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Employer Mandate

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Watching Kent Conrad proudly read off the list of items that the Senate Finance Committee included or should I say turned over to the conservatives in their bill just to kowtow to the obstructionist minority party is just mind numbing. Why didn't Baucus just let Renzi and Grassley write the bill for the democrats? Didn't John McCain win the election? He's actually proud of what they've done. Republicans should just love this bill. It cuts out all the things that would have an impact on health care reform. Here's Kent Conrad's ode to da republicants.

Mitchell: How did you do? Are you guys going to get any Republicans to join you in this?

Conrad: Well, we certainly hope so. Look, they asked a series of things be excluded.

*They didn't want a public option, it's not in this package. They didn't want an employer mandate, it's not in this package.

*They wanted tax reforms so that the high end Cadillac plans would have a levy on them to discourage over utilization, that's part of the package.

*They didn't want illegals to benefit, many Democrats agreed, that's not in the package. Those here illegally will not benefit.

*They wanted to make certain that federal dollars not be used to support abortion and so they're not.

*There's the beginning of medical malpractice which many wanted to see be included. There's a clear statement on that.

So I hope that they'll see as we go through the process that there's much here that's worthy of their support....

If Mitch McConnell had told the Baucus Dogs that Americans should be required to produce at least three forms of ID to enter hospital emergency rooms, Conrad probably would have included that, too. In that respect I think the Republicans blew it. Luckily for us, Americans, Senators, Republicans and a lot of members of his own committee do not feel the same way.

Republicans don't like it because... it's a health care bill. Democrats don't like it because... it's a bad health care bill designed to kowtow to Republicans who won't even vote for it. Health care advocacy groups don't like it because it "would give a government-subsidized monopoly to the private insurance industry to sell their most profitable plans - high-deductible insurance - without having to face competition from a public health insurer." A good reason not to like it! And unions don't like it because there's no employer mandate and it would "tax health plans."

Even President Obama's response to the bill was terrible:

Despite months of anticipation, the White House on Wednesday stopped well short of endorsing Sen. Max Baucus's (D-Mont.) healthcare bill.

White House press secretary Robert Gibbs said the release of Baucus's Senate Finance Committee healthcare legislation — the last of five committees to unveil a proposal — moved the legislative process along, but President Barack Obama still thinks the bill will change.

Oh, there is one group of people that love the Bacus bill:Insurance companies.

Following Baucus’ announcement, HealthNet shares increased by 3%, United Health Group Inc shares rose by 2.7%, Humana Inc. grew by 2.6%, Wellpoint stock gained 1.7% and Aetna Inc rose 1.6%...



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Even as the watered down health care reform legislation from the Senate Finance Committee has landed with a resounding thud, a new study is shining a spotlight on questions the Baucus bill fails to address. Following an analysis from PriceWaterhouseCoopers earlier this year, the survey from the Kaiser Family Foundation confirms American employers are planning to raise health care premiums, slash benefits and, increasingly, drop coverage for their workers.

The Kaiser report is just the latest symptom of the rapidly deteriorating system of employer-provided health insurance coverage. A 2007 report from the Economic Policy Institute showed a dramatic decline in employer-provided health care. That drop-off from 64.2% of Americans covered through workplace insurance in 2000 to just 59.7% in 2006 alone added 2.3 million more people to those without coverage. Census data since showed workplace coverage dipped further in 2007, down to an alarming 59.3%. A recent Thomson Reuters survey put the figure for 2009 at a stunning 54.6%. (Last week's data from the U.S. Census revealed that it was only the expansion of government programs including SCHIP and Medicaid which offset the erosion of employer coverage in 2008.)

As the Washington Post reported Tuesday, the grim outlook for employer-provided health insurance is growing more dismal still:

Forty percent of employers surveyed said they are likely to increase the amount their workers pay out of pocket for doctor visits. Almost as many said they are likely to raise annual deductibles and the amount workers pay for prescription drugs.

Nine percent said they plan to tighten eligibility for health benefits; 8 percent said they plan to drop coverage entirely. Forty-one percent of employers said they were "somewhat" or "very" likely to increase the amount employees pay in premiums -- though that would not necessarily mean employees are paying a higher percentage of the premiums. Employers could simply be passing along the same proportional share of the overall increase that they did in 2009.

To be sure, Americans' health care expenditures are spiraling out of control, expanding at triple the rate of wages.

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