NationStates Jolt Archive


Low, low wages and the "health care safety net."

Eutrusca
13-05-2005, 12:29
NOTE: As this article amply illustrates, the need for health care support for working families in the US, as well as for retirees, is high. Yet this dovetails into the high and rising cost of health care in the US. As an example, my broken leg resulted in over $7,000.00 of hospital and other costs ... for a broken leg! What can be done, who do we need to get on board to do it, and how the hell do we pay for it?


Always Low Wages. Always. (http://www.nytimes.com/2005/05/13/opinion/13krugman.html?th&emc=th)

By PAUL KRUGMAN
Published: May 13, 2005

Last week Standard and Poor's, a bond rating agency, downgraded both Ford and General Motors bonds to junk status. That is, it sees a significant risk that the companies won't be able to pay their debts.

Don't cry for the bondholders, but do cry for the workers.

Standard and Poor's downgraded GM and Ford sooner rather than later because it believes that the public is losing interest in S.U.V.'s. But the companies were vulnerable because they still pay decent wages and offer good benefits, in an age when taking care of employees has gone out of style. In particular, they are weighed down by health care costs for current and retired workers, which run to about $1,500 per vehicle at G.M.

So the downgrade was a reminder of how far we have come from the days when hard-working Americans could count on a reasonable degree of economic security.

In 1968, when General Motors was a widely emulated icon of American business, many of its workers were lifetime employees. On average, they earned about $29,000 a year in today's dollars, a solidly middle-class income at the time. They also had generous health and retirement benefits.

Since then, America has grown much richer, but American workers have become far less secure.

Today, Wal-Mart is America's largest corporation. Like G.M. in its prime, it has become a widely emulated business icon. But there the resemblance ends.

The average full-time Wal-Mart employee is paid only about $17,000 a year. The company's health care plan covers fewer than half of its workers.

True, not everyone is badly paid. In 1968, the head of General Motors received about $4 million in today's dollars - and that was considered extravagant. But last year Scott Lee Jr., Wal-Mart's chief executive, was paid $17.5 million. That is, every two weeks Mr. Lee was paid about as much as his average employee will earn in a lifetime.

Not that many of them will actually spend a lifetime at Wal-Mart: more than 40 percent of the company's workers leave every year.

I'm not trying either to romanticize the General Motors of yore or to portray Wal-Mart as the root of all evil. GM was , and Wal-Mart is, a product of its time. And there's no easy way to reverse the changes.

What should be clear, however, is that the public safety net F.D.R. and L.B.J. created is more important than ever, now that workers in the world's richest nation can no longer count on the private sector to provide them with economic security.

When they reach 65, most Wal-Mart employees will rely heavily on Social Security - if the privatizers don't kill it. And many Wal-Mart employees already rely on Medicaid to pay for health care, especially for their children.

Indeed, a growing number of working Americans have turned to Medicaid. As the Kaiser Family Foundation points out, that's why children have for the most part have retained health coverage, despite a sharp decline in employer-based health insurance since 2000.

Yet our current political leaders are trying to privatize Social Security and reduce benefits. And they are slashing funds for Medicaid even as they give big tax cuts to people like Mr. Lee.

The attack on the safety net is motivated by ideology, not popular demand. The public isn't taken with the vision of an "ownership society"; it seems to want more, not less, social insurance. According to a poll cited in a recent Business Week article titled "Safety Net Nation," 67 percent of Americans think we should guarantee health care to all citizens; just 27 percent disagree.

The question is whether the public's desire for a stronger safety net will finally be seconded by corporations that haven't yet adopted the Wal-Mart model of minimal benefits and always low wages.

Last year Richard Wagoner Jr., G.M.'s chief executive, gave a speech about the costs of America's "Kafkaesque" health care system that sounded a lot like my recent columns. And his company has made it clear that it likes Canada's system: in 2002 the president of General Motors of Canada and the head of the Canadian Auto Workers signed a joint letter declaring that "it is vitally important that the publicly funded health care system be preserved and renewed."

But according to The Journal Register News Service, which covered Mr. Wagoner's speech, he "stressed later to reporters that he was not proposing a national health care plan." Why not?
Niccolo Medici
13-05-2005, 12:57
I still don't understand on a very basic level why employers are asked to provide health benifits. Since when do people who are working get sick, while everyone else doesn't?

What do we expect to happen to the students, children, home-workers, the self-employed, the un-employed, part-time workers...what about them?

I haven't had health insurance since I turned 18. In five years I've gone to school, worked 4 jobs, and have been unemployed. Why do we assume that I don't need/shouldn't have health insurance? If I don't get a union or government job, my chances of having health insurance are very poor.

Why do we live like this? If I break a leg, where do I pull 7k from? Which Kidney do I sell? Because I don't have that much...hell, my possessions aren't worth that much. I literally can't afford to be sick for 3-5 years at least...and thats if I do get my new job.

Its just silly. I don't associate the basic right to life without crippling disease with my employer, and I don't understand where that concept came from.

This is perhaps one area where I actually side strongly with government intervention. I WANT public health care. Because the private industry simply isn't providing it, and hasn't done a good job managing it. The market has given me, and all those listed above the finger, the market has FAILED the very people it needs.
Eutrusca
13-05-2005, 12:58
I still don't understand on a very basic level why employers are asked to provide health benifits. Since when do people who are working get sick, while everyone else doesn't?

What do we expect to happen to the students, children, home-workers, the self-employed, the un-employed, part-time workers...what about them?

I haven't had health insurance since I turned 18. In five years I've gone to school, worked 4 jobs, and have been unemployed. Why do we assume that I don't need/shouldn't have health insurance? If I don't get a union or government job, my chances of having health insurance are very poor.

Why do we live like this? If I break a leg, where do I pull 7k from? Which Kidney do I sell? Because I don't have that much...hell, my possessions aren't worth that much. I literally can't afford to be sick for 3-5 years at least...and thats if I do get my new job.

Its just silly. I don't associate the basic right to life without crippling disease with my employer, and I don't understand where that concept came from.

This is perhaps one area where I actually side strongly with government intervention. I WANT public health care. Because the private industry simply isn't providing it, and hasn't done a good job managing it. The market has given me, and all those listed above the finger, the market has FAILED the very people it needs.
Perhaps surprisingly enough, I agree! The real questions are: how do we pay for it, and who do we have to kill to get the damned thing passed?
Niccolo Medici
13-05-2005, 13:09
Perhaps surprisingly enough, I agree! The real questions are: how do we pay for it, and who do we have to kill to get the damned thing passed?

How do we pay for it, who do we have to kill? That's simple! Just combine those two problems and get a solution! ;)

Think about it, we just kill anyone who obstructs this plan and confiscate their wealth. Take the whole damn estate. With capitol hill emptied (I'm fairly sure most would object to the plan), we can set about converting all the personal pet projects of those who died into cash flow to the program.

Seriously though, the money IS there. There is tremendous amounts of cash being wasted in Washinton right now. If even a third of the checks and tax breaks we were giving to the medical giants were redirected, we'd have the beginnings of the system.
Patra Caesar
13-05-2005, 13:13
Proscription? I don't know if everyone would like a law where they are h(a)unted by their estate, especially politicians would be deciding who is proscripted.