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15 January 2010 By Dave Lindorff If you want to
see the unvarnished, true nature of our latest
president, you need look no farther than two issues:
whether to tax health plans that are deemed “too
generous” and whether or how to tax the banks that
brought about the financial crisis. In the case of the health insurance tax, President
Obama, after opposing the idea as a candidate when it
was proposed by Republican candidate John McCain, is
endorsing the Senate bill’s approach, which would levy
a 40% tax on all insurance plans that cost more than
$8500 for an individual or $23,000 for a family.
According to the union movement such a tax would hit
one in four union members, who over years of struggle
have negotiated decent medical benefits, often
foregoing pay increases in order to provide members
with health coverage. It would also hit employers with
older workforces, smaller employers, who have to pay
more for insurance, and also employers in parts of the
country where the overall payscales and cost of living
are higher, such as the Northeast and the West Coast. Obama says he thinks that taxing such plans (which
are hardly “Cadillac” in today’s health marketplace),
would help restrain health inflation. More important,
he and the Senate backers of the measure, like that it
is estimated by the Congressional Budget Office to
bring in $149 billion in revenue over 10 years. (Note
that we’re talking about just $14.9 billion per
year--a rather minor sum compared to the total US
healthcare bill of $2.5 trillion a year, or the
taxpayer’s share of that bill--$1.2 trillion.) The claim that taxing health plans which provide
better coverage to people will reduce health care
costs overall is spurious and based upon the work of
ideological free-market economists who take it on
faith that healthcare is a good which “consumers” use
based upon price. This notion is far from proven and
in fact many studies show it to be flat-out wrong.
Most people have no idea what the price or cost of any
treatment is. Whether they are in a preferred provider
plan (PPO) or an HMO, most people don’t know what a
visit to the doctor actually costs, don’t know what
their medicine actually costs, and don’t know the cost
of a stay in the hospital. They only know what their
co-pay amount is. Furthermore, when people are sick,
they generally go to doctors that they believe will
cure them, not to the cheapest doctor. The only thing
that taxing better health insurance plans will do is
lead employers to cut back on the benefits offered by
those plans--most likely dropping things like mental
health coverage, dental coverage, payment for medical
tests, etc., and raising the co-pays. Aside from the
basic unfairness of penalizing workers who have fought
hard at the bargaining table to win better benefits,
this tax plan simply lowers the bar for all people in
terms of what quality of health insurance they receive
from their employer. When union plans get whacked, you
can bet that non-union plans will also get whacked,
since the main reason non-union employers even offer
health insurance is to help keep unions at bay. This tax is a body blow to the union movement,
plain and simple. (And to anyone who believes that
employers who cut back on health plans will offer the
savings to workers as higher wages, I have a bridge in
New York to sell you, cheap.) Meanwhile, an alternative proposal to raise the
same money to fund government health care programs--a
supplemental tax on all families earning more than $1
million a year--something that is long overdue in a
nation where the income divide between rich and poor
has been widening to a chasm over the past decade--is
going nowhere. Obama opposes taxing the rich. So do
Senate Democrats. If it’s a choice between taxing unionized workers
and taxing the rich, the workers get the shaft from
President Obama. Now let’s turn to the banksters. Here, the
challenge facing the president is that the American
public, left, right and middle, is incensed over the
huge amount of money--trillions of taxpayer
dollars--that has been shoveled out to the banks, with
very little increase in lending to show for it, and at
the billions of dollars in bonuses that the banks are
paying to their top executives and employees--the very
people who made the bad bets and risky investments
that produced the current recession/depression. So,
this being an election year, Obama and the Democrats
in Congress are looking for a way to at least appear
to be taking the banks to task and making them repay
the as much as $120 billion that has already been
lost. Obama’s proposal is a tax on the big banks--either
on their profits, or based upon the riskiness of their
investments and loans. That would be fine as far as it goes, but for the
fact that bank accountants can easily make profits
vanish through accounting sleight of hands, and to the
fact that there is no easy way to define what is
risky. The chances are good that such a tax would be
largely ceremonial. Meanwhile, rejected from consideration is a
proposal that would generate large amounts of revenue
while hitting only those who speculate in
markets--primarily the wealthy--a small tax on stock
and bond trades. A tax of 0.5% on securities
transactions could raise anywhere from $50-100 billion
a year, experts say, and because it would only be
levied on short-term trades, it would not impact
long-term investors such as people investing in
retirement funds at all. It would also have the likely
effect of reducing market volatility--not a bad idea. Although the US already has a very minor
transaction tax of 0.0033%, meaning it long ago
crossed that Rubicon, the Obama administration will
not hear of the idea of significantly raising that
tax, though it would fall almost entirely on hedge
funds and the wealthy, and on the brokerage arms of
the big banks, who would stand to see their
business--trading securities for clients--shrivel.
It’s not as though this is a particularly radical
idea--there are such taxes in place in the UK (.03%),
as well as Australia, India, Austria, Finland,
Germany, Singapore, Hong Kong, Korea, Taiwan and
Japan. Here are two cases where the Obama administration
is clearly showing its true colors: no pain for the
wealth and the powerful, and stick it to the working
stiff. This isn’t “change we can believe in.” It’s the
same old crap we’ve been being dished for years. Addendum I had some experience with what it's like to
have a lousy health plan. Back in my 20s, when we were
living in New York, my wife and I had a minimal Blue
Cross health plan, which we paid for ourselves as we
were both freelancers--me a writer and her a musician.
The plan only covered doctors and hospitals after we
had paid the first $1500 in medical costs in a year,
and since we were both pretty healthy, that never
happened, fortunately. However, I did have a rear
molar that was rotten because of decay underneath a
filling. One day, I was eating some malt balls, and
the tooth just shattered, leaving a bunch of sharp
shards sticking up from my gum, which proceeded to
start shredding my cheek and the back of my tongue. We had no dental insurance, but Joyce's Musician's
Union did have a list of dentists who provided
services at very low rates. Not having any money, I
went to one of these guys. It was a real chop shop. In
and out in 15-20 minutes. What he did was make a tooth
out of mercury/silver amalgam. It solved the immediate
problem of my mouth getting lacerated, but he admitted
he had no idea how long it would last. As it turns out, it lasted about six months, before
it fell apart. I then had no option but to get a root canal done
and have a crown made. The total cost of that project
was $1500--a princely sum back in the 1970s. I tell this story, because this is what health care
will be like for Americans if President Obama and the
Senate Democrats have their way and we have a punitive
tax on better insurance plans. Inevitably there will
be cutbacks in the better insurance plans, and then a
race to the bottom, as Congress allows inflation to
push more and more health plans past the trigger level
for the tax to click in. The goal, clearly, is to push us all into those
medical and dental chop shops, and to make us pay for
most of our health care ourselves. |