is merely incorporating the cost of personal medical care into the pricing of the products sold by those employers. After all, we do not expect employers to pay for the food we buy or the tires we put on our car. If employers had to pay for everything else we bought for ourselves, can you imagine the effects on business and on the cost of their products? You essentially remove or seriously dampen the benefits you receive from a free enterprise system, when you skew the free market or saddle it with inappropriate burdens.
Quote:2) I have been in a Wal-Mart twice, and this company, the largest employer in the US, is much vilified for its employment practices. The union chief who appeared with the Wal-Mart guy has also been criticized by other unions. So be it. I would prefer that this not become a Wal-Mart bashing thread, but I can't control that.
Walmart has grown into the company it is because people like shopping at Walmart. And nobody has a gun held to their head to make them work at Walmart.
Quote:3) I am in the retail trade, and the health insurance premiums I pay as the employer amount to some $30,000 per year. That is a big chunk of money but it buys employee loyalty. And with that comes a certain longevity of employment. That leads to what I consider to be crucial in the management of any business: Institutional Memory. I watched one of my employees think on her feet the other day with a customer who came in thinking he might have a problem. But she had been here long enough. She resolved it quickly because she knew how I would have resolved it. But I digress.
Somehow, we've gotten ourselves into the mindset that employers have to buy health insurance, when it should never have progressed to that. Do your employees expect you to buy their auto insurance?
Quote:4) Debate #1 Question is this: Is the Employer-based Health-Care Insurance crippling US companies' ability to compete?
I think the answer is obviously yes.
Quote:5) Debate #2 Question is this: Is the rising cost of health care and the declining numbers of people (through jobs that don't offer health insurance) or through shut-downs and lay-offs going to bankrupt our system?
I realize the last two questions are worded awkwardly. I am sure someone can do better.
Anyway, that is my start at this. -rjb-
Ultimately I think we will go one of two ways, that of government health care, or measures to bring competitive pricing back into the system, which requires the people pay for it themselves. Since I am for freedom and as much personal responsibility as possible, I advocate the latter, while realizing the very poor will need some kind of extra measures to help them with insurance and medical care.
1. As Bush has proposed, we need serious tort reform, which malpractice lawyers seriously oppose, example Democrat John Edwards.
2. We need to give large tax deductions for people purchasing their own health insurance and their own medical care.
3. Perhaps for those people that are so poor or without jobs, perhaps a voucher or something of some sort needs to be set up for people to purchase their own catastrophic health insurance and minor medical care. We have Medicaid now, do we not, for the very poor? Perhaps keep some form of that?
Bottom line, we should want the people that receive the care to pay for the care or to pay for the insurance that pays for the care. This injects competition, which brings more quality, accountability, and efficiency into the system. I assume we all like quality, accountability, and efficiency.
I have paid my own care for many years, by purchasing a good catastrophic insurance plan, and paying for minor medical visits out of my own pocket. Therefore, I choose the doctor I want, and I only go when I am sick with more than a runny nose. When bills arrive, I personally review them, and have personally eliminated more than a thousand dollars or so, by finding charges for services that did not occur, and by offering to pay early and receiving a discount. I have personally experienced more quality, accountability, and efficiency, because of paying for my own health care, either directly or through my insurance policy.