Congress's Health Care Reform Problematic For Small Businesses

July 15, 2009 RSS Feed Print
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A couple days ago the Journal had a great, lengthy report on how small businesses are often unable to afford health-care for their employees.  You know it's bad when even a health-care consulting company hits a wall:

The problem? The Washington, D.C., company just can’t afford to cover employees—despite a growth spurt that has left it desperate for additional staff. Only health savings accounts with catastrophic coverage seemed affordable, but they didn’t provide enough coverage to make Ms. Gleason comfortable. Traditional plans with more-comprehensive coverage and lower deductibles came in between $750 and $950 per month per employee, and that’s just not affordable, Ms. Gleason says. (For her part, Ms. Gleason is currently covered by the domestic-policy plan that her partner’s employer offers.)

The article also said that when it comes to the policy proposals going around Congress, "any kind of employer mandate to pay for coverage would exclude small businesses."

But today, the same newspaper reports that's not what's happening.

Under a proposed House bill, all small businesses with payrolls over $250,000 would have to either provide insurance coverage for their employees or pay a penalty.

Just how many businesses  have enough payroll to face the penalty?

According to 2006 data from the federation, businesses with between five and nine workers, representing about one million employers, had an average payroll of around $375,000 a year. A report from the Kaiser Family Foundation found that only about half of firms with three to nine workers offered health benefits in 2008.

The bill could also be a burden even on firms with under $250,000. The prospect of being hit with huge health-care costs once a business hits the $250,000 mark could be a disincentive for growth.

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The tire store will cut back on advertising so it doesn't need 8 employees so it can let one of them go. They can cut back advertising as much as they would pay the employee and his health care coverage and be just as well as they would if they kept him on.

Ryan of UT 7:11PM March 23, 2010

No business will lay off a person unless that person is simply not needed to run the business. The notion that any added cost to a business causes an equal-priced layoff of an employee simply is not true.

If the oil-change shop needs eight people to operate with the sales it has, it will have eight people. If it only has enough customers to need seven people, then it will lay one off. What it won't do is slack off on having the exact number of people required to serve its customers--assuming the service itself has a gross profit margin. What it "might" do if demand exists is add a 9th and 10th person to do more business to cover any additional new cost.

Now, if you're arguing that America having universal health care would somehow cause all people to get less oil changes, that would be different. But, I don't believe that's the case. I cannot help but believe that universal health care will be one of the best things that could possibly happen to the business community as a whole.

Muser of NM 8:10PM July 16, 2009

Muser of NM, in your example, that $20k has to come from somewhere and letting go 1/10 or 1/8 workers just doubles the unemployment rate.

Not so stupid of UT 3:30PM July 16, 2009

Capital Commerce

U.S. News business reporter Matthew Bandyk examines the issues, people, and debates that shape the nexus of political and economic life in the nation's capital.

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