With the advent of a new Congress 18 months ago, many senators,
representatives and advocates pressed for major health care reform before the
2008 presidential election.
Those heady days dissolved into a legislative grind. Democratic congressional
majorities and the Bush administration couldn’t agree on how to expand a
children’s health insurance program, let alone make larger changes.
Now Washington anticipates that next year the health care debate will begin
in earnest. The Senate Finance Committee has scheduled a major forum June 16 to
jump-start the discussion.
Titled “Prepare for Launch: Health Reform Summit,” the gathering is designed
to educate Congress. Part of a series of hearings and events, it will feature
Federal Reserve Chairman Ben Bern¬anke and other experts who will analyze rising
health care costs, state reform efforts and company coverage trends.
On the latter issue, they’re likely to hear from employers who are wary of
losing their role in the health care system, which depends in large part on
company coverage. Although many corporations are urging the government to
address the rising number of uninsured, most are not seeking to get out of the
health care business.
An example of that attitude on Capitol Hill can be seen in a recent tweak to
legislation—the Healthy Americans Act —that would require individuals to buy
health insurance directly from private insurers. In the original bill, companies
would pay into the system but would not sponsor their own plans.
In late April, the bill’s author, Sen. Ron Wyden, D-Oregon, modified the
measure to clarify that companies could continue to offer health benefits.
“Today’s amendment comes in response to concerns expressed by individuals who
are happy with their employer-sponsored health benefits and are afraid of losing
their current coverage under a new system,” Wyden’s office said in a
statement.
That sentiment reflects a powerful recruiting and retention tool that
companies are reluctant to give up. Martin Reiser, manager of government policy
for Xerox, says that many new hires base their decision to join the company on
its benefit package.
“Health insurance is becoming more and more important,” he says.
Dow Chemical Co. has a similar stance on maintaining health care benefits.
“Dow will be one of the last ones standing in terms of keeping our plans,” says
Janet Boyd, the company’s director of government relations, tax and
benefits.
Not only are companies not willing to cede benefits to government control,
they’re taking a more active role in administering them. Wellness programs are
becoming more popular as a way to increase productivity and profitability.
“We see good value in continuing to provide health care,” says William
Tompkins, vice president of total rewards, HR systems and international HR at
Gap Inc. He spoke at a Crain Communications health care forum in Chicago this
spring.
With companies providing coverage for 132 million Americans, it’s
likely they will remain a force in health care.
“It is not realistic to think we’re going to dismantle the employer-based
system,” Reiser says.
—Mark Schoeff Jr.