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Columbus Underground Messageboard » General Columbus Discussion » Politics
Healthcare Reform
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Mister Shifter
Lewis Center
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Posted 6 months ago # -
ehill27
Short North
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Yes, how could Papa Johns owner John Schnatter and other multi-million dollar companies possibly afford medical coverage for their minimum wage employees?
Instead of whining, complaining and punishing their employees, perhaps these uber rich CEO's and companies could suggest solutions to ensuring folks are cared for when they require medical care.
But perhaps they just don't care to understand the plight of the ordinary peasants.
Posted 6 months ago # -
gramarye
In Exile
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I think that's one very likely outcome of ObamaCare as well, but remember that not all industries are structured similarly. The food service and retail sales industries may be able to get by with large numbers of part time workers, but not all industries are created equal.
Posted 6 months ago # -
ToddAnders
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Very interesting; Walker, do you offer your employees health insurance?
Posted 6 months ago # -
rus
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gramarye said:
I think that's one very likely outcome of ObamaCare as well, but remember that not all industries are structured similarly. The food service and retail sales industries may be able to get by with large numbers of part time workers, but not all industries are created equal.Sure; skilled trades, for instance, don't lend themselves to part time work. On the other hand there's a lot of low-skill service jobs that may be going part time.
I wonder if we'll see more pressure for companies using independent contractors vs. employees as well.
Posted 6 months ago # -
rus
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http://reason.com/blog/2012/11/12/obamacares-big-problem-no-one-wants-to-b
ObamaCare's Big Problem: Where's the Buy In?
One sign of a workable, successful program is that it attracts the participation of outside parties and partners. ObamaCare was designed to work with organizations across the health spectrum: Health providers, state governments, individuals. But so far, it’s proven harder than most anyone expected to find willing participants.
Posted 6 months ago # -
Jman4ever
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ToddAnders said:
Very interesting; Walker, do you offer your employees health insurance?That's an apples to oranges comparison.
That is unless Walker is taking hom 2.75 mm in compensation, and commands a company taking in a little over a billion in sales and making 5% off it.FWIW, Pappa John's NI is about 5% of their gross.
The owners salary is at .25% of their gross and 5% of their net.His estimate is that under their current structure the ACA will cost them 5-8 million a year or 2 to 3 times his annual salary. What is not clear is will it cost 5-8 million more than they already pay or just up their HC cost to 5-8 million.
Posted 6 months ago # -
sirlancelot
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As someone who is an independent contractor at OSU, I recently asked a med school instructor for her evaluation of Obamacare. She said that the idea is good but too bureaucratic. Obamacare likely will require a massive increase in use of non-physicians (nurses and med assistants) and reliance on retail-based clinics (as with CVS and Kroger) as a means to keep down costs, continuing a long term trend. Another trend likely to accelerate is the decline in general practice doctors (more profit for specialists). There would probably be a massive emphasis on wellness and prevention programs which are far less costly than medical care, and a decline on tests. Likely see a shift to more home-based visits and home eldercare. Nursing homes would very likley see funds cut. There might be an increase in dental and mental healthcare prevention services because these are the two most underfunded and under utilised medical services. Obamacare costs could be justified IF there is a corresponding decline in overall hospital stays and emergency room visit costs. If the goal is to provide everyone access to medical care, Obamacare is adequate. If the goal is to keep future medical care costs down, Obamacare is likley to fail.
Posted 6 months ago # -
Coremodels
Really close to Explorer's Club.
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ToddAnders
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@Jman, the size of your business is irrelevant to your policies; I've always offered health insurance in my small business. Now, just like most companies, the employees have to contribute as well. It is shocking how few people decide to participate.
@Walker, I understand, but I thought a policy question wouldn't be out of the ordinary to ask. Now, sales data, employee pay, yes, not appropriate to ask.
