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Eve Tahmincioglu

Primary author Eve Tahmincioglu has been covering small business and entrepreneurship for more than a decade. She regularly writes about small business issues for the New York Times and BusinessWeek's SmallBiz magazine. She also writes the Your Career column for MSNBC.com. She is the author of "From the Sandbox to the Corner Office."



Hillary’s health plan and you

Posted: Thursday, September 20, 2007 5:00 PM by Eve Tahmincioglu
Filed Under: , , ,

Hillary Clinton is taking another crack at fixing our nation’s troubled health care system, and there’s one good thing about it: Small business owners are on her radar screen.
 
She’s talking about giving entrepreneurs tax credits if they perform the herculean task of providing their workers with health coverage.
 
I call it herculean, because it often takes mythological powers to afford the health care plans out there.

AP

Check out Hillary pitching her plan.
 
The heart of her plan is requiring consumers to buy insurance either through work or through a program that will be modeled after Medicare.  It also would force insurance companies to cover everyone that seeks insurance, even if they have the dreaded “pre-existing condition.” This is a problem that often hits small business owners hard because they can’t spread the risk among a huge workforce as large corporations can.
 
Some of you entrepreneurs out there may be cringing right about now, thinking, “Who needs more government mandates?”
 
Many of you voiced that as a big concern after I wrote a post on Michael Moore’s movie “Sicko.”
 
JRS from Chicago summed it up best: “I find it ironic that your ‘solution’ to small business problems is a further abrogation of property rights and ending for-profit enterprises in health care.”
 
“As a business owner,” he added,  “I have suffered the increased health care costs associated with insuring my employees. I have also suffered the increased costs associated with giving my employees wage increases. Perhaps you could really help me out by putting all my workers on the government payroll!”
 
But desperation, especially when it comes to our health, can make even free-market types open to change.
 
“We are a small corporation of two, aged 61 and 63, and relatively healthy,” wrote Rita Dick from St. Petersburg, Fla.  “For health insurance with a $2,000 deductible we must pay $1,124 per month.  This is extremely difficult not to mention outrageous.  I have had to forgo removal of a small basal cell skin cancer because it would cost me over $3,000 out of pocket, which is almost as bad as when I was charged $17,000 for lying in a hospital bed overnight, and having five minutes of anesthesia so my artificial hip could be put back in socket.  All politicians should be stripped of their cushy health care that we pay for until we all get guaranteed coverage.”
 
Before we strip Sen. Clinton of her coverage, let’s see how she plans to spend more of our money.

There aren’t a lot of details yet, but here’s what I’ve been able to decipher. She wants to give a tax credit for small business owners who provide coverage to their employees but also contribute to the cost of those premiums. The credit could be 50 percent of the premiums the firms pay out for businesses with less than 25 employees. If the company is medium-sized the credit could be less, but her plan didn’t specify by how much.

She’s looking for your input and plans to “work with the small business community and Congress to design the parameters of the credit as well as how the credit might dovetail with the tax credit going to individuals and families to make premiums affordable.”


Affordable? Politicians are pumping up the volume on their health-care rhetoric, and there’s a lot more to come in the months ahead. But only time will tell if they’ll be any help for people like Rita.

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Just the thought of another mandated insurance for people already trying to survive in this economy has lost my vote for Hillary, and many others whose comments I have heard.  We need health CARE, NOT health INSURANCE!!!!!
Just having health insurance does not mean you can afford the services, either.
Health insurance is comparable to my mortgage payment.  I don't believe I should be forced to pay for premiums that I will never use.  

I do not believe in going to a doctor for any reason.  My experiences have been that every time you go to a doctor, they want to run test after test and when every test turns out negative, they still want you to come back in 30 days for a checkup.  It is a racket approved by the AMA as a way for doctors to make more money.

I am amost 60 years old and very healthy.  When it is my time to die, I'll die at home in my own bed, not in a strange hospital setting.
Hillary is missing the main problem and is only appying a bandaid. It makes me mad that we have a healthcare industry that makes profit off of the sick and dying. Healthcare is so expensive that even when you have insurance, all it takes is one major sickness to bankrupt a person. Why? Because if you read the fine print, a lot of insurances only cover up to 1 million, after that you're on your own. It doesn't take long to reach that limit. Then it's time to start selling that home and car, and move into a cardboard box. Hillary is bought and paid for by the insurance industry, as is the rest of our government. :(
odd that people feeding from the public trough have no trouble finding ways to spend more and provide less while mortgaging current and future taxpayers...there is no free lunch! Here's a unique thought...cut back on spending and know where dollars are going!
She can give us the same insurance that they have in congress,and or the one that all federal employees have and the problem is solved!
Tax credits for health insurance for  businesses makes no sense to me...as a small business owner, the tax credit is already available...costs are simply written off as an expense.  Be that as it may, many small business like mine are unable to afford the cost of health insurance.

