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09.28.2008 9:00 pm

Monday editorial: The big squeeze on health insurance

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nw_jlw_healthcare02_opt.jpgWith the meltdown of the American financial system dominating news reports, another long-running crisis continues unchecked, squeezing American businesses and workers as never before.
Last week, the nonpartisan Kaiser Family Foundation reported that family health insurance coverage provided by an employer now costs an average of $12,680 a year. The foundation’s authoritative report, based on a nationally representative survey of employers, found coverage for a single worker costs an average of $4,704 a year.
As recently as 2000, the average cost of family coverage was $6,348, while the cost of covering a single employee was $2,424.

Growth in the cost of health insurance premiums slowed this year to just 5 percent. Such good news may, in turn, slow the trend of businesses discontinuing employee health benefits. But the reduced rate of growth is the result of companies shifting an increasing proportion of insurance costs to their workers, who in many cases are even less able to afford them.
Workers will pay an average of $3,354 in premiums for family coverage this year. That’s more than double the $1,543 they paid as recently as 1999. And that doesn’t even count higher deductibles, co-insurance fees and co-pays.
With workers’ incomes stagnating as food and energy costs soar, more American families are being torpedoed by medical costs.

The nonpartisan Center for Studying Health System Change reported last week that one in five American families — 57 million people, most of them in families that have insurance coverage — had problems paying medical bills last year. That’s up from 15 percent in a 2003 survey.
More than half of these families said they had to borrow money to meet their medical expenses. About 20 percent said they considered declaring bankruptcy because of their difficulties.
Like the Kaiser report, the center’s findings were based on a national survey, and both were completed before the recent turmoil in American financial markets. Today, the impact of medical bills on families could be even more severe.

It’s becoming increasingly clear that the American health care system as currently organized — wasteful, inefficient and poorly designed — is unsustainable. The solution isn’t more money; it’s a completely redesigned system.
Health care reform has been a hot topic in political campaigns at all levels over the past year. Both Republican Sen. John McCain and Democratic Sen. Barack Obama have offered different reform plans, although neither of them calls for the fundamental transformation that many experts believe is needed.
As the debate continues, so does the squeeze on families and businesses. And the casualties, both commercial and personal, continue to mount.
With the meltdown of the American financial system dominating news reports, another long-running crisis continues unchecked, squeezing American businesses and workers as never before.
Last week, the nonpartisan Kaiser Family Foundation reported that family health insurance coverage provided by an employer now costs an average of $12,680 a year. The foundation’s authoritative report, based on a nationally representative survey of employers, found coverage for a single worker costs an average of $4,704 a year.
As recently as 2000, the average cost of family coverage was $6,348, while the cost of covering a single employee was $2,424.

Growth in the cost of health insurance premiums slowed this year to just 5 percent. Such good news may, in turn, slow the trend of businesses discontinuing employee health benefits. But the reduced rate of growth is the result of companies shifting an increasing proportion of insurance costs to their workers, who in many cases are even less able to afford them.
Workers will pay an average of $3,354 in premiums for family coverage this year. That’s more than double the $1,543 they paid as recently as 1999. And that doesn’t even count higher deductibles, co-insurance fees and co-pays.
With workers’ incomes stagnating as food and energy costs soar, more American families are being torpedoed by medical costs.

The nonpartisan Center for Studying Health System Change reported last week that one in five American families — 57 million people, most of them in families that have insurance coverage — had problems paying medical bills last year. That’s up from 15 percent in a 2003 survey.
More than half of these families said they had to borrow money to meet their medical expenses. About 20 percent said they considered declaring bankruptcy because of their difficulties.
Like the Kaiser report, the center’s findings were based on a national survey, and both were completed before the recent turmoil in American financial markets. Today, the impact of medical bills on families could be even more severe.

It’s becoming increasingly clear that the American health care system as currently organized — wasteful, inefficient and poorly designed — is unsustainable. The solution isn’t more money; it’s a completely redesigned system.
Health care reform has been a hot topic in political campaigns at all levels over the past year. Both Republican Sen. John McCain and Democratic Sen. Barack Obama have offered different reform plans, although neither of them calls for the fundamental transformation that many experts believe is needed.
As the debate continues, so does the squeeze on families and businesses. And the casualties, both commercial and personal, continue to mount.

4 comments

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Ok, so who will make the changes necessary to make the healthcare sysetem work for all? The obvious answer, since the AMA, the hospitals, the insurance companies, and the employers aren’t going to change methods anytime soon, is the government. As distasteful as that is, the lobby groups of all involved will be working overtime to cut deals with lawmakers to make lucrative changes in the industry for all. As with all issues facing us today from the economy to foreign policy, it can’t be business as usual. The republican remedy for everything these days, tax free savings plans and investments to help main street with the astronomical costs of a healthcare industry gone wild while at the same time making some nice profits for their friends in the banking and investment industry, will not work either. Their philosophy of removing regulation and letting an industry find it’s “equalibrium” is a fantastic pipe dream which makes a lot of profit for some while leaving the rest of us worse off than ever. No, there must be a balance between private and public if this is to work.

— willys
3:16 am September 29th, 2008

I support BO’s healthcare plan which is essentially the same plan as Mitt Romney’s in Mass. Why? Healthcare is 8% of our economy. After watching what the government has just let happen to the mortgage industry which is 5% of our economy, I simply can’t believe that any relatively intelligent person would give that much power to our government which has so screwed up our country. These people are incompetent and greedy. No thanks to socialized medicine. You thugs keep your greedy hands off my healthcare. The greedy thugs who run our health care insurance companies are bad enough.

— A CENTRIST
9:10 am September 29th, 2008

I presume this never occurred to the hand wringing leftists at the Post-Dispatch, but in fact, it is employer-based health insurance that is in great measure responsible for this problem to begin with. A family of 4 can get a perfectly good health insurance plan from Anthem Blue Cross for less than $500 a month, less than the worker portion of employer-based insurance which you cite twice in this editorial. But gold plated health plans have been the standard for years, and employees fight any reduction. This is confirmed by the fact with which you lead off your editorial, that the average employer plan costs more than four times as much as this Blue Cross PPO.

For most of my working life, I’ve provided my own insurance through an individual plan. For the last few years, I’ve been part of a group plan at a family owned business that is as cost conscious about insurance as I am. In both cases, my insurance provided excellent coverage, at a cost far below what is reported here.

The result of these gold plated health plans is, inevitably, overconsumption. If you gave me a card that allowed me to take whatever I want from the butcher for free, we’d eat a lot of t-bones in our house.

— Nick Kasoff
9:18 am September 29th, 2008

Well, it’s obvious Nick doesn’t trust the system or the individual. Let them eat steak….

I pay into a health and welfare trust fund for every hour worked by my employees under a collective bargaining agreement. The current agreement stipulates $6.80 for every hour. That’s $8,580 dollars a week for my 30 employees….They’re worth it. They make me money. They’re Union electricians who have famlies and must survive in this horrible Republican economy….Nick thinks it’s important to have $5000 deductible and $500 dollar co-pays….Nick’s cheap. His employees are getting screwed. He’s living the American dream. His employees are just trying to survive.

SCAB.

Chrysler just lost 3,000 jobs to Canada….Want to take a guess?

— Garrison
11:01 am September 29th, 2008