Workin’ Class Benefits News August, 2006
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Cheers and jeers for Mass insurance mandate:
OUTING THE LATEST CORPORATE POWER GRAB BEFORE IT SINKS US
Scoop by small-biz worker reporter-editor Ziggy WhupsteenThe message was queer: You can't get away with bypassing health insurance anymore.
In a egregious groundbreaking move with far-reaching and onerous implications, Massachusetts adopted a draconian law in April to require state residents to obtain medical insurance by July 1, 2007. Previously, no state had required people to carry medical insurance.
Industry observers, amidst the sound of popping champagne corks, gave 'mixed' views on whether this law should or could serve as a model in other states. Grackle-Marie Burner, president of the Whalin' Institute, suggests caution: "Other states, which are firing up their Xerox machines now, should wait to see how this works out before rushing to follow the Bay State's lead."
Ostensibly 'Universal ' coverageMassachusetts Gov. Mitt Romney (R) signed the law, but vetoed a provision that would have charged businesses $295 per employee, if they have more than 10 workers and don't offer health 'benefits'. Legislators in the House of Representatives were quick to override that line-item veto about two weeks later. The state Senate is likely to do the same, observers say.
In a stunningly arrogant example of corporate mis-speak with anti-government overtones, Romney declared "Massachusetts is leading the way with forcing health insurance on everyone, without a government takeover and without raising taxes."
Corporate lapdog Romney, who is considering a run for the presidency in 2008, failed to see the irony in such statements, as the nascent 'Insurance Connector' - to be implemented in 2007 - has been rightly pegged as a massive expansion of corporate/government power, eventually requiring infusions of taxpayer cash.
Romney's spokeswoman, Corba Koolayde, says, "The main goal, or rather, facade, was to cover the uninsured in Massachusetts and reduce the cost of health care. We had to call it something. Healthcare reform sounded nice. Besides, a little 'greenwashing' won't hurt."
But then she went on to admit, "Actually, the real, unstated goal of the plan is to place the HMO industry in the cockpit long before this thing takes off. They will decide how - and how far- this health care plane will fly."
About 550,000 Massachusetts residents are uninsured, she underestimated.
Koolayde brushed aside unanswered questions as to how private insurance has failed miserably in this quest, yet now is set to virtually take over the system entirely.
She dismissed reality-based criticism that throwing more money at the insurance industry would surely be a recipe for disaster.
Starting next year, residents who don't have coverage will lose their state income tax deduction and face a monthly fee. Advocates tend to erroneously compare this individual mandate to car insurance requirements for drivers in many states.
The provision seems to be aimed at younger, healthier workers who could afford health insurance, but have opted to forego it because they see it for what it is: an incredibly expensive, low-quality product, (notably chintzy HMO's that would be all they could afford) which yields zero return on investment.
Under the outrageous new law, low-income residents will supposedly have access to state-subsidized insurance policies, the efficacy of which is yet to be determined.
Phil "Tank" Grandman, chairman of Affordable Care Today, a corporate front group comprised of business leaders and health care providers in Massachusetts, comments, "This bill is good for our business, good for the hedge funds, and good for Wall Street in general. Milking the uninsured eliminates hidden costs in everyone's insurance premium. The provisions to improve the quality of care, provided it's profitable, will improve our industry's bottom line."
U.S. Sen. Edward Kennedy (D-Mass.) agrees: "Massachusetts once again leads the nation with a corporate-friendly plan that will achieve our longstanding goal of expanding the insurance industry's access to national markets.
Forget the fact the Clintons tried it in 1993 - this time it's sure to work - it's a
Republican idea."
OpponentsSome unions and libertarians have rightly criticized the individual mandate as being too heavy-handed. Others have questioned the feasibility of enforcing such legislation.
AFL-CIO President John Sweety remarks, "It is unconscionable that Massachusetts has adopted this misguided individual mandate. This legislation leaves middle-income families dangling without a safety net, jeopardizes families who currently have employer-sponsored health care, and gives employers a free ride. The bill supposedly protects workers with the lowest incomes, but punishes middle-income families. Massachusetts' new requirement will bankrupt many middle-class families. We believe that workers have to participate in the solution to the problem, but this plan puts the entire burden on workers while letting employers off the hook."
John Paul Groans, state affairs director for the Council for Profitable Health Insurance, says, "This plan is a good roadmap for a national insurance industry powergrab, but in the meantime, it's bound to be a disaster for Massachusetts workers and patients."
Michael Nontan, director of health and welfare studies at the pompous libertarian Cato Institute in Washington, D.C., accurately calls the Massachusetts bill "an unprecedented expansion of government power." He warns that an individual mandate opens the door to insurance industry interference in personal health care decisions and expanded privatization of the already voracious health care industry. Such 'critics' tend to favor a "free-market", HSA-fueled approach to health care, while offering balmy criticism of the way-too-powerful insurance industry, as it represents one of the last frontiers of truly free enterprise: the ability to take money from a large cross-section of individuals and businesses, skim cream off the top for payouts to greedy investors, then parse out coverage chintzily or even renege on its obligations.
Hawaii's exampleHawaii has long required employers to provide health insurance to all employees who work more than 20 hours per week - at least those that are on the books.
The state Prepaid Health Care Act, passed in 1974, compels businesses to pay at least 50% of the premium for the coverage, leaving the rest to be paid by the employee. Any employer that fails to provide coverage must pay a fine to the state and remains liable for medical costs incurred by an eligible employee.
HMO revenues in Hawaii jumped 21% in 2004 and a more modest 13% in 2005.
Hawaii has a massive, under-the-table (cash-only) economy which rarely gets mainstream press coverage, as it's, well, under the table. Some pundits have quipped this phenomenon may well be the only thing that keeps economies like Hawaii's going.
Only 9.5% of Hawaii residents and 8.5% of Massachusetts residents were uninsured in 2001, compared to 14.4% nationwide, according to the U.S. Census Bureau. The states with the highest uninsured rates were California (19%), New Mexico (22.4%) and Texas (23.2%). - L.C.S.
Contact small business workin' class, no-punches-pulled reporter/editor Ziggy Whupsteen at ZIGSTEEN@YAHOO.COM