The health crisis is basically legalized robbery, sponsored by folks like Hilary...who is totally beholden to her sponsors...the health insurance industry.

Why are folks not mad as hell at these liars?  I have some assets ...so of course I have to protect my assets...but health insurance is extortion.  The only one in Washington talking any sense right now is Ron Paul... he would hold Washington politicians accountable for their lying ways..



I agree with ruben that if we could have the health care that Mrs. Clinton, as a Congresswoman has, it would be nice.  It sounds good to say every one has insurance, but someone has to pay for it.  That will be you and me by the democrats raising taxes again.  I don't know of anyone who really needs medical care in America who cannot receive the care now.  We have charity hospitals, and I know that some major hospitals take people without insurance because they are forced too because of law suits if they don't.  If we had so-called guaranteed insurance for everyone and it is free, we would not have enough doctors to see all the patients since people would be going every day for some minor disease or injury.  This is just another one of the democrats rhetoric statements for people who never think but just want something else for nothing.



yep, Phil is right on, as I own a small business too...problem is there is absolutely no accountability for idiots like Hillary, GWB, or any other moron who has been soaking the public so long without any measure of accountability for their own day to day performances as reps of us...so anyways all the 'entitled' folks like her and GWB...you are all losers///thanks//George
Healthcare is expensive for everyone, private individuals and corporations. It cost a little over $12,000.00 dollars a year to insure my family and I. The company pays 70% & I pay the other 30%. Then there are the co-pays & multiple deductibles for different services. Where does the money come from to pay for all this? I'll tell ya, it comes from the products the company makes & sells. That is why its so hard for American companies to compete with foreign corporations that only pay a small tax to their goverment to provide healthcare for all the people living in that country.
I am a sole practitioner CPA with over 25 years experience servicing small business clients. I have sent communications to elected officials and Presidential candidates from both parties with suggestions on how to save the Federal Government billions of dollars on healthcare and how to make healthcare more affordable to the average business owner. To date, I have not received one reply... I hate to think that the politicians don't care but...  
Someone please tell me when a "new" healthcare plan by the white house has changed anything for the better.
Perhaps we should adopt something the the system in the Netherlands where insurance is mandatory, noone can be turned down, everyone pays the same--and the cost is roughly $125/month.  Here's a link to an article aimed at people who are planning to relocate to the Netherlands: http://www.justlanded.com/english/netherlands/tools/just_landed_guide/health/healthcare
I have a family of 8 (6 children).  To insure our family would cost around $1200/month.  We are living on $3600/month.  In a normal YEAR we do not spend $1200 on medical.  I simply save every month and pay for our healthcare outright.  To force me to spend a 3rd of my income on healthcare because of some law is robbery.
LET THE GOVERNMENT PROVIDE THE HEALTH INSURANCE AND LET THEM CHARGE PREMIUM ACCORDING TO THE ABILITY OF THE INSURED AS TO HOW MUCH THE PERSON CAN AFFORD AND IF HE IS AT OR BELOW THE POVERTY LINE THEN THE PERSON PAY NO PREMIUM  AT ALL.
Hillary is saving SS.  The problem with SS is that people live to long, give them government mandated health insurance and people will die a LOT sooner.

She is a marricle worker, solves the health insurance problem and SS problem all at once!

