Tag Archive | "Health Insurance"

Is Government REALLY Why Fleisher Isn’t Hiring?


The Wall Street Journal once again published an op-ed about policy which offers a disingenuously partisan take to an important issue–employment.  In this latest flop-ed, Michael Fleisher offers his opinion as to why there is too little private sector hiring right now and he blames government.  In his article, Fleisher conflates benefits with taxes and blames rising costs for his existing health care plan on the government.

Now it’s one thing to say it’s unfair for the government to mandate health insurance, another altogether to blame the government for rising costs.  EVERYONE, including Democrats and Republicans alike are well aware that rising health care costs are a major problem.  The solution is where the two sides differ.  Yet somehow, Fleisher comes off blaming government for the entirety of that component of rising costs.

But you know what, I won’t even focus on these minutiae.  What really concerns me about this article is the complete willingness to present half-truths as truth.  It’s one thing to be wrong about facts, another altogether to intentionally place facts in a misleading light.  Exactly what am I talking about?  For purposes of simplicity, I have borrowed this breakdown of the “costs” to employee Fleisher’s hypothetical worker from Business Insider.

Costs To Employee “Sally”:

SALLY’S SALARY: $59,000
LESS:
Sally’s share of health/dental: $2.376
State unemployment insurance: $126
Disability insurance: $149
Medicare: $856
State income taxes: $1,893
Federal income taxes: $6,500
Social Security: $3,661

NET TO SALLY: $44,000

Costs To Company:

SALLY’S SALARY: $59,000
PLUS:
Company’s share of health/dental: $9,561
Life and other insurance: $153
Federal unemployment insurance: $56
Disability insurance: $149
Worker’s Comp: $300
State unemployment insurance: $505
Medicare: $856
Social Security: $3,661

NET COST TO COMPANY: $74,000

What’s missing from this picture?  Well let’s start with Sally.  Let’s forget about the fact that disability insurance is applied as a cost to both parties, and businesses are not mandated by government to provide life insurance, nor do many businesses necessarily do that.  Let’s also forget about the fact that the Worker’s Comp and State Unemployment Insurance numbers are above what a business would pay in reality, and let’s start with the fact that Mr. Fleisher counts health insurance as a COST to Sally without any benefit.  I’m not even making this up.

Mr. Fleisher makes it seem as if health insurance DECREASES Sally’s take home pay without providing a tangible benefit.  Moreover, after he calculates the take-home pay to Sally, Mr. Fleisher includes the total amount paid, less costs, but doesn’t put health insurance in as one component of the net take home pay.  In actuality, Sally’s bank account gets $44,000 in salary, AND her health gets covered with insurance.  That is a tangible benefit worth good money.  To apply it is a cost is a deliberately misleading attempt to fudge the math in order to dramatize a point.

And yet more egregiously, for the company’s costs, Mr. Fleisher intentionally leaves out company benefits for hiring workers.  Not everyone might know, but when businesses hire, they often benefit from both tax credits and deductions.  Credits are amounts that company’s can take off of their tax bill.  $1 in a credit is equivalent to $1 in the bank for a business.  Deductions are taken before a business applies their tax rate and its impact for a business’ income can be added up by applying their tax rate to the amount of the deduction.  So assuming a business has a 35% tax rate, then $1 in a deduction amounts to $0.35 of benefit to the company.

With this new knowledge let’s see which credits and deductions apply to Mr. Fleisher’s business.  First off, for health insurance premiums, a businesses can take a CREDIT of up to 35% of the total cost.  In Sally’s case, the tax credit for Mr. Fleisher’s business would amount to $3,346.

Next, a business can take a deduction of business expenses, defined as “the costs of carrying on a trade or business.”  Such costs include those of employee wages, and other federal and state taxes paid.  Corporate tax rates for most brackets tend to fall at about 35% of gross income.  So, with a total expense of $74k, that amounts to a $25,000 deduction.  The key to taking a deduction is that the company needs to actually have income to take it against.  Without the income there is neither a deduction nor credit.

Now with these new facts, let’s recalculate the cost to a profitable company for employing Sally.  We’ll take that initial figure of $74,000 from Mr. Fleisher.  Then we’ll subtract his credit for providing insurance, and his deduction for his business expense and we get a much more favorable net impact to the business of $45,654 to put $44,000 in his employee’s pocket AND to insure her to boot.  Does that really sound like an unreasonable sum? No, I didn’t think so.  Mr. Fleisher, if you’re not hiring Sally it is clearly because you don’t have the prospective income necessary to hire, not because the government makes it cost too much (and this helps explain exactly why).