Posted 6 months ago # -
myliftkk
Columbus, OH
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sirlancelot said:
As someone who is an independent contractor at OSU, I recently asked a med school instructor for her evaluation of Obamacare. She said that the idea is good but too bureaucratic. Obamacare likely will require a massive increase in use of non-physicians (nurses and med assistants) and reliance on retail-based clinics (as with CVS and Kroger) as a means to keep down costs, continuing a long term trend. Another trend likely to accelerate is the decline in general practice doctors (more profit for specialists). There would probably be a massive emphasis on wellness and prevention programs which are far less costly than medical care, and a decline on tests. Likely see a shift to more home-based visits and home eldercare. Nursing homes would very likley see funds cut. There might be an increase in dental and mental healthcare prevention services because these are the two most underfunded and under utilised medical services. Obamacare costs could be justified IF there is a corresponding decline in overall hospital stays and emergency room visit costs. If the goal is to provide everyone access to medical care, Obamacare is adequate. If the goal is to keep future medical care costs down, Obamacare is likley to fail.Medical cost growth trends have already begun going down. Some of this is simply the recession and other parts of it are implementations of regs that are still coming down the pipeline from Clinton's HIPAA bill.
If people don't have access to care at other places in the healthcare spectrum, the only place they end up is the ER. Hence access should eventually lead to fewer uninsured ER visits, which is what are hugely subsidized by other ratepayers, once people relearn why you have a relationship with a general practioner in the first place. As far as bureaucratic goes, anytime you're talking access to billions of dollars of government money, you'll need plenty of rules just to keep the fraudsters away (and still many will come). We implement healthcare regs across our organization year round, and have since long before AHA, and will continue to long after.
As far as buy-in goes, our organization, one of the largest in the country, went all-in on the elements of the law implemented so far. While there might be some boutique organizations that have slightly better models currently than the standard pushed from the AHA, and hence pushback from them, they don't represent the state of the vast majority of institutions currently.
Posted 6 months ago # -
rus
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The morning after Tuesday’s vote, there is one thing every commentator agreed on. The election of Barack Obama guaranteed that his signature piece of legislation — health reform — can now go forward. Republicans are powerless to stop it.
Yet there is something all these commentators are overlooking. There are six major flaws in ObamaCare. They are so serious that the Democrats are going to have to perform major surgery on the legislation in the next few years, even if all the Republicans do is stand by and twiddle their thumbs.
Here is a brief overview.http://thehealthcareblog.com/blog/2012/11/12/did-the-election-save-obamacare/
Posted 6 months ago # -
News
Columbus Underground
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Obamacare town hall to provide forum on Affordable Care Act
Business First by Carrie Ghose, Staff reporter
Date: Wednesday, November 14, 2012Democratic state lawmakers from Columbus and other Obamacare backers are hosting a town hall meeting Thursday to answer questions about the Affordable Care Act’s impact on small businesses, seniors and the black community.
READ MORE: http://www.bizjournals.com/columbus/news/2012/11/14/obamacare-town-hall-to-provide-forum.htmlPosted 6 months ago # -
News
Columbus Underground
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Gov: Ohio won't set up state health care exchange
ASSOCIATED PRESSOhio won't set up its own health insurance exchange but is instead opting for a partnership with the federal government to run the new online market under President Obama's health care law. Republican Gov. John Kasich wrote in a letter today to the Obama Administration that setting up a state-based exchange is too costly and states have little control over how to operate exchanges.
READ MORE: http://www.toledoblade.com/Medical/2012/11/16/Gov-Ohio-won-t-set-up-state-health-care-exchange.html
Posted 6 months ago # -
News
Columbus Underground
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State Officials Unconvinced About Expanding Medicaid
January 22, 2013
by Karen Kasler
Statehouse Bureau Chief, Ohio Public Radio and TelevisionA new report says Medicaid expansion could bring Ohio nearly one and a half billion dollars over the next ten years. But state officials are not convinced about the costs involved.
READ MORE: http://wosu.org/2012/news/2013/01/22/state-officials-unconvinced-about-expanding-medicaid/Posted 3 months ago #
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