OK, here I am on my insurance wagon again. And I think that I’ve come a full 180 on one issue — public insurance. I’m still not a fan of the “spin” many are putting on this program, but I’m beginning to think that a public insurance plan may be the least of the evils presently facing small business.
The biggest problem which I see is the rising cost of insurance. It continues to create situations where employers have to be the decision makers about who gets insurance and what type. The present bills introduced by Congresswoman Nancy Pelosi or Senator Harry Reid are really not going to help. When you add nearly a Trillion dollars of costs into the system, and small business is NOT going to have any increased bargaining power, who do you think will end up holding the bag? Yup, it’s going to be us. Of more concern, it will be a double whammy for many professionals and owners since they’re considered wealthy. Over time, because of income indexing, the burden of this system will fall on the backs of small business.
So, let’s have a public insurance plan.
In time it will force health care providers to either streamline their system, or shift pricing to the private plans to makeup for the losses. When that happens and the large corporations, unions, and government employees start feeling the pain, we may see a situation where people start understanding that our existing system needs more than a facelift — and that having the government involved may not be such a panacea.
Putting regulations in place which do not address the key issues of cost control and forcing insurance providers to change the way they do business, while at the same time loading more costs into the system is going to be disastrous for small employers, who lack the bargaining power –or lobbying power — to make a difference.
So, call me a left wing radical and throw me to the wolves – but a public health insurance plan may be the dynamite that could blow up the logjam which is going to occur if we let things go forward without significant changes to the system.