Posted in The Scoop, Washington & Wall St.Comments (6)

5 Pieces of Evidence the US is Developing a Strong Under Class


Based on the evidence below, the US currently has an underclass reaching about 10% of the population. Although these sorts of phenomena occur during recessions, keep your eye out as there are other signs the US is turning into a two-class society:

5) Dollar Tree Stores is at All-Time Highs

Whoever says a dollar doesn’t buy anything anymore hasn’t been to a Dollar Tree store (DLTR). Store revenues are up 12.5%. That’s 12.5% more dollars chasing ultra-cheap products rather than higher quality goods. But when your wages are either flat or nonexistent, choices are slim to none.

4) 2.8 Million Homes were Foreclosed in 2009

The number of homes in foreclosure across the U.S. in 2009 climbed to 2.8 million, an increase of 21% over 2008 and a staggering 120% jump since 2007. According to Irvine CA-based foreclosure-tracking company RealtyTrac, 2.21% of all U.S. housing units—one in 45—received at least one foreclosure filing last year. According to Rick Sharga, SVP of RealtyTrac, 2010 is expected to see between 3 and 3.5 million foreclosures.

3) 24.5 Million Americans are Unemployed

Do you think the unemployment rate is 9.9%? That’s not the broadest measure of unemployment. The broader number more appropriately includes those who need work but have given up the search, and those who have taken part-time jobs while still seeking full time employment. And that number is 17.1% or 24.5 million Americans. That’s like multiplying the population of New York City by 4 and taking away every single person’s job. Ouch.

2) 32 Million Americans Don’t Have Health Insurance

They will soon. But at the moment it’s worth noting this number because it shows approximately how many people cannot afford health insurance. As my grandfather says, “All you have is your health.” These people pray everyday that they don’t lose their health because the costs can drive the average person into bankruptcy.

1) A Record ~40 Million Americans are on Food Stamps

If you can’t eat, you can’t live. The Agriculture Department said a record ~$40 million Americans, or 1 in 8 Americans, may not be able to eat without government assistance. This is the ultimate sign of an under class. And the US has been setting new records consistently since December of 2008.

Do you have other evidence of a stabilizing under class? Let us know in the comments below and we may add it to the list …

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8 Reasons the US has Become a Nation of Slaves


These days, the idea of retirement seems like either a bad joke or a utopian fantasy. I’ve already covered some main reasons the US economy is screwed, but here are 8 reasons why the US has become a nation of indentured servants:

1) Stagnant wages



Are you partying like it’s 1999? That’s because you’re earning money like it’s 1999. Over the past 11 years, the median household income has been flat as a corpse’s pulse.

If everything gets more expensive over time but no one gets a raise, workers will afford less goods and services. This means people will either work the same amount for less stuff, or work harder for the same stuff. Either way, it’s a shitty deal.

2) Dual-income Nation



We’re a country of family values, right? Wrong. We’ve built an economy that requires two incomes to attain middle class status. It has even become a luxury for one spouse to stay home to raise children! (But that’s more of an existential issue …)

The graph above illustrates one of the most basic tenets of economics: if there is twice as much cash floating around the economy, the cost of things simply rises in direct proportion. In this case, adding an extra worker per household has increased household income. As a result, sellers of houses, child care, health insurance, cars, etc. have upped their prices to take more of our dollars.

3) Energy and Food Inflation



Remember $4 gas? Well, we’re back to $3 (double last year’s low). Every time a car ride costs more, that’s less money left over for things other than getting from point A to point B. As oil prices continue to rise with global demand (and diminishing supply), we will spend more hours working just to get to and fro.

Food is the ultimate necessity. So, when prices rise, there’s not much to do if you don’t care for the taste of cat food. It’s harder to notice 20-30% food inflation when a $2 item jumps to $2.40. But when your average bill moves from $100 to $120, those $20 bills are no longer available for things beyond basic sustenance.

4) Skyrocketing costs for Health Care and Education



One of the biggest thieves of retirement has been the unconscionable rise of health care and education costs. With health insurance costs jumping 10-25% per year, a worker with stagnant paychecks is on the long road to bankruptcy. (See Health Insurance Companies Price Gouging the US Economy)

Got a child or two? Do you want them to go to college? Well you better get rich, fast. The College Board’s study of college pricing trends shows costs have exploded 300% since 1980. That’s especially interesting since median household wages are up only 10-15% over the same time period. Maybe home schooling is better than the poor house.

5) Mauled Retirement Accounts



Have you seen those new John Hancock commercials where the boomer couples are instant messaging each other about either moving in with their children or fearing the longevity of their retirement account? Well, that’s a good reflection of how bad retirement accounts were hit after a decade of bubbles bursting. And without money for retirement, we work until we drop dead.

6) No Savings



The Employee Benefit Research Institute’s annual Retirement Confidence Survey shows that 43% of Workers have less than $10,000 saved for retirement. Really? Then the word retirement does not apply to these people because $10,000 is surely not enough to live off when even a generous 6% annuity would be paying only $600 a year before taxes.

