
(photo: dom dada, flickr)
It’s always good to get the perspective of the people on the ground when reporting on a policy. However, when they say things that are clearly not true, reporters should provide readers with the correct information. The NYT fell down on the job in a piece that presented the views of a number of people in Massachusetts who were unhappy with the mandate and employer penalties in its health care law, which is the model for Obamacare.
The piece begins by telling us about Wayde Lodor, a 53 year-old independent product development consultant from Leominster. Mr. Lodor says that he is in good health and therefore does not want to buy insurance for himself and his college age daughter. The article tells us that Lodor estimates the cost of this insurance at $1,200 a month.
A quick visit to the Massachusetts insurance exchange reveals that the lowest cost plan for a 53-year old with one dependent child would be $685. This is only a bit more than half of Mr. Lodor’s estimate of what he would have to pay to comply with the mandate. It would have been helpful to tell readers that Lodor had seriously over-estimated the cost of complying with the mandate.
The piece then talks to Teofilo Cuevas, who it tells us earns about $40,000 a year as a meat cutter at a grocery store. Mr Cuevas has apparently dropped his employer provided insurance because he could not afford the co-payments. It would have been useful to note that Mr. Cuevas’ income would qualify him for subsidies under the Massachusetts plan. He would not be required to pay more than $235 a month. That may still be a serious burden, but it would have been useful to provide this information.
The next source is a small business owner, Ronn Garry Jr., owner of Tropical Foods. a grocery store in the Roxbury section of Boston. Mr Garry complained that the $295 per worker penalty for firms cost him nearly $30,000 a year. Actually, 70*$295 = $20,650. This would usually be thought of as close to $20,000, rather than nearly $30,000.
The piece also relies on Garry’s claim that he faces this fine only because not enough workers signed up for his employer provided plan. It is possible that Garry provides little subsidy with this plan so that it is unaffordable for most of his workers.
Finally, the piece turns to William Fields, who is described as “a consultant in Boston who helps employers comply with the law.” Mr. Fields is quoted saying:
“You have some of those who are truly bad guys and should be fined,. … But the ones that are personal to me are the $50,000 fine that puts my client out of business.”
Fields does not give any examples of businesses that were closed because of this fine. It would have been worth pressing him on the topic because it is not clear what he thinks he is saying.
Any business that goes under is by definition marginal. This means that any expense can be seen as putting it under. This could mean its electric bill, a dry-cleaning bill, or any other item. To owe a $50,000 fine the business would need to have 170 employees. A firm with 170 employees would typically have sales of at least $5 million a year. The odds are that if a $50,000 penalty caused such a firm to close, it probably would have gone out of business in any case. In other words, this firm was on its way down and paying the fine really did not affect its fate.
It would have been helpful to readers if this article had made an effort to determine the accuracy of the assertions these people were making rather than just reporting them unquestioningly.
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Economist Dean Baker is co-founder of Center for Economic Policy and Research and writes regularly on CEPR’sBeat the Press blog, where this post first appeared.



31 Comments

Wow, good catches. I’m no fan of ACA, and consider the mandate unconstitutional (though I hasten to add that I’m no constitutional scholar), and furthermore, think Obama should have been targeted for primarying by progressive Democrats, for his healthcare perfidy. (Not to mention tons of other stuff.)
However, there’s no honor in publishing un fact-checked BS about it, either. We unpaid bloggers may not be able, or are not willing, to fact check everything. But, what is the NY Times’ excuse?
Fortunately, many of the readers comments on this piece bring up some of the same points made by Dr. Baker and more.
The idea that a healthy lifestyle makes health insurance unnecessary was refuted by several examples from readers. Examples like that should have been made *in* the report.
Now Dean, you know that the NY Times reporters don’t have enough time to be “truth vigilantes.”
Until the word INSURANCE is removed from the Health equation none of these patches will work and we all know it. The Gov’t is just trying to protect the huge profits of a few individuals and Corps. and the rest of us be damned.
Dr. Baker–
Thank you for this post. I have the utmost respect for you and Mark Weisbrot. CEPR is one of my favorite policy resources.
I would not presume to dispute any of your analysis regarding the individual cases presented by Abby Goodnough. And like you, I’m not a fan of sloppy or inaccurate reporting.
Full disclosure, I am fortunate enough (at present) to be covered by a group health plan through my husband’s employer which provides us decent major medical coverage, as well as mental health, vision and dental coverage (albeit at a relatively steep cost). However, I feel that the ACA is a pretty raw deal for a lot of folks.
I am confused regarding your analysis of Mr. Cuevas’ situation. From all that I’ve read, I’ve been under the impression that individuals don’t have the “choice to pick between” their employer’s group insurance plans, and shopping at their respective “state exchanges–or federal exchange, if their state opts out.” Have I misunderstood this policy? It is certainly possible.
