Editorial

Health care should not be forgotten issue

Friday, October 24, 2008

With layoffs looming and stocks continuing to drop, keeping a job and making ends meet is going to be more and more of a struggle for American workers in the coming months.

The financial crisis has pushed other issues, such as health care, to the back burner.

But figures released Thursday indicate health care premiums continue to constitute a crisis of their own.

According to the consumer health organization Families USA, from 2000 to 2007, the cost of family health care premium have climbed an estimated 3.2 times faster than earnings for Nebraska workers.

Released by the Nebraska Appleseed public advocacy group, the report shows that family health coverage provided through the workplace climbed to $11,434 from $4,674, a 69.1 percent increase.

At the same time, however, the median earnings of Nebraska's workers climbed from $21,255 to $25,802, an increase of $4,547, or only 21.4 percent.

But there's more bad news. Those additional dollars from a relatively declining family budget buy less healthcare. In an effort to hold down premium costs, health insurance policies include higher deductibles, copayments and co-insurance.

It's not that the employers aren't doing their part. For family health coverage in Nebraska, the employers' portion of annual premiums in the 2000-2007 period rose from $4,847 to $8,210, or a 69.4 percent increase. At the same time, workers kicked in 57.3 percent more, their premiums climbing from $2,034 to $3,190.

Individual health coverage showed similar increases, although workers picked up 60 percent of the increase while employers paid 57.3 percent more.

How are families adjusting to the squeeze? According to the report, many of them are not. The report cites a study that found that more than half of bankruptcies are now due, at least in part, to problems with medical costs.

Both presidential candidates propose some sort of health care plan, but both have shortcomings. We have doubts about how much coverage McCain's tax credit could actually purchase, and Obama's plan would be expensive, coming from new taxes and elimination of Bush's tax cuts.

Lost in all the campaign rhetoric is just how limited a president's power actually is. Just ask Bill Clinton's wife how easy nationalized health care is to enact.

But there must be some way to fairly distribute the cost of health care across the entire population in order to provide appropriate services where they are truly needed in a timely fashion. The current system unfairly burdens taxpayers, those who pay private insurance premiums and health care providers with nationalized health care by default.

A baby step might be establishing a system of catastrophic health coverage, perhaps in combination with health savings plans, to avoid some of those bankruptcies cited above.

The trick in any national health care plan is preserving a semblance of personal freedom along the way.

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  • "Bill Clinton's wife"

    Yeesh. Her name is Hillary. She's kind of a big deal.

    -- Posted by davejavu on Fri, Oct 24, 2008, at 1:44 PM
  • The author(s) of this article, who ever 'they' may be, are espousing Socialized medicine (the Political new name would be 'Entitlement') for taxpayers to pay.

    Ponder, please folks, what we would be doing, again, would be to give a benefit of 'entitlement' to the non-tax-payer at the expense of the tax-payer. Good-by 'Pursuit of Happiness,' so proudly penned in our Constitution.

    What is proposed is a double 'Good-by,' actually, as the poor would have no incentive to advance, and the lower half of the tax-paying, working class, would be pressured to withdraw to 'poor' status, so they too could enjoy 'entitlement.' Now there is a social circle we do not want to ride on.

    Doctors, also, would not like to be paid under a Federally mandated program either. Oh, they would be paid well, but we could see a shortage quite quickly.

    No matter the social structure we would have, there would always be a number of people at the bottom of the tax-paying working class, and eventually we would run out, because our entire population would be on entitlement; except for the richest one percent, who would not live in this country any longer, but on heavily armed, and defended, islands. An excessively worded description of the future, so I will close.

    Think on it folks, Socialistic countries do not last long before slavery sets in.

    In our Messiah, His Shalom, and blessing. Arley

    -- Posted by Navyblue on Fri, Oct 24, 2008, at 3:33 PM
  • Ooops, I forgot something: The increase in premium, above, would, if I still remember how to count, be more like an increase of 145%, not 69%. Just a thought. Arley

    -- Posted by Navyblue on Fri, Oct 24, 2008, at 3:35 PM
  • *

    In my case, my company provided health insurance covered 80% of my medical costs which left me with bills just over $75,000 for all the costs associated with my cancer. I was out of work nearly a year, yet my company (AT&T) had benfits that made it possible to still get paid. I lost 110 pounds (from 210 to 100) and nearly lost my life, but as you can see, I made it.

