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LuckyCharms

(17,441 posts)
Sun Feb 10, 2019, 11:52 AM Feb 2019

Benefit of Single Payer that is not often discussed.

Many people don't realize that while they usually see a large deduction from their gross pay for health insurance in their check stub, their employer is also bearing the burden of that cost.

Depending on the risk pool that an employer's medical insurance company places the employees of the insured company in, the employee premiums can be tremendously high. The employer usually shares the cost of the premium. I have generally seen a 50/50 share.

Single payer has the potential of eliminating both the employer's and employee's share of the premium. The employer would incur zero premium cost, and while the employee would incur some type of "tax" deduction which contributes to the single payer system, it would not approach the premiums previously deducted from his or her paycheck because the employee is now contributing to a pool where risk is diversified over a large percentage of the US population, and not the much smaller base of the employees working for their particular company.

The benefits to the employee in this case are obvious. But the benefits of single payer to the employer are hardly ever discussed. The employer no longer pays 50% of their employee's medical insurance premiums. This substantial cost is no longer a hindrance to the bottom line. A significant amount of cashflow is freed up. Profits improve, and therefore, stock prices improve for public companies. Private companies are benefited in the same manor by an improved net income. More employees can be hired, more profit can be taken by owners, businesses can be expanded, quality employees can be retained by giving them more frequent raises, and these employees then in turn pump more money into the economy, etc.

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Benefit of Single Payer that is not often discussed. (Original Post) LuckyCharms Feb 2019 OP
and bad employers might be forced to improve... wcmagumba Feb 2019 #1
Yes, good point. n/t LuckyCharms Feb 2019 #2
I for one have never understood why large corporations are not Sherman A1 Feb 2019 #3
I don't understand it either. LuckyCharms Feb 2019 #4
Agreed Sherman A1 Feb 2019 #5
Big 3 lost a lot of plants to Canada safeinOhio Feb 2019 #14
Because it is just payroll to employers. riverine Feb 2019 #7
"move to single payer and get that cost off their balance sheets" mitch96 Feb 2019 #13
As I recall, $1,000 of every American car's cost is because of health insurance costs Ron Obvious Feb 2019 #16
Because it's cheaper no benefits at all Mr. Quackers Feb 2019 #21
We pay 100% of our employee's health/dental insurance, long term care, and life. One Hundred Percent Stinky The Clown Feb 2019 #6
Single payer would also be a great benefit to people who want to do strictly AJT Feb 2019 #8
Single payer dugog55 Feb 2019 #9
Here's a simplistic example that folks do not discuss much Jarqui Feb 2019 #10
Your employer should pay you the amount they spend on your premium. mjvpi Feb 2019 #11
My employer provides coverage, paying 1/2 the premium forthemiddle Feb 2019 #22
Absolutely shanti Feb 2019 #12
K&R ck4829 Feb 2019 #15
It's not discussed because corporations intend to just pocket that savings if single payer ever brewens Feb 2019 #17
And this is a big problem, actually Recursion Feb 2019 #18
It's the sole reason US manufactured goods are not competitive on the world market pecosbob Feb 2019 #19
it would also be a boon to people trying to start their own business NewJeffCT Feb 2019 #20
on that note crazycatlady Feb 2019 #23
If someone could come up with a simple explanation of the benefits of single payer and eliminate Poiuyt Feb 2019 #24

wcmagumba

(2,886 posts)
1. and bad employers might be forced to improve...
Sun Feb 10, 2019, 12:02 PM
Feb 2019

their own work environments as employees are no longer "trapped"
at a crap job to retain some sort of health insurance for themselves
and their families...

Sherman A1

(38,958 posts)
3. I for one have never understood why large corporations are not
Sun Feb 10, 2019, 12:04 PM
Feb 2019

screaming at the top of their lungs to move to single payer and get that cost off their balance sheets. Never made any sense to me. Certainly taxes would go up in some way to pay for it, but in the long run it eliminates lots of labor dedicated to working on finding and maintaining health plans and the costs of providing them as a benefit to their work force.

LuckyCharms

(17,441 posts)
4. I don't understand it either.
Sun Feb 10, 2019, 12:06 PM
Feb 2019

I think the employer benefits of single payer need to be talked about over and over until some light bulbs start turning on. It's a strong selling point.

 

riverine

(516 posts)
7. Because it is just payroll to employers.
Sun Feb 10, 2019, 12:14 PM
Feb 2019

When the bean counters forecast payroll they add in benefits for each position.


Salary + medical + 401K match + fringe benefits + auto allowance, etc = pay.

Many like Google pay for exercise and entertainment.

The more liberal and enlightened a company is the more they value humans as a resource and not a cost.

mitch96

(13,907 posts)
13. "move to single payer and get that cost off their balance sheets"
Sun Feb 10, 2019, 01:55 PM
Feb 2019

I thought the same way... For instance Germany and Japan the automakers did not have to pay for health insurance so they could cut the prices of the autos to make inroads into the American market. Yes they paid just like everybody else, but it was spread around...
m

 

Ron Obvious

(6,261 posts)
16. As I recall, $1,000 of every American car's cost is because of health insurance costs
Sun Feb 10, 2019, 02:13 PM
Feb 2019

And that was several years ago. It's a huge drag on their competitiveness.

I share the frustrations of everyone in this thread. The big 3 in Detroit can see how well it works in Canada and have moved a lot of manufacturing over the border because of it.

I can only imagine it's an ideological attachment to vulture capitalism on their part. All these parasites sit on each others boards.