Regarding your statement that “Mr. Cuevas’ income would qualify him for subsidies under the Massachusetts plan. He would not be required to pay more than $235 a month. That may still be a serious burden . . .” is truly the reason that I have such a problem with the ACA.
In my opinion, there’s absolutely not enough weight given to the extreme hardship that many working poor individuals whose incomes happen to be “just above the income cap” will have to endure to comply with the ACA. After all, would an urban working poor individual really be a lot better off being among “the insureds,” if it means that he will be forced to lower his standard of living to the point that he’s living in extreme substandard conditions, such as a roach or rat infested apartment. Somehow, I think not.
Thank you very much for all you do. I wonder, Dr Baker, if you’d ever consider posting a diary that spells out “in detail” the proposed changes to social security (under Bowles-Simpson and/or Rivlin-Domenici). I am truly convinced that the only reason there’s not more push back on the Administration’s efforts to strike a so-called Grand Bargain (by those on the left, especially), is that many folks simply don’t have a clue as to how “draconian” the proposed cuts to Social Security are.
Blue
I was troubled by Mr. Cuevas’s situation, too. OK. Let’s say he won’t be required to pay more than $235 per month toward his premium. What about his co-pays and deductibles? There is no cap on these, that I have ever heard of. If co-pays and deductibles put medical treatments out of reach, Mr. Cuevas is insured but still has no access to the medical care.
And how about drugs? Does Mr. Cuevas’s policy cover them? Most don’t. And pharmaceuticals, at full un-negotiated retail price, can be scary expensive.
I fear that ACA, at full strength, would be a burden on tax payers yet fail to deliver meaningful relief to people who are presently shut out of the medical marketplance.
Has to be more of that amazing three dimensional chess we all love so much.
The individual mandate (otherwise known as corporate welfare to large insurance companies that have money to spend on political campaigns) didn’t really work here in Massachusetts.
Before it passed, the uninsured had to be treated at emergency rooms. After it passed, people who couldn’t afford to buy insurance didn’t buy it. If they are fined or taxed for not buying it, they won’t have been able to pay that either.
What makes it worse, emergency rooms now sometimes refuse to treat the poor.
arcadesproject–
Well said. Been on long road trip all day, pushed for time–thanks for finishing some of my thoughts.
juliania–Got that right! I can just hear Lawrence O’Donnell (MSNBC) now.
Blue
That nearly made me vomit.
I hope Dean can take a look at what Michigan’s Gov. Snyder is trying to do to his “employees” of the state-the women, the teachers. This is in addition to the “emergency manager” process of fascism impacting communities in Michigan. Currently you may have, say, a pension of 1350.00 a month and be expected to pay 130. for monthly health insurance premiums PLUS his new deductible of 400. and copayment of 700. True! But they are not satisfied with that- the legislature now wants to take more..Senate Bill 1040. Recently Sen. Howard Walker mailed that MSPERS is in trouble up to $45M.. so they want to protect it and charge back 20% on retirees. Now, how can someone on a fixed income, who planned and contracted their work for a secure future be helped and not hurt badly by these legislators? Very poor public trust for Walker and Snyder. Both of them are very well off and neither is making 1350. a month. What retiree can find another job in their 60’s? Oh and they have also prevented these retired teachers from subbing for 65.00 a day with a third party private system that most districts now employ..or they will lose their pension and benefits. Check out Mackinaw Center for Public Policy, the think tank that is trying to take out MSPERS. Snyder already underfunded schools to give tax breaks to business and seeks to help himself at retirees expense. MEA? What ARE they doing to stand up to these jokers who are victimizing thousands of hard working people? One of the pissed…
Obamacare sucks.
And I remember a time when most people at FDL knew that it sucks.
An the thing that makes no sense is that the state can make a person pay a penalty, but that person still has no insurance. It’s not as if the state takes the money and purchases a policy in their name.
Obamacare sucks indeed. Baker isn’t exactly pointing out its flaws, is he?
Mr. Baker, allow me first to thank you for your excellent work. I always enjoy your writing and take-no-prisoners approach to raising public consciousness of the realities of our (sham) “economy.”
That being said, that approach seems to be lacking in this piece. While your exposure of the NYT’s shoddy reporting techniques and unasked questions is appreciated, your inference seems to be that, since Obamacare is modeled on the Massachusetts program, we need to fully understand that program if we are to get a clear picture of how Obamacare might work.
The trouble is – and though you have scrupulously said only that the missing information would be “helpful,” – the Massachusetts program doesn’t work, and Obamacare won’t either.
Again, this post works fine as a piece of media criticism – i.e., stuff in the news columns should not be slanted one way or the other. But it also infers your support of ACA, or at least a willinginess to say, “Let’s not negate it before it becomes fully operative.”
