Legislative Options for Health Care Reform
Yesterday I participated in a Senate HELP* Committee roundtable on legislative options for health care reform. With the president pushing the Congress to deliver a health care bill before the August recess, we are reaching a critical moment in the national debate. I appreciated the invitation to participate on behalf of the business community, which provides a large portion of the nation's health benefits to citizens. One of the options being discussed is a mandate that would force almost all employers to sponsor health insurance. From my written statement:
The Chamber does not believe that a mandate on employers to sponsor health insurance will make serious headway to cover the uninsured, but rather could lead to a loss of jobs. Employers who can afford to sponsor health insurance typically provide generous benefits -- and most large employers do. Employers who cannot currently afford to offer health insurance benefits will not be able to do so simply because they are mandated to do so -- small employers and businesses that operate on very small profit margins will still be unable to afford to provide benefits.
Moses could change the Nile to run red but we cannot wave a wand and create profits. If employers are required to provide some level of healthcare benefits or pay an undetermined civil penalty, the payments will come off the bottom line in some way such as lower wages and job loss and perhaps ultimately result in driving the employer out of business. That helps no one.
Another major concern within the business community is the so-called "public option"--a government-run health insurance program that would compete with private insurance. Again from the statement:
Proponents claim that a government-run plan can compete on an equal playing field with private plans, but this would put the government in the position of being both a team owner and the referee; inevitably the government would move to give unfair advantages to the "public option," just as they are considering doing now with the public financing of student loans. Even the op-ed page of the Washington Post has cited the "public option" as a backdoor way to bring the nation to single-payer, socialized medicine.
Finally there's the question of process. It's crucial that the nation move forward to help contain health care costs and improve the national quality of life, but it's just as important to take the time to get the solution right. Congress is considering imposing this new health care mandate in less than four months. I was on the Hill when Mrs. Clinton's plan was being considered and she came under much criticism for drafting the plan behind closed doors and then presenting the plan to Congress. However, there were many hearings on that bill and I would argue that it was a model of transparency and a full deliberative process compared to the absurdly accelerated process we are apparently facing now.
You can read my full written testimony online for many more details on the opportunities and dangers before us in this effort.
* The Senate Health, Education, Labor and Pensions Committee
Testifying before the Senate HELP Committee.
Randel K. Johnson joined the U.S. Chamber of Commerce on December 1, 1997. As vice president, he is primarily responsible for labor, employee benefits, education, and immigration issues pending before Congress and the federal agencies.