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Wendell Potter

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Got Health Insurance Through Your Employer? Maybe Not for Long (But Not Because of Reform)

Posted: 06/16/11 10:05 AM ET

The global consulting firm McKinsey & Company set off a firestorm when it released a report last week suggesting that 30 percent of U.S. businesses will stop offering health care benefits to their employees after most of the provisions of the Affordable Care Act go into effect in 2014.

The White House was quick to challenge the validity of the report, noting that McKinsey has so far refused to provide any details of the methodology used to reach its conclusion. All McKinsey will say is that its report was based on a survey of 1,300 employers and "other proprietary research."

White House deputy chief of staff Nancy-Ann DeParle, who previously headed the president's office of health care reform, called it an "outlier" and cited other studies predicting that that few if any employers would drop coverage because of the Affordable Health Care Act.

Congressional Republicans were just as quick to defend the McKinsey report, which they are citing as fresh evidence that the new federal law -- crafted in part to protect the employer-based system -- will have disastrous consequences.

Who's right? Well, pardon the cliché, but only time will tell. What we can say with certitude right now is that the hubbub over the McKinsey report has obscured a reality neither side is acknowledging. What is indisputably true is that the employer-based system has been crumbling for several years. And, with or without the Affordable Care Act, it's very possibly on its last legs. Repealing the law, as every GOP presidential candidate pledged to do during the debate in New Hampshire Tuesday night, would probably only hasten its complete collapse.

When I began working in the insurance industry in 1989, the vast majority of Americans -- well over two-thirds of the population -- got their coverage through employers. Just about every year since then, the percentage has been declining.

According to the Economic Policy Institute, the share of Americans with employer-sponsored health insurance declined from 64.2 percent in 2000 to 58.5 percent in 2008. Most of that decline occurred during the Bush administration, and before the most recent recession began.

The figure is undoubtedly lower today because millions of workers lost their jobs -- and along with them, their health insurance -- during the recent economic downtown. When the recession officially began in December 2007, the U.S. unemployment rate was just 5 percent. It peaked at 10.1 percent in October 2009, four months after the official end of the recession, but it is still more than 9 percent today.

Another factor in the decline of Americans with employer-sponsored coverage is that the number of businesses still offering it has also dropped precipitously in recent years. The Kaiser Family Foundation, which keeps track of health insurance trends, found that the number of firms offering coverage fell from 69 percent in 2000 to 60 percent in 2009. The erosion was even more pronounced among companies with fewer than 10 workers, falling from 57 percent to 46 percent during the same period.

According to Gallup, the situation has only gotten worse since 2009. In a November 2010 Gallup poll, just 44.8 percent of American adults reported having health insurance provided through their employer.

One of the less obvious reasons for the unraveling of the employer-based system is that an ever-increasing number of workers are taking a pass on the coverage even if their employers still offer it, according to the Employee Benefit Research Institute. Why? Because employers are requiring that their workers pay a bigger portion of the premiums, and they're making them pay more out of their own pockets in the form of higher deductibles and co-payments. Many workers simply can't afford to take on the additional financial burden.

The insurance industry has also played a leading role in the decline of the employer-based system. The reason more and more small employers are no longer offering coverage is because many of them have been "purged" by their insurance carriers. Insurers routinely "purge" employer customers they believe have become too much of a risk to profits. All it takes is one employee of a small business -- or the spouse or child of one employee -- to get critically ill for the company's insurer to jack up rates so high that the business owner has no choice but to drop coverage for everyone.

A survey conducted last month by Crain's Detroit Business of 300 Michigan small businesses found that 24 percent considered canceling their health care coverage this year, primarily because of premium increases demanded by their insurance carriers.

Behind all these numbers are real people. In the coming weeks, to take us from the abstract world of figures to the real world of American-style health insurance, I will be writing about the experiences of several small business owners who say they want to continue offering health care benefits to their employees but are finding it increasingly difficult to do so.

Do you own or manage a small business? I'd like to hear what it's been like to try to get health insurance coverage for your employees. Please go to http://bit.ly/mweBe2 and fill out a brief questionnaire. Thank you.