Whether to do so is exactly the question before the Supreme Court, as you know. The best possible outcome of those deliberations would be striking down this poor excuse for a solution to our nation’s very real health care care crisis, and doing so on grounds that the individual mandate is unconstitutional. Because it is.
The government’s (and some pundits’) argument that the individual mandate is a regulatory solution (like mandatory car insurance), and thereby appropriate under the Commerce Clause is a lot of hooey. Not everyone owns a car. Everyone does, however, have a body, and the clear intent of the Commerce Clause (albeit implied rather than stated outright), is that the government can regulate commerce between and among the states through the regulation of industry, not of individuals. Indeed, arguments before the high court on both sides of the issue this week have – whether intentionally or ironically – made this very point. So well, in fact, that the Court’s decision to strike this law down seems to many of us a foregone conclusion.
Let’s hope so, because that is what must first happen in order for America to ultimately fulfill its first of three guarantees – “life” – to all individuals, through a national health care system.
Then, perhaps, we can turn our attention to attaining the other two, which government and industry seem similarly determined to limit: “liberty, and the pursuit of happiness.”
You may be right, but it will depend.
I’d expect a few bon bons (i.e., which don’t explicitly require a mandate) will be all that’s extracted from the ashes right away. . .the tanning salon tax, coverage till age 26 on a parent’s policy (with relatively small additional premium), and some others. The brass ring, preexisting conditions, would be out of reach for awhile and only the requirement for ER urgent care would remain. That’s a thin reed, coverage and cost wise.
I thought Kagan’s half a loaf conservative comment was funny — without the mandate it’s more like a whole loaf without any flour. It’s not a conservative way to bake at all. A few crumbs perhaps.
As this thing goes down the toilet, watch to see how Obama tries to begin to make you think he didn’t even come up with ACA. That it was somebody else’s idea.
It has already started.
All I know is while the economy was tanking, he was wasting everyone’s time with something that no one liked from either side and ultimately ended in nothing.
One of the biggest follies in US history.
At least he will be the historical President he wanted to be.
The NYTimes, nuff said. The “Old Gray Lady” has over the years morphed into the “Old Gray Hag.”
Obama and the Republicans are perfectly content to accept the fact that the U.S. ranks 37th in “health care.” Obama would be satisfied if the U.S. moved up to 35th.
I’ve thought Mass, by itself, was never an especially good example for healthcare prospects nationwide.
This state is extremely wealthy to begin with. The state gov’t enjoys among the highest per capita revenue takes in the US. Add in the windfall from the Feds to Mass to help gin up RomneyCare and the picture gets really skewed.
I’m not sure the NYT article, or Dean’s piece today, have a premise we can do a lot with. And so, the point is. . .?
I stopped reading the NYTimes w/ judith miller and WMD. I should have stopped reading its propaganda on 11/22/1963.
You are totally wrong. Obama would be perfectly content to get re-elected.
The other stuff isn’t important.
maa6722–
I think that the premise of the NYT’s article is that not everyone (read, the actual folks who WILL BE DIRECTLY AFFECTED BY the ACA) thinks it’s a good bill.
Personally, I have long been disgusted that, for the most part, the only articles that make it into the MSM are “glowing” articles, almost always written solely from the perspectives of economists, think tank expert, etc.
I’d love to see MANY MORE ARTICLES featuring the folks who are “actually affected by the ACA”. That won’t happen, though, because it would highlight the MANY undesirable aspects of this bill.
Blue
Anthony–
Excellent comment.
Blue
Corporate welfare is spot on.. The top four health insurance corporations are for tax law purposes, tax exempt not for profit public charities? Is this a joke? In spite of the not for profit status, these (public charities ?) very profitable corporations have less tax liabilities than the governed? The average family plan costs $1400-$1600, per month? This is servitude to corporate
It is called once again, protect the slave holders……….
Look at how corrupt Beacon Hill is? Just some of the past leadership sitting i jail cells? Wonder why? Legislating servitude is unconstitutional via a life tax????
Hey normanb, can provide a source for the Massachusetts mandate and emergency room info you provided.
Thanks.
I’ll make the point more directly: I’m all for accuracy but this quibbling is ticky-tack and, I suspect, an effort to run interference. Even if the numbers are off as reported, the thrust of the criticisms remain the same. I’m guessing Mr. Lodor won’t be any more keen on a policy he doesn’t think he needs that will cost him $7500/year than one that will cost him $15K/year.
I can’t believe the writer of this piece doesn’t realize that.
Most rank-and-file democrats would be happy if the USA moved from 37 to 36th place in healthcare. They’d say we owe the democrats unconditional fealty just so long as they are one iota better than the republicans. In the meantime, the democrats will continue to follow republicans further and further to the right while they attack liberals for not wanting to follow suit.
lechero–
Reference: “. . . the democrats will continue to follow republicans further and further to the right while they attack liberals for not wanting to follow suit.”
you got that right!
Blue