Sunday, May 27, 2007
from the Kennebec Journal
Sport of Kings
New Medicaid billing system inspires doubts among some
Christmas spirit
Guidance counselor: Dismiss complaint based on criticism of same-sex marriage
CHELSEA: 'Practice burn' provides thrill for 9-year-old
Trust eyes orchard purchase
GOLFER OF THE YEAR: Bonenfant rises up Cony ranks
YOUTH SOCCER: Local team gives 'care package' to children in Afghanistan
All of today's:
News | Sports
from the Kennebec Journal
from the Morning Sentinel
YES ON 1 BACKER REBUTS CLAIM
New system for Medicaid payments worries providers
After petition drive, Clinton police force budget will go a third time before voters
A rock musician makes trip home via Black Taxi
MADISON: After revaluation, abatement requests reviewed
Parks to have facelift
GOLFER OF THE YEAR: Sweet does job for Madison
YOUTH SOCCER: Local team gives 'care package' to children in Afghanistan
All of today's:
News | Sports
from the Morning Sentinel
They do pay 40 percent of the premium to cover their family members, and they also pay a modest deductible.
That's a great deal -- a better deal, probably, than many of the people who actually pay for those premiums -- Maine taxpayers -- get at their jobs.
The days of employers picking up 100 percent of the cost of insurance are long gone. With the advent of double-digit annual increases in premiums some years ago, businesses could no longer afford to cover all of the premium.
Even having the employee pick up 10 or 20 or 30 percent still left the employer with a large annual insurance bill. But the cost-sharing hurt the employee, too, probably cutting into pay raises and limiting the amount the employer could invest back into the business.
Employer and employees have both suffered from the rising costs of health care in the United States.
One solution, a modest one, has been to construct premium sharing in such a way that the consumer of health care (the employee) pays enough of the cost of health care to ensure they make medical care decisions based at least a little bit on costs.
If your employer is paying for your insurance, where's the incentive to keep down the costs of your personal health care by taking better care of yourself, stressing preventive care and even questioning whether you always need that expensive test?
A Republican proposal under consideration would raise the employee share from zero to 15 percent. This is one of many proposals being debated this weekend as the Legislature tries to balance the budget. State employees, however, are objecting to having the budget balance on their backs.
Can't blame them -- the increase in premium sharing amounts to a decrease in their take-home pay.
But the 100 percent deal was too good to last forever and for both fiscal and policy reasons, it needs to be changed. The move from paying nothing to paying 15 percent, however, seems like too big a change to make at one time.
That's a big adjustment to make in household budgets with so little time to plan. A fairer approach would be to go to the 15 percent over three years, with a guarantee it would stay at that level for some set period of time.

Reader comments
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previous page | next page1-10 of 19 comments:
Aside from "paying their fair share", what is your solution? what's fair? 15%? And do you honestly believe that if made to pay that, it would stay at that amount? Shall we just trust from then on that the legislature will be happy with those extra funds, that anthem/blue cross won't raise costs to whatever they see fit?
Is your solution and ideal answer really just to continue the race to the bottom, pulling everyone with you? report abuse
So you get your Health insurance for free! And you have to pay a $400. deductible! Well I have to pay $300.00 a month for my part of Health insurance. And I have a $500. deductible. And my taxes help pay for your insurance also. Time for the Maine tax payer to get a break. STATE WORKS NEED TO PAY THEIR FAIR SHARE!!!report abuse
No, they're not. What's gone is the days of expecting employers to care about the health or well being of its workers. Major employers ARE fully capable of providing more and better care for their employers, but the outstanding question is not whether it's feasible or economically possible, but whether they will be held accountable to do so.
Yes, state workers' health is 100% paid. Except for those who cover their kids. And except for the $400 a year they can pay in deductible. Suddenly, the "free" everyone's so up in arms over is running up in numbers.
If some employees have a better standard of care, what on earth would possess someone to think that the best solution is to lower the bar? By that same logic, as some people still make minimum wage, those who make more should have cuts made to their own salary. After all, paying people more than what's legally required is simply too good a deal to last forever.
Here, of course, is the opening where some asserts the value of the free market in determining wages. Possibly, but with all the protection the federal government affords healthcare providers and business, especially our larger national/multinational employers, it's hardly as though we exist within a truly open and level field.
State employees were and are absolutely right to object to this end run approach to budget cuts, and made their voices clear to the governor's office on this issue. Many people have put in many hours to negotiate and defend state employees' contracts, and this effort on the part of some of our representatives to cut into that is a slap in the face of those that serve and support them daily.
It's unfortunate to see the KJ feeding into a mindset of turning working people against each other, rather than coming to realize that if they combined their efforts, they could all enjoy better benefits and conditions.report abuse
Maybe we should all apply for a union job at Associated Grocers of Maine as they pay 100% of benefits for their union employees and their families health insurance while non union employees do not have the same coverage, or pay increases. Might be the reason why our food prices are so high.
report abuse
Oh My goodness
One has to look at the big picture.
The healthcare benefits of state employmennt are good. The pay is less than market rates. State employees consider the whole picture when they accept the job. It is not a case of the benefits being good if the pay is not. What would be the difference if the pay to state employees was raised to market rate to make the healtcare cut that the KJ has suggested?
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Which by the way--it's criminal that people should be forced to choose between health and basic needs like food, clothing, and shelter!!!report abuse
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