60% of the businesses they cherry picked.
Well, maybe not. I mean, I can see why that might be a legit stat. The most expensive employee benefit that small (and large) employers provide is health insurance. It's even more expensive for small businesses because they can't negotiate for better coverage and lower premiums like large businesses can. This would take ALL of that expense away. It would totally wipe that benefit
and the responsibility off their books. If it blows up or doesn't work, their little HR departments (usually consisting of the secretary or the owner's wife) don't have to hear the complaints - not their problem anymore. The small business that I'm working with now picks up about 75% of the premium costs. Comes out to be about $800/month, or roughly $10 grand a year for singles with no kids for a basic 80/20 policy. $10K in benefits savings per employee might sound good to this guy. Course, there's always a catch.
As a small business owner in this scenario, all you really have to care about is whether your taxes might increase by more than what you're paying for employer provided insurance now. To me, that's the open question. I'm not a benefits, insurance, Medicare or tax expert by any stretch. Didn't even stay at a Holiday Inn Express last night.
But just looking at the government website and seeing that we (the taxpayers) had gross Medicare expenditures of $711 billion in FY2018, while taking in premiums and collections of $122 billion, for a net Medicare expenditure of $589 billion... that represents a deficit. This for a system that collects from people who aren't even covered by Medicare yet. So if that system is running a deficit, this totally new system probably will too. Either a deficit or the taxes/fees/premiums required to make it revenue neutral will have to be quite a bit higher than what I've heard so far. I guess it's
possible that our critters in Congress will suddenly grow brains and figure out ways to address the costs within the healthcare industry, and get the expenditures down that way. But we're not through the looking glass with Alice yet, so I don't see that happening.
So all that to say, I don't know whether this will work or whether it will be a disaster. Probably good or bad, depending on your circumstances. I do think that it'll be a helluva lot more expensive than what partisans are projecting though. But just like how I felt about the ACA initially, I feel like if Republicans and Democrats would work
together (for once in our lifetime), we actually could come up with something better than what we have now...
just because what we have now is so damn bad and it's getting worse. I'm in a pretty good place financially and the prospect of having to buy private insurance (on my own) is more than I want to deal with - and that's why I haven't retired early. People with families, who are already up against it, are probably just one medical emergency away from being bankrupt, or at least deep in medical debt. I know people like that too. My feeling is that a mix of public and private solutions would be best. There has to be something that can rein in healthcare providers that charge $20 for an aspirin, ambulance chasing lawyers, insurance companies that gouge people while their CEOs fly around in private jets... AND members of Congress who sell us out to all of these groups by selling their votes to lobbyists for "campaign donations (I would call them bribes, but that might not be politically correct these days).