Stinky The Clown

(67,807 posts)
6. We pay 100% of our employee's health/dental insurance, long term care, and life. One Hundred Percent
Sun Feb 10, 2019, 12:10 PM
Feb 2019

Single payer would be a huge benefit to my partner and me.

AJT

(5,240 posts)
8. Single payer would also be a great benefit to people who want to do strictly
Sun Feb 10, 2019, 12:25 PM
Feb 2019

consulting for a living, have their own business.

dugog55

(296 posts)
9. Single payer
Sun Feb 10, 2019, 12:27 PM
Feb 2019

I think would have to be treated like current Medicare and Social Security with the employer still paying a percentage per employee. That would make it cheaper for each individual and ensure sustainability for the future. It would still be was less expensive even for companies in their contributions.

Also, single payer would provide a huge advantage of having freedom for individuals knowing they have health care available regardless of their job, where they live or move to. Quite a nice feeling of relief not to be worried about one major illness putting an entire family in the poorhouse for the rest of their lives.

Jarqui

(10,126 posts)
10. Here's a simplistic example that folks do not discuss much
Sun Feb 10, 2019, 12:31 PM
Feb 2019

Let's pretend that we just shift everyone to single payer that is currently insured. Those not currently insured won't be for discussion purposes here only.

Profit and admin costs of multiple insurance companies over single payer that has no profit is about roughly 20% for discussion purposes here only.

So everyone covered for $10,000 per year now (low US per capita health average care cost roughly) would only cost $8,000 per year under single payer.

For those employed and insured representing a family of four, require $8,000 less a year to make ends meet under single payer. And therefore, the cost of US labor is less, making US labor more competitive - which helps retain or attract more jobs for the US.

If America embraced the Canadian system & rates, health care costs would drop roughly 40-50% and life expectancy would significantly improve. All kinds of jobs could return to the US because the cost of US labor would be substantially reduced. You would have ample left over to care for the uninsured.

A 40% reduction in health care costs via the Canadian approach could flip a nearly trillion dollar annual deficit into a $0.4 trillion surplus. The economic trajectory of the country would take off and jobs and median income along with it - some of the savings could go to the working class.

I do not think there is enough discussion of the bigger picture of how single payer could impact the country. The hand-wringing over paying for it is nonsense as America is already paying double what everyone else is now. The doctors, insurance and drug companies won't like it because they'll be brought into line with everyone else - as they should be.

mjvpi

(1,388 posts)
11. Your employer should pay you the amount they spend on your premium.
Sun Feb 10, 2019, 01:23 PM
Feb 2019

It’s part of your compensation package. Your employer keeps that to spend as they see fit, just as if the government withheld taxes.

forthemiddle

(1,379 posts)
22. My employer provides coverage, paying 1/2 the premium
Mon Feb 11, 2019, 12:33 PM
Feb 2019

But because I get excellent insurance through my husbands employer I don't take that benefit.
My employer does not give me that money now, so I can't imagine that would change in the future.

I don't know of any employer who gives premium to employees that opt out of the insurance benefit.

shanti

(21,675 posts)
12. Absolutely
Sun Feb 10, 2019, 01:27 PM
Feb 2019

And it keeps people in jobs they hate. No job, no insurance. I've said this before, but medical insurance should never be connected to ones employment.

brewens

(13,589 posts)
17. It's not discussed because corporations intend to just pocket that savings if single payer ever
Mon Feb 11, 2019, 10:15 AM
Feb 2019

is passed. They must be. I always see the right speak about the cost of single payer as if that would be just added onto what we already pay. Complete bullshit of course.

If there was no larger corporate contribution to the single payer plan, you'd like to think workers might see a big bump in wages. My last job our employee contribution was about $70 a month and the company paid about $500. For men anyway. That was part of what they were paying to have me on the job, so workers should get that in some way.

Part of the beauty of single payer should be that it will no longer depend on where you work what insurance you have. Not once have I heard anyone point out that what stops many people from quitting their job and starting a business is health insurance.

Recursion

(56,582 posts)
18. And this is a big problem, actually
Mon Feb 11, 2019, 10:59 AM
Feb 2019

My employer pays a lot for our health insurance. McDonalds does not.

If that money from my employer gets added to the wage pool, we've just increased income inequality in the country, substantially. If it doesn't, the whole thing becomes a subsidy to corporations' bottom lines.

pecosbob

(7,541 posts)
19. It's the sole reason US manufactured goods are not competitive on the world market
Mon Feb 11, 2019, 11:04 AM
Feb 2019

I've never understood why Republicans promoted such a thing in the first place...were they so shortsighted back when Nixon pulled this sh*t out of his pocket?

NewJeffCT

(56,828 posts)
20. it would also be a boon to people trying to start their own business
Mon Feb 11, 2019, 11:09 AM
Feb 2019

and to small businesses as well.

How often has a person with a potentially great idea stuck with their job at ABC Company because ABC Company had good benefits and they couldn't afford to be without health insurance while they started their own business?

Or just labored through at a job where they were miserable because the small company that recruited them didn't offer health insurance until 6 or 12 months after hire?

Poiuyt

(18,125 posts)
24. If someone could come up with a simple explanation of the benefits of single payer and eliminate
Mon Feb 11, 2019, 12:59 PM
Feb 2019

the boogyman words (It's SOCIALISM!!!!), I'm sure the American public would strongly support single payer insurance, and they would demand that Congress enact it.

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