P.S. - best say your goodbys to grandma now...
Mr Salinas you are mistaken in thinking that all government workers have the same insurance or even retirement plan as congress...they are the priveledged ones, some of our insurance does not pay very much either.  There have been many times I have not gone to a doctor due to the expenses I would have had to pay out of pocket.   Do not lump government workers with the elite congress!
How about giving the whole plan a thorough examination before disparaging it, or are you just plain anti-Hillary, so anything she does has got to be just bad regardless. Her plan, from what I have seen of it, is similar to the one Bismarck gave to the German people in the 1800's and is still functioning with only minor adjustments. Hardly unworkable and hardly unaffordable, it seems to me.
I do not know why it is important for Hillary or any other candidate re-invent the health care wheel when health care systems around the world (how about Canada?) work so well and are highly thought of by their citizens. Do you think someone could talk about modeling a system that already works so well for so many others.
i understand that the government was originally created to maintain an equally distribution of services to all citizens,however Hillary forgot this basic principle at all.Instead, politicians have decided to benefit certain class only,including themselves.WATCH,EVALUATE AND DECIDE. NO HILLARY, I'M SORRY.
American citizens with hepatitus-c for one can not get healthcare on there own,And with employer health insurance they can not get the tests or treatment they need! maby they don't matter,Well the republican says they do not but i think hillary does at least she has ethical standerds.
Let's just can the employer based health system.
1. Employers don't really care and consider it a burden.
2. With the volitility in the job world there is no continuity with employers let alone private health care offerings.
3. Let the employer pay into the fund-pool and have a "health system" that can work.  
4. Lower the cost burden created by the AMA for medical training.  We can still maintain standards with the AMA barriers to entries to the medical industry.   Suprisingly, the Cubans have done it.  They have more doctors per capita.  (They export medical personnel).
Sunday on the news circuit, Hillary kept using the term "choice", Individuals will have a "choice", small businesses will have a "choice".

She neglected to mention the part about being forced to have insurance.
The root causes of costly health insurance seems to be ignored in the solutions I have seen.  Insurance companies need profits to maintain invstor interest and executive compensation; ditto pharmaceutical firms.  These expenses are additive to every Hopsitals' need to expand as well as pay exectutive compensation.  The docotors and their staffs receive income from insurance payouts as providers; they are free to increase their fees yearly to pay for bigger venues, more staff, fine automobiles, superior homes, and beyond wealthy retirement... Doctors say that they earn this by virtue of taking on the expense of medical education, setting up a practice, and paying excessively high malpractice insurance premiums to insurance companies - the insurance company returns - so the doctors and hospitals need to charge more again.  
Would it help if doctors were educated at a lower cost - scholarships and special accomodations; and malpractice suits had reasonable limits; and executives made a few dollars less each week; and hospitals had more constrined growth; and drug companies could lower investors' returns 5%; ... you get the drift here.
Yes all these would help - and the reamining issues come down to "greed and entitlement" the bane of being human.
Hillary's plan is a step but we need a major walk-a-thon to make health care affrodable and the 16 page document can cover all the must haves to fix this.
It is a tangled web but it can be handled with real people working on all the elements with a true eye on helping and impoveing life to everyone without a hold out or "grandfathering" approach - it must be complete and open and willing to say what muat be said... we can do this and it won't come about without fighting for exceptions -- -- excpetions we must say "NO" to including the favored status of our elected repsresentatives that live way too far beyond the people they promise to help yet sledom do.
Hillary's health plan is just a warmed over former plan. She changes her ideas as often as the wind changes. It seems hard for her record to catch up with her. Wonder why she doesn't give Bush the same options as she wants the public to give her?
It's horrible to think of another Clinton in the White House.
I am appalled and embarassed by the rancor and selfishness appearing these messages. There are almost 50 million uninsured Americans including millions of children. I think that these humans in trouble trump these pettiness and self centered comments.
To the healthy people who proudly believe that they don't need insurance I am certain that when and if they are sick we will be paying for their health problems at the emergency rooms. To the lower income citizens I am certain that any universal plan will be set up to protect them.
Lets remember that if we can flush $700 million dollars each day in Iraq then lets correct our priorities and supply humane health coverage to our children and citizens.
With car insurance you have a choice you can  use a car and have insurance or opt out of car insurance and use public transportation. What are my choices with health insurance I have to buy it or die? That's not a very good choice.

Our family is struggling as it is $500-$1000 a month on required insurance that does NOT even cover everything is not helping, it's putting us more in debt especially when we have no major health issues and see the doctor maybe once every couple YEARS for the flu, that's what $12,000-$24,000 for the flu?
sounds like i'm keying into the republican . but in my opinion she is at least trying to help us , but it sounds like the rich kids are getting mad because they are not getting there way. sounds like they don't care if anyone else has insurance or not. i wish there was a easy fix but there is not . food cost are so high, fuel is so high , insurance premiums are ridiculious for health, cars and homes.
what i think needs to be done is lower the insurance.
stop allowing these insurance companies to charge so much deductible, premiums, and to have there high profit margins. you people act like hillary is responcible for our most problems but things were good til another bush was in office including what jebby boy did with the insurances and taxes in florida . people are in forclosure all over the place, they bought there house with a fixed rate and then some smuck in nebraska university said florida will be wiped out NOT!!!!  our economy was great in florida til katrina, and jeb bush...


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