Optimates Optimates

Wednesday, February 28, 2007

Healthcare Fix

U.S. Senator Ron Wyden (D-Oregon) has come up with a rather interesting healthcare proposal. It's not Hillarycare, but it's not quite Health Savings Accounts either. Here's a passage that caught my attention:


Under Wyden's plan, employers would no longer provide health coverage, as they have since World War II. Instead, they'd convert the current cost of coverage into additional salary for employees. Individuals would use this money to buy insurance, which they would be required to have. Private insurance plans would compete on features and price but would have to offer benefits at least equivalent to the Blue Cross "standard" option. Signing up for insurance would be as easy as ticking off a box on your tax return. In most cases, insurance premiums would be withheld from paychecks, as they are now.

Eliminating employers as an additional payer would encourage consumers to use health care more efficiently. Getting rid of the employer tax deduction, which costs a whopping $200 billion a year, would free up funds to subsidize insurance up to 400 percent of the poverty line, which is $82,000 for a family of four. The Lewin Group, an independent consulting firm, has estimated that Wyden's plan would reduce overall national spending on health care by $1.5 trillion over the next 10 years and that it would save the government money through great administrative efficiency and competition.

This seems to make far more sense than our current model, where the employee is essentially a serf to his boss when it comes to purchasing insurance. Not only is this grossly inefficient, it's not even classical capitalism! This plan promises to cut government expenditures, give us more choice in selecting insurance plans, and would free up investment dollars for more productive endeavors (like, dare I say, trains!). Where's the catch?

2 Comments:

Blogger Pascals Bookie said...

How will we determine the amount of salary given to the employee for this purpose?hey say they'll convert current cost of coverage, but this varies widely from place to place, not to mention from year to year. Also, many companies don't provide insurance at all, but now the employees will be mandated to have it? Who foots the bill at that point?

I like the general idea, but I'm hazy on the specifics. It seems like a lot of issues could prop up where the employer would naturally end up screwing the employee.

28 February, 2007 21:13  
Blogger Joshua said...

Pascal's,

You ask the very pertinent (and dare I say conservative-sounding!) question:

"Also, many companies don't provide insurance at all, but now the employees will be mandated to have it? Who foots the bill at that point?"

I think this is where the savings come in. According to this model, the government will save $200 billion just from eliminating various deductions. This money could then be used to pay (or help pay) for insurance for low-income households.

I'm sure that, given time, I will find many things about this bill that I don't like. But it's gotten to the point where the status quo is intolerable for both individuals and companies. If this plan represents the start of something, I'd like to hear more.

01 March, 2007 09:09  

Post a Comment

<< Home