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Amendment 56 - Require Health Insurance Coverage

by: DavidThi808

Fri Sep 26, 2008 at 10:06:28 AM MDT


The measure would require every employer that employs twenty or more employees in the state of Colorado to provide major medical health care coverage for its employees (paying 80% of the cost) and their dependents (paying 70% of the costs).

Further info at Colorado Ballot - The misnamed Employer Responsibility for Health Insurance Initiative

DavidThi808 :: Amendment 56 - Require Health Insurance Coverage
Arguments Against
First you have companies that do provide health insurance, but not at the mandated 80%/70% amounts. So let's take a real example of a company that pays 100% of the individual and 0% of the family part. And it is set up this way based on employee feedback because many employees are single and many others have a spouse's plan covering the spouse & kids. This change can be made at no cost to the company, but the employees will be worse off.

Lets take a second real example where a company provides health insurance at a bit below these percentages. But it's a really good plan, covering most everything, and is through Aetna so that claims are paid with a minimum of hassle. Again, at no additional cost to the company they can get a plan that covers less through a carrier that is a PITA to deal with, but meets the percentages. Again, the workers are less happy.

Now the above examples are the best case scenarios. The workers are a bit worse off, the business is a bit worse off, but no jobs were lost. Lets get in to the bad cases.

Next we have the case of a company that provides no health insurance or what they provide is so much less than this, that in either case they are looking at a much larger expense. What's key here is that this expense is per employee. Not per dollar paid to employees. Not per dollar of income received. It's a flat fee per employee.

So what this company must do is layoff every employee it can, while getting the remaining ones to work as long and as hard as possible. Better to layoff 1 person and pay 2 others for 20 hours/week of overtime each.

This measure will reduce jobs substantially in those industries that provide little or no health insurance. And those jobs are overwhelmingly lower paying jobs - this really hurts the blue collar worker.

But that's not the worst case. Lets now look at the companies that require lots of unskilled or semi-skilled labor, have a very low profit margin, and can be located anywhere. Those companies are gone. You can't bring in an added expense like this and still compete against companies that don't have this additional overhead.

Granted, these are jobs that suck. They don't pay well. Those workers having no health insurance is a national shame. But eliminating the job is not the answer because the job, lousy as it is, beats no job.

The Health Insurance Initiative will be devastating for the workers at the lower end of the economic scale in this state. And for most of them it doesn't mean they will get health insurance, it means they will go from a job with little or no health insurance ... to no job at all.

Arguments For
Amendment 56 increases access to affordable health insurance for working people and their families. When individuals and families have health insurance, they are better protected from the financial burden of catastrophic medical events. By establishing cost-sharing requirements between employers and employees, the measure provides more workers with a viable option to obtain health insurance.

Employers in the state share in the responsibility for solving the problem of access to health care. While a majority of Colorado employers offer health insurance to employees, employers that do not provide this benefit have an unfair competitive advantage and create a financial burden on those that do. The costs of treating people with little or no health insurance are passed on in the form of increased charges for health care services and increased insurance premiums, which in turn raise the cost of health care for everyone.

Vote NO! Devastating Impact Vote No
This initiative is not just a job killer, it will decimate entire sectors of the economy here in Colorado. Most companies that offer poor or no health insurance don't choose to do so. Rather it's because what they offer (if anything) is all they can afford. This does not magically produce health insurance at no cost, rather it will force out of business those industries that can not offer this level of insurance and still make a profit.

This proposal is anti-worker as it will reduce the number of jobs in Colorado. And with the massive unemployment from this initiative, those lucky enough to have a job will have a difficult time getting a raise.

In addition, to continue with the incredibly successful Colorado Labor Peace Act of 1943, this (and the other 6 peace act violators) must be defeated.

Poll
My vote on 56
Yes
No
Not sure

Results

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I have never had 20 employees.
.
If this passes, I may never want to.
.

I have 250 employees
We recently looked through a stack of insurance proposals 8" high and were unable to find something workable. A significant part of the problem was that we needed a very high participation rate from the employees for the underwriters to accept us. The other problem was that, with so many overweight and smoking staff, their health was high risk, so the costs were exorbitant.

I'd be much more willing to go along with this if I had no smokers out of my 250 employees, and no overweight, and under exercised staff.

Was this written by the insurance companies?

"I can tolerate chaos, I'm just not sure chaos can tolerate me" Dylan


That is a big advantage for high-tech companies
We tend to have high participation and the demographic is one the insurers love. And it's very unfair because insurance is then based on what type of job skills you have.

My recommendations in the 2010 primary?

[ Parent ]
Interesting.
I have been working with the city to give free use of rec centers for volunteer hours in order to expand the hours the centers are open.  

I'd even be in favor of an hour of work paid for city workers to use to work out.  I think we'd easily get the money back on the health insurance end of it, sick days, etc.

"Kevin and I will keep them out somehow -- even if we have to redefine what the peer-review literature is!"  


[ Parent ]
Is anyone SINCERELY for this thing?
Looks like it was intended to be a "poison pill" to get right-to-work off the table, period.

I mean, is anyone sincerely 100% for this thing - and would they be if right to work were off the table?

I doubt it.


A Move In The Wrong Direction
We should be ending employer-provided health insurance, not codifying it. We need a combination of a regulated/pooled individual market with a universal stipend so that everyone can afford buying in.

"One of the marks of a certain type of bad man is that he cannot give up a thing himself without wanting everyone else to give it up." - C.S. Lewis

This is the best argument against it IMO
A health care plan should be universal and national, and this is neither.  

"I am B.J. Wilson, and I am a troll."

[ Parent ]
Agreed
Also, how does this sync with the health care ideas offered by the two presidential candiates?

Many were increasingly of the opinion that they'd all made a big mistake in coming down from the trees in the first place.  And some said that even the trees had been a bad move, and that no one should ever have left the oceans. - Douglas Adams

[ Parent ]
If this passes...
employers will switch to minimal coverage offering for their employees.  

"But when I see a 9-11 victim family on television, or whatever, I'm just like, 'Oh, shut up!' I'm so sick of them because they're always complaining."  Glenn Beck  

They should call this bill "Expanding Unemployment"
n/t

"I'll take incompetence over a business model incentivised to kill me any day." -- DtR(H)

We Need More Than this Amendment for Healthcare
Until the U. S. Congress gets universal healthcare going, we should be doing what Massachusetts is doing.  Commonwealth Connector is the website.

This movie has been rated PG-13 for sci-fi violence and destruction
@pambennettauror


Great Plan
By being a leader in health care Colorado will attract new jobs.  

Ironically, this measure only came about because of the Right to Work initiative #47.  

I expect 56 and 47 to both pass by large margins.  


How on earth does adding a large expense
[ Parent ]
Jobs in Health care maybe
Three things will happen if this passes, lousier health insurance options, you'll get one option, the one the company can afford or two, you'll be laid off (hope you are not employee number 21,21,or 22) or three, businesses will close in Colorado and go elsewhere.  Nice...all these poison pills stink, so much economic development in Colorado

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