We are puzzled by a decision retail giant Wal-Mart announced limiting access to its health insurance programs. Access to healthcare benefits is important to the individuals in our workforce and to society as a whole. Living without coverage is a nightmare experience. The number of Americans who find themselves without health insurance –about 50 million– is shocking.
Two groups dominate this segment of our neighbors.
1) The young: They believe they are immune to serious illness. They often have health insurance available –and they could afford it– but they would rather spend their bucks on something else. For minor issues they visit tax and/or community supported clinics. They pay a few bucks for routine care, leaving the rest of the cost for their treatment to the taxpayers, or those who support these clinics through charitable gifts. If they become seriously ill they often end up with a crushing debt, or bankruptcy. In the end we all pay for it.
2) The working poor: They are not eligible for Medicare, Medicaid, or any of the other government funded programs that provide healthcare benefits for roughly half of all Americans. They worry about their health and try to ignore problems until a condition is really serious. Then it costs a ton to treat, either through the emergency room, or hospitalization. They can’t pay and so the hospitals pass the costs on to all their other patients driving up the cost of healthcare. Once again, we all pay for it.
This is where Wal-Mart, etc. –who employ the young and the working poor– can make a huge difference. Nobody expects any of these companies to pick up the health insurance premiums for these folks, but what they can do is make it available at a fraction of the cost of healthcare coverage in the open market.
When the working poor go direct to the insurers they face premiums far beyond their ability to pay, often three or four times the cost of a group plan offered through an employer. The reason for that hinges foremost on the ability of a company with thousands of employees to negotiate favorable rates. Add to that the much higher costs insurers incur in administering individual policies. A part of this cost –group insurance administration– is borne by the companies. We would guess that’s one of the reasons behind the decision at Wal-Mart to exclude some of their employees.
A short-sighted decision in our view. Access to affordable healthcare insurance is vital; it’s the kind of benefit that stabilizes a workforce. Less employee turnover cuts retraining costs and makes for better customer service, the lifeblood of a retail company. Moreover, taking care of your employees in this fashion says a lot about an employer, it makes people loyal and more productive. Not having to worry about their family’s healthcare costs keeps them focused on their job.
And besides, it’s the right thing to do; Ethics 101.
W.T.”Bill” McKibben is a Buffalo based author. © 2011 GLG
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1 comment:
You are leaving out a key piece of information that is the likely cause of that decision.
That law that the Democrats rammed through that no one really wanted. You know the one everyone called Obama Care. It makes providing health insurance to your employees too expensive to be able to provide it anymore. That is the most likely reason why Wal-Mart made the decision they did. Companies all over the place have been dropping their insurance or getting waivers. Of course you have to be in the in crowd to get the waiver.
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