 
 
 

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HUFFPOST SUPER USER
politicky
just follow the $$$
12:43 PM on 06/19/2011
Thank you for doing what you do Mr. Potter. I find it reprehensible that such a tiny number of people ( health insurance company shareholders and officers) can negatively impact what at times can be basic survival for so many people and make a profit doing it.
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HUFFPOST SUPER USER
Cleanerman
08:30 PM on 06/17/2011
My opinion (for what it is worth) is that Congress should have passed a public option for health insurance reform. Over time, insurance companies need to get out of the business of insuring health and, ultimately, single payer be implemented.
HUFFPOST SUPER USER
2pence
ignorance should not be contagious
08:10 PM on 06/17/2011
Perhaps, private insurance healthcare has to die a "natural" death inorder for single payer to become reality. Cutting the throat of private insurance at this juncture would rock Wall Street, creating an additional economic crisis. Americans were encouraged to invest in 401ks and the like, another hit to the collective retirement portfolio of those who may also experience decreased SS benefits could cause a backlash of elder poverty, resulting in social upheaval. Somehow, I think the end of privatized healthcare insurance is going to be an evolutionary process brought on by the uninsured worker, who usually at some point will seek medical care, paid for by government dollars to prevent the entire healthcare provider network from failing; a matter of time before America wakes up and sees the structural rot the system suffers.
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joebaggadonuts
Civilization: Evolutionary pathway of choice.
06:55 PM on 06/17/2011
THat won't happen. THe corps have thier employees interest at heart.

http://www.businessinsider.com/corporate-america-really-really-cares-about-its-employees-really-2011-6
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HUFFPOST SUPER USER
dragonlady620
My karma will run over your dogma
01:34 AM on 06/18/2011
Great link.
12:06 PM on 06/17/2011
Its time to face up to the obvious truth. We need a national health case system like the one the military has which would cover all Americans. If anyone can still afford the for-profit insurance-based system let them pay for it out of their own pocket.

There is no other way to solve the debt crisis, restore competitiveness of American business and still provide affordable health care to all who need it.

But it will take a national peoples movement to force politicians to stand up to the powerful lobbies who don't want this to happen and own enough of our politicians to ensure that it never does.
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Liberals Are Intolerant
fiscal conservative, social libertarian
11:10 AM on 06/17/2011
In a sick way, liberals look forward to the day that good employers drop health care coverage. It will be a means to finally enact single payer, like Canada and England. There is no question in my mind that both sides will be so unhappy with obamacare that we will end up with single payer in 10 years. There is a reason that so many large corporations are aligned with the democrats in congress. They do not want to be saddled with paying health care anymore, especially for their retired pensioners, so they pray for the day that they no longer have to offer it.
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HUFFPOST SUPER USER
dragonlady620
My karma will run over your dogma
01:51 AM on 06/18/2011
What corporations don't want to be "saddled with" is any cost or risk to themselves in the healthcare business. They simply want to take your money- and that includes a signicant amount of public money (and anyone who has the temerity to make a claim is punished for it- which is the whole point that Wendell Potter was trying to make). They spend that money on multimillion-dollar salaries for CEOs and perks like corporate jets and have increasingly failed to deliver the product for which they were intended. Medical insurance should never have been allowed to have become a profit-driven commodity. If they want to operate for profit they should do it without a dime of public money- or at the very least they should not be allowed to spend that money on anything but healthcare. this is very telling: http://content.healthaffairs.org/content/21/4/88.full As it points out, we're already paying for a public option- and not getting it.
iridium53
Semper Fi
10:47 AM on 06/17/2011
The ACA gives healthcare insurance a guaranteed 20% rate of return - for what the Social Security administation does for less than 6%.

The ACA is corporate welfare. Enforced by the IRS.
The ACA is a protection racket - kleptocracy for healthcare insurers and big pharma.

It does some good, I suppose.

Instead of using the power of the government to actually control costs - Democrats chose to give their corporate buddies a guaranteed income. And, stick business with the bill.
iridium53
Semper Fi
10:30 AM on 06/17/2011
Thanks for the information and what you're doing. Appreciate it.

As a small consulting firm owner I offer healthcare to my employees.

I would rather not. I would, of course, much prefer a single-payer, Canadian-like healthcare system, because it would help put me on a more even basis with my large company competitors. That would help small business.

But, of course, small business is not the concern of the Obama administration, is it?
They cater to the needs of the biggest banksters and biggest companies - like Immelt's.

Washington is a corrupt kleptocracy for big companies - the leader of which is Obama.

