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How healthcare regulation can help big business

By: Timothy P. Carney
Examiner Columnist
06/17/09 10:29 AM EDT

One of the arguments for government-run health care is that our current system, in which most of us depend on our employer for health insurance, keeps you tied to your current job. Certainly, there would be some economic gains from a healthcare system that removed additional barriers to mobility, such as increased entrepreneurship, a more robust labor market.

Another way to promote the same mobility: remove the government-created advantage employers have in health care--exactly what John McCain wanted to do, and exactly what caused Barack Obama to attack him for wanting to "shred the employer-based health-care system." McCain's health policy plan included repealing the special tax carveout for companies providing health insurance subsidies to their workers. This didn't please all employers, as the New York Times reported at the time (in a piece with the factually groundless and simply obnoxious lead "American business, typically a reliable Republican cheerleader...."). I argued at the time that big employers didn't like losing an advantage they have that keeps you from seeking another job or demanding a raise.

Today, Susan Ferrechio reports that a coalition of congressman and small business groups are worried about the effects on small business of a current reform proposal that all (or most) employers offer health insurance.

[I]f the government begins to mandate insurance for small businesses, it would eliminate 1.6 million jobs, according to the National Federation of Independent Businesses, which lobbies on behalf of small business. “To simply pass a law that would force employers to do something they just can’t afford is destructive in any economic environment, but in these incredibly trying times, it’s absolutely lethal,” said NFIB President Dan Danner.

It's another example of why big business often likes or doesn't mind more regulation: Regulation adds to overhead, which disproportionately hurts the small guys and doesn't affect as much those with better economies of scale. We've seen this recently in tobacco, toys, and food, among other industries.




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Reader Comments

All comments on this page are subject to our Terms of Use and do not necessarily reflect the views of the Examiner or its staff. Comment box is limited to 250 words.

Larry

Jun 18, 2009

For years we provided a no deductilble full paid policy for our employees & families. With todays insurance rates we were spending $1000 a month for each employee & family for a $10,000 deductible plan. I dropped insurance now completely for the 1st time in 25 years of business due to this. I'm not happy about it, but mandating that we have coverage without also dealing with the HIGH cost of Health Care & Insurance rates we'll all be looking for new jobs.

 

Michelle

Jun 18, 2009

We only employ 8 people, mostly women. Our average age is currently around 45yo. 2006 was our last attempt to obtain group coverage. We were informed that 100% participation was required and the premiums were going to be almost $3000 per month for the group. Even if I could get everyone to participate (some had better plans through their spouse's employer), I couldn't afford the entire premium and my employees couldn't afford half. I was really excited when NFIB was lobbying for small businesses to band together across state lines to increase their buying power with insurance companies. I have seen this work within a state with professional groups. Too bad the insurance groups have stronger lobbying power than we do in small business. Most small companies cannot meet the requirements of a "group" (100% participation) or the premiums for their groups become cost prohibitive as their group ages.

 


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