But the scariest stat from the survey is 54% of workers are “clueless” about saving for retirement. This stat is a direct indictment on how crappy our school systems have become — and I’m talking about colleges too.

7) Trillions in Debt



Can we dig ourselves out of a $12.7 Trillion hole? If we can, it’s going to take a backbreaking amount of labor … and that’s just to fill the hole.

This debt is directly reflective of slavery. For every dollar of our debt, we owe a creditor who lent us the money. So, before we can use all our tax dollars to add value to our domestic economy and society, we have to skim a lot off the top to pay our masters their due.

8) Jobs Exported Overseas



If we are going to deal with all the costs above, we need to earn money. However, while we were drunk on credit card debt over the past 30 years, our Congressman and once domestic corporations shipped millions of middle class jobs to whichever country would do the job cheapest.

Think only the middle market has been affected? Now some of the brightest and most ambitious minds are accepting jobs in hot markets like China and Singapore. These people aren’t dumb: if the jobs move, they realize they must too.

Did we miss anything? Let us know in the comments below …

Posted in Buzz, Economy, Features, Most Popular, The ScoopComments (54)

The 12 States Where It’s Impossible To Get Health Insurance


People might not care about health care reform in Massachusetts, but they’re begging for it in the South.

26.3 percent of Americans in the South West do not have health insurance, according to a 2008 report by the CDC. Americans are also suffering in the South East, where 19.1 percent are uninsured.

Many states are crippled by rising health care costs, which make it that much harder for individuals to find coverage.

Congressmen from suffering states are among the strongest advocates (Sen. Harry Reid) and loudest enemies (Rep. Joe Wilson) for Obamacare, as they see the calamity on their hands and know that one false step will lead to disaster. Meanwhile, the uninsured will watch the health care spectacle with rapt attention and pray they don’t fall sick.

Note: To identify the worst states, we ranked percent uninsured and cost per individual, weighted equally.
Source: AHIP.org (2007) and CDC.gov (2008).

No. 12 Arkansas

No. 12 Arkansas

Percent uninsured: 21.4%

Cost per individual: $2,153

“Arkansans are not yet sold on the need for health care reform,” warned Janine Parry, the director of the Arkansas Poll. While uninsured people are interested in the issue, she said, “The rest of us, apparently, are afraid of losing what we’ve got.” (From MCT)

No. 11 Mississippi

No. 11 Mississippi

Percent uninsured: 19.4%

Cost per individual: $2,489

Mississippi has [19.1] percent uncovered. Its Sen. Roger Wicker considers health reform “a job killer.” He emphasizes, instead, the paramount need to protect private insurance companies. Wicker vows stout opposition, without irony, to “Washington-run health-care schemes … that rely on cuts to Medicare and Medicaid.” (From News Observer)

No. 10 Georgia

No. 10 Georgia

Percent uninsured: 20.8%

Cost per individual: $2,419

“The huge number of people without health coverage in Georgia is worse than an epidemic,” said Ron Pollack, Executive Director of Families USA. “At this point, almost everyone in the country has had a family member, neighbor, or friend who was uninsured—and that’s why meaningful health care reform can no longer be kept on the back burner.” (From Fox 31)

No. 9 California

No. 9 California

Percent uninsured: 19.1%

Cost per individual: $2,565

“The problem of the uninsured is no longer one of poor, urban residents; it is a soccer mom and NASCAR dad problem,” wrote Dustin Corcoran, senior vice president of government relations and affairs for the California Medical Association. “Many of the uninsured make decent wages and live in good neighborhoods, yet they have no regular access to a physician. In fact, medical care is the leading cause of bankruptcy.” Nationally, 1 million people a year file bankruptcy because of medical debt. (From Sacremento News Review)

No. 8 West Virginia

No. 8 West Virginia

Percent uninsured: 19.6%

Cost per individual: $2,540

Some Democrats on the panel would have liked to have had a more extensive bill that would have extended coverage to more Americans… One of them was Democratic Senator John Rockefeller. “Universal coverage has always been the goal of health reform, and leaving 16 million men and women and children uninsured is wrong to me, as the senator from West Virginia,” he said. (From Chosun Ilbo)

No. 7 Oklahoma

No. 7 Oklahoma

Percent uninsured: 28.2%

Cost per individual: $2,435

Jessica Craig recently made her first visit to the Good Samaritan Health Clinic. She said she didn’t know what was wrong with her, but it was enough to force her to quit her job and lose her health insurance.