    Could your family pay off a $75,000 medical bill on top of paying for your insurance and other expenses? Most people will say no as they are already having trouble making ends meet from week to week. I believe few companies can can hold a job open for such a period of time, let alone provide a full salary during the duration of the illness that made it possible for me to cover my bills eventually with extreme hardship. Without the wonderful benefits I enjoyed, I'd have been bankrupt and the rest of the insured population would be paying my bills for me.

    With so many people without health insurance, their, and their childrens outlook with a medical nightmare is pretty bleak. Loss of job along with ever increasing bills forces so many people into financial ruin. Doctors and hospitals don't get paid in many cases, so the rest of us pay though higher health care costs and insurance premiums. To me, that's a form of socialistic policy too, but I don't think we should deny people the care they need.

    I agree that a few people take advantage of the system for gain through entitlement, but I believe that those numbers are small compared to those that are thrust into situations out of their control. If a good job was all that was needed, then I think most folks would work through their financial issues, but good jobs in our country are getting harder to find, and many that have had a good job are losing them during this economic downturn. Many people just pray that they don't have a problem because they can't cover it.

    Since our move to Nebraska, our health insurance premium costs have gone up 75% and that's after being partially covered by my former employers retirement benefits. The reason for the increase is going from a HMO to PPO policy as HMO's are not available here. If I had to pay full price myself, my insurance coverage would have to be far less comprehensive thus putting me a great risk to not be able to cover my bills should something happen again.

    I thought the Bible said "Love your neighbor as thyself", so leaving people to suffer without some "socialistic" programs goes against my beliefs. We pour billions of dollars into foreign aid, but won't aid our own that need it most... something wrong to me with that picture.

    -- Posted by Brian Hoag on Sat, Oct 25, 2008, at 7:38 AM
  • Brian, I'm sorry you misunderstood my point. The Bible is right, and I was addressing the 'Liberal' candidate for Presidents plan to insure the poor, up to a point, and then nothing. That would be so self destructive, we would go the way of every Socialized medicine program, plus a few dangers.

    1. As I stated, those people 'just above' the cut-off, would get a pay raise by reducing their income, so as to qualify for the entitlement.

    2. The income level to qualify as 'poverty' would increase upward (consider the numbers every time we receive a new 'minimum wage').

    3. The wealthy would take their money, and run to greener pastures.

    4 The USA would go broke.

    Perchance, we may be attacking the problem from the wrong direction?

    For what it is worth, I was addressing a problem, not a desire. Ponder this: In 1959, my first child's, no complication, birth cost: $50: Doctor, $50: Hospital, and $3: for cigars (the 'it's a boy' cigars). I was making $1.00 per hour.

    Something is wrong somewhere. The problem needs fixing, not a simple covering of the excessive charges.

    Sincerely, in His Shalom, Arley Steinhour

    -- Posted by Navyblue on Sat, Oct 25, 2008, at 3:00 PM
  • Funny this should be the topic of today's editorial. I received my annual statement from bcbs today and my premium will go from $584 per month to $707 per month effective Jan 1. That's a 21% increase in one year. This plan covers my husband and two children. Luckily, my employer offers a plan and pays for 80% of the employee's premium, but does not help pay for the family's premium. So I am covered under that plan. I can't imagine how much it would go up if I were covered under this personal plan as well.

    My husband is self-employed in a small business and there are ABSOULUTELY NO affordable small group plans available for him to cover his employees. Especially if any of his staff has had any serious medical problems in the last six years.

    We do not go to the doctor unless we have very serious symptoms. We have a high deductible and any doctor visits or test can mean another $300-500 out of pocket in addition to our monthly premium. There is no such thing as annual physicals in our family.

    In McCook, the best employer sponsored health insurance plans are offered to city, school, and county employees. State employees also have good health plans at a reasonable cost to the employee. And we all know about the plans that the US Senate enjoy. I believe that is the reason this issue is not given anything more than lip service -- the people making the policies and implementing them do not have to live through the problem.

    I would much rather see an increase in my income taxes and some control on my health insurance premium. If they continue to increase, our family will have two choices -- close our small business and get a job with an employer who offers good coverage (which means we would lay-off all of his employees; or go without insurance and cross our fingers that our health holds out. Neither is a good option for us or for this country.

    This issue deserves more attention from the presidential candidates.

    -- Posted by mccook mom on Sat, Oct 25, 2008, at 5:03 PM
  • Ever notice the elected officials that say how bad government run health care is, are on govermnent run health care. If I were vice president Dick, I would be dead by now.

    -- Posted by president obama on Mon, Oct 27, 2008, at 1:23 PM
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