Facts on Obama's kleptocracy:
After two and a half years in office:
The top 1%'s share of national income keeps increasing at an increasing rate. 9.1% unemployment. Record unemployment among African-Americans. Since Bush tax cuts no net new jobs, no change in median incomes.

Obama has, however, made sure that banksters and big companies are well looked after.
10:47 AM on 06/17/2011
i hate to bust your bubble of obama hate, especially because i agree with you on the single payer/canadian system, but i think the prob goes alot deeper than the white house since 2008. as the article stated the numbers have been looking grim for at least a decade, let's blame ALL of d.c. for letting us down and only doing right by big business, not just the 1 figure head who had a chance to make right by the people and sally'd out.
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HUFFPOST SUPER USER
dragonlady620
My karma will run over your dogma
02:48 PM on 06/18/2011
This problem didn't originate with Obama. It's actually been around since the history of the country, and was exacerbated to an unforeseen degree during the Bush/Cheney years. And no matter who is in office it will takes YEARS to fix.
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Democrat in the South
Empathy, the most important word
08:14 AM on 06/17/2011
This is good news. One step closer to single payer.
05:57 AM on 06/17/2011
I work for Staples and they just recently did away with traditional PPO/EPO insurance and have replaced it with a $3000 deductible "Health Savings Account," who's premiums are about half my pay. It costs me more than my old insurance and it guarantees I'll never be able to see a doctor. I got to pay $3000 out of pocket EVERY YEAR before they kick in a 20/80 co-pay. What's the point?
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HUFFPOST SUPER USER
dragonlady620
My karma will run over your dogma
02:49 PM on 06/18/2011
The point is to take your money and virtually guarantee that they will neve have to shell out a dime in return.
This user has chosen to opt out of the Badges program
SitandStay
Lorenzo&BushH8ter
02:03 AM on 06/17/2011
Anyone have any idea of how to get prescriptions filled if you travel to Canada?
This user has chosen to opt out of the Badges program
01:56 AM on 06/17/2011
T.R.Reid, correspondent and author of "Healing of America" , hosted a one-hour PBS show, "Sick Around the World", comparing the health care systems of the U.S., Britain, Switzerland, Germany, Taiwan, and Japan. It's available for viewing at:

http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/
FRONTLINE: sick around the world |PBS

These graphs compare the health care systems of Japan, Britain,
Switzerland, and Germany to the U.S.:

http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/etc/graphs.html
FRONTLINE: sick around the world: Graphs: U.S. Health Stats Compared to Other Countries | PBS

A review of Mr. Reid's book, dedicated to Eisenhower:

http://www.tomhull.com/ocston/books/reid-healing.php
Tom Hull: T.R. Reid: The Healing of America

"...(pp. 13-14):

The academics have a term for this approach to problem-solving: "comparative policy analysis." The patron saint of comparative policy analysis was an American military hero who went on to become our thirty-fourth president: Dwight D. Eisenhower. That's why this book is dedicated to his memory..."

http://www.consumeraffairs.com/news04/2005/bankruptcy_study.html
Medical Bills Leading Cause of Bankruptcy­, Harvard Study Finds
HUFFPOST SUPER USER
Chas53
01:32 PM on 06/17/2011
Thanks for the links, informative.
This user has chosen to opt out of the Badges program
03:46 PM on 06/17/2011
You're welcome.
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SitandStay
Lorenzo&BushH8ter
01:42 AM on 06/17/2011
The health insurers, the businesses, the Tpartiers, the Republicans all have a huge and organized agenda to cost the government as much as they can to destroy Obama's administration. This is why Koch brothers and all of corporate America and their minions will take as much in government subsidies as possible and will cheat even more on their write-offs because they are intent on making this country one big dehumanizing machine to be run by THEM!
We are insane to not have already become anarchists. Charles Ferguson, the director and producer of Inside Job, is stunned to find this nation behaves as if everyone is on an opiate. We sgould have been in the streets LONG AGO!
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08:46 AM on 06/17/2011
fanned and faved.
This user has chosen to opt out of the Badges program
08:46 AM on 06/17/2011
fanned and faved,
10:15 PM on 06/16/2011
It is so incredibly wrong that people think it's normal for people to monetize off of people being afraid of falling ill.
09:29 PM on 06/16/2011
We need to get insurance co out of the business and have public run health ins for every single
person in the
USA