“I think there are a lot of people here in Oklahoma and here in the Edmond area who do not have health insurance that really need good doctors and nurses out here who are willing to help them,” Craig said. (From KOCO 5)

No. 6 Arizona

No. 6 Arizona

Percent uninsured: 22.7%

Cost per individual: $2,591

“It’s disingenuous to say that Congress can cut this much spending from Medicare without having an adverse affect on seniors’ access to health care,” said Jon Kyl of Arizona, the No. 2 Republican in the Senate. “Seniors should not foot the bill for the uninsured. Medicare should not be the piggy bank for new non-Medicare spending, a new entitlement.” (From NYT)

No. 5 South Carolina

No. 5 South Carolina

Percent uninsured: 19.8%

Cost per individual: $2,981

Obama declared in his Wednesday speech that one of the “scare tactics” used by his opponents is that Democratic healthcare proposals would insure illegal immigrants.

“The reforms I’m proposing would not apply to those who are here illegally,” he said, prompting South Carolina Republican Representative Joe Wilson to shout, “You lie.” (From Reuters)

No. 4 Texas

No. 4 Texas

Percent uninsured: 26.9%

Cost per individual: $2,782

Rep. CUELLAR [D-TX]: Well, first of all, I do believe in health care reform. We do know that we’ve got about 46 million people across the nation have no coverage. Texas has one out of four. My district – that don’t have insurance – in my district I have one out of three out of a 650,000 people that I represent, 267 have no coverage itself. Now, I feel that… we do have different options, you know some of us feel a little strongly on some options, but one of the things that I believe in is the end goal. (From NPR)

No. 3 Nevada

No. 3 Nevada

Percent uninsured: 20.0%

Cost per individual: $3,118

There are many reasons that I’ve been working day and night to pass historic health insurance reform in the United States Senate. Some say that stopping the cruel practice of insurance companies dropping your coverage when you get sick is the number one reason for reform, so we’re doing that. Others have told me that we have to stop insurance companies from discriminating against those with preexisting conditions, and that’s in the bill as well. I have also gotten requests from many Nevadans to reduce the number of uninsured Americans, so we are no longer forced to pay for the uninsured through higher premiums and taxes. These were all good reasons that I have fought for health insurance reform in the Senate, but let me be clear, nothing has been more important to me than the simple fact that Nevada needs this bill more than almost any other state. (Editorial by Harry Reid in Reno Gazette Journal)

No. 2 Florida

No. 2 Florida

Percent uninsured: 23.7%

Cost per individual: $2,949

“We’re not sure if it will cover what people need,” Goodhue said of Cover Florida. “We have not heard a lot from consumers. People need to ask a lot of questions because it’s unsure what is covered. My overall sense is it just stops short of health care reform that is needed. I think our state can do better. We commend the state for trying to do something but I think our state can do better.” (From MacroEagle)

No. 1 New Mexico

No. 1 New Mexico

Percent uninsured: 24.8%

Cost per individual: $3,362

“This isn’t something that is going to go away,” said New Mexico Gov. Bill Richardson. “That is why I will continue to call on the Legislature to make bold steps now to turn around a culture of uninsurance in our state.” (From Biz Journal)

Read more interesting stories at The Business Insider >

Posted in Business Insider, Economy, Featured, The ScoopComments (6)

Health Insurance Companies Price Gouging the US Economy


Yesterday I received what was either a Halloween trick or extortion: a letter from Blue Cross Blue Shield notifying me of a 24% rate increase starting January 2010. Quite simply, this is price gouging per se.

Since this is a financial media site, I thought it would be educational to demonstrate how such unreasonable price inflation is completely unsustainable:

Healthcare Costs

We are Americans

We are Americans

At the current pace, on my 54th birthday I can look forward to spending over $1 million a year on healthcare (but my bank will be broken many years earlier).

I can already hear the Blue Cross Blue Shield rebuttal now: “The average rate increase is 11% and your increases will not be as high in the future.” Well, since I have a sweet file in my basement, I found that 1) I have never had less than an 11% increase, and 2) I recently had an increase of 18%.

Those are huge numbers considering wages are not growing (I am lucky enough to be making money), we are in a recession, and there is absolutely no low-risk investment vehicle which can consistently match those type of returns in order to keep up. There is no way the middle class can absorb this burden. And the idea of saving for retirement and children’s eduction is becoming a bad joke which insults the efforts of young workers.

This is the type of fiscal black hole which will literally destroy any future economic prowess in the United States. Further, if healthcare costs continue on this trajectory, there will be a major brain drain as intelligent and productive citizens depart for saner pastures. Honestly, for the first time I am wondering whether my young family needs an exit strategy from this mess.

As I have said before, I do not know whether a public option is the answer. However, the system is completely broken when a healthy, fit family in their early 30′s is paying meaningful money for healthcare they will most likely never need. If the government can step in and stop gas stations from gouging, it’s time they crack open insurers’ books and see whether they are doing their part to help revive our economy.

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Posted in Economy, Featured, The ScoopComments (4)


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