As the nation moves closer to the Presidential election, the calls for universal healthcare are increasing. However, looking at the current stances on how this should be achieved, I have toask the question of whether there is any desire to really solve the problem?
The truth is the estimated 47 million people without health insurance are used like a political football and are pulled out every election cycle and passed around by both parties to stimulate their base (pro and con) and then put back on the shelf for a later date. With the country moving toward a more liberal stance on healthcare the likelihood of some change is great as the arguments are made for and against universal healthcare. To this end, I would like to present the current way being proposed (penalties) and an alternative methodology (incentives).
Penalize
Currently, the most prevailant solutions for paying for universal involve penalizing the wealthy, state and local taxpayers and municipalities. Presidential candidates have proposed everything from removing the Bush tax cuts for the top 10% of wage earners to mandating coverage through legislation.
The redistribution of wealth has always been a contentious issue among Americans and serves as a punishment for achievement. Under our system of taxation a family earning above $105K is counted in the top 10% of wage earners in the United States. This income range can hardly be considered lavish, but under certain economic philosophies they are considerd the "evil rich".
In fact, this income level could be achieved by a husband who is a police officer and a wife who is a nurse or an over the road truck driver who owns his/her own rig. While I am certain these working class "rich" would agree with providing universal healthcare, would they agree with raising their taxes to accomplish it?
The second proposed way of paying for universal heathcare would be to mandate employers provide healthcare for all employees. This idea would cause hardship on the employee and employer. If employers are forced to provide healthcare, they would simply lower the wage of any potential worker to compensate for the difference and not offer raises or bonuses for a period commensurate with the increased expense for current employees. It would also cause a shortening of potential applicants to due pre-existing conditions and/or other health concerns.
Additionally, there is a better than average chance those benefits will be classified as compensation and be added to the reported salary of the employee, which would add to their tax burden.
Incentivize
The alternative to using force or mandates to solve the healthcare problem is that of choice and incentives. Properly structured incentives programs could easily solve the problem of healthcare coverage within a single year. The two incentive ideas I would like to share are tax breaks and bond issuances.
Tax Breaks
Under this scenario, households that are able to subsidize the cost or partial costs of healthcare for another person or family would receive a tax credit on their federal taxes. The system would work by having the State Dept of Health and Human Services develop a cost associated with providing healthcare for people in the State and taxpayers would be able to go online and bid monthly or annual amounts to cover those costs. In return the taxpayer would receive a statement at the end of the year and be able to deduct donated funds.
Bond Issuances
In many state and local municipalities, when the need arises to raise a capital for expenditures such as sewers, roads or stadiums bonds are issued, in lieu if raising taxes. These low interest paying vehicles are affective because they give those who want to participate the ability to do so to their desired level. They also have an investment that is secured by the health of their stae or local economy.
I believe the same could be done with providing healthcare. Once again the Dept of HHS would come up with a number that represented the costs of covering those people in the respective locality and bonds would be issued on an annual basis. The interest paid on the bonds would be funded through the savings the government would have on indigent care and subsidy programs such as Medicare and Medicaid.
In short, government is not the answer to all of our problems. Individuals can offer as many solutions at half the cost.












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