Working families are struggling with the high cost of health care, yet the health care bill passed by the U.S. Senate on Christmas Eve would tax their health care benefits. That’s a terrible mistake. Unfortunately, even some progressive leaders, like my friend Sen. John Kerry, have been taken in by myths that favor the tax. In a Huffington Post article published earlier this week, Senator Kerry asserts that an excise tax on high cost health plans will help control health care costs without taxing workers. The facts simply don’t support his conclusion.
According to the Joint Committee on Taxation (JCT), the vast majority of revenue collected from the tax will come from individual income taxes and joint filers and not by insurance companies. Employers will respond to the tax by reducing the benefits they offer employees, so they can fit their premium charges under the tax threshold. To the extent insurance companies pay the tax, the tax will be directly passed through to employers and employees in the form of higher premium charges.
If Congress decides to tax health care benefits for the first time in American history, it will be middle class workers across America who will pay the price. The first thing employers will do is slash the health care benefits they provide to avoid the cost of the new tax. For years, workers have given up wage increases in order to protect their health benefits. Now, those workers and their families will lose the health benefits on which they rely.
The Congressional Budget Office (CBO) and many supporters of the excise tax on health care benefits claim employers will pass along cost savings to their employees in the form of raises. They may also believe in the tooth fairy. According to a recent Towers-Perrin study of 433 executives from midsize and large companies, nothing could be further from the truth. In fact, when asked what they would do, “If health care reform reduces benefit costs to the organization," only 9 percent of the executives responded by saying they would increase salaries. The Economic Policy Institute backs up that study with convincing research demonstrating that “health care cost increases do not correspond to major movements in wages or compensation.”
Many of the proponents of the excise tax, including Office of Management and Budget (OMB) Director Peter Orszag, see virtue in the fact that it will force companies to trim their benefits and require workers to pick-up more of their health care tab. That’s a double whammy for workers. More importantly, it is certainly not the “change” our members expected when they knocked on doors and cast their ballots for President Obama and Vice President Biden. We believed their promise that health care reform would include a guarantee that workers who liked their health care benefits would keep them. A tax that falls disproportionately on older workers, workers at smaller firms and others with decent but not extravagant health care does not keep that promise. And it does not make sense.
The excise tax is not essential, or even relevant, to health care reform. The excise tax is a tax policy, not a health care policy. The CBO’s scoring of the Senate bill underscores this point. CBO calculates that the Senate bill will decrease the federal budget deficit by $130 billion over the 2010-2019 period while the excise tax will raise $149 billion. These numbers clearly demonstrate that the excise tax is not a necessary component of health care reform, even as a financing mechanism. It is simply a method to raise revenues to reduce the deficit.
There are far better alternatives for funding health care reform, just as there are better ways to reduce the deficit. The House bill would do it by asking the wealthy to do their part through a small surcharge on families earning more than $1 million annually. It asks the wealthiest Americans, and the insurance companies responsible for skyrocketing costs, to pay their fair share. And importantly, it doesn’t unfairly place the burden of reform on America’s middle class.
Make no mistake: A tax on health benefits will increase the taxes on the middle class. It will add to the burdens faced by middle class families already struggling with the high cost of health care coverage. It is a big mistake that needs to be corrected before Congress finalizes the bill. We are at a pivotal moment in the debate. The time for action is upon us. President Obama and members of the House must tell the Senate that their misguided and unnecessary tax on health benefits cannot survive in the final version of health care reform.



17 Comments




thank you for writing this
recommended
Really? What colossal dummies they are!
Gee, you think?
OMG! What an unexpected turn of events!
Snicker.
Welcome to Firedoglake Mr McEntee,
with all due respect sir, we now have a Democrat President in the White House openly campaigning for the Senate version – thumbing his nose at a significant ally
what are you and your members prepared to do if this tax is passed on to working americans ??? will you keep to your earlier promises of withdrawing support in 2010 ??
those of us out here counting on Labor to stem this tide have been told Leadership is playing it’s cards close to the vest in hopes of getting EFCA passed down the road – Mr Entee, please tell me there is no one left in Labor that still believes this fairy tale
millions of american families (in and outside of Labor) are counting on you to push back and hold the folks you helped get elected to account
we are watching closely
Can this fucking so called Reform get any worse? Are the Dems. really this stupid and this delusional?
Thank you for this article Mr. McEntee; you express my sentiments exactly.
If this bill passes with a mandate and the Senate’s excise tax, I am through with the Democratic party.
And I understand former president Clinton is speaking to the House Dems next week to put pressure on them to accept/pass the bill. Just what we need, the architect of NAFTA stepping in to push this garbage Senate bill.
Thinking this through, the economic argument is that if health benefits are taxed, then that will put downward pressure on health care costs.
That is a bogus argument, instead of driving down health care costs, it will drive down health insurance spending by employers.
What is the mechanism, in their estimation, where driving down spending on health insurance translates into driving down health care costs? Wouldn’t less insurance just purchase fewer medical services that remain as expensive as ever?
The only thing these people will understand is when people living in the blue cities who voted these people into office take to the streets and shut down the profit centers that short-circuit our democracy.
Why does Peter Orzag “see virtue in the fact that it will force companies to trim their benefits and require workers to pick-up more of their health care tab”?????
What is the virtue in forcing companies to take benefits away from working people? And make it more expensive for them if they get sick???
Can somebody explain why this is good? And why the hell we should back anything else these people ever do?
I used to say I would never ever vote Republican.
Now I feel like I already have.
Guess what? I am very progressive and I am for the tax. Just like I am for the repeal of the mortgage tax forgiveness. You all are middle class people complaining about taxes while those on the bottom get nothing. Everyone is going to have to give to make this fair. Top end health insurance plans are not good for you. The health care industry has a motivation to keep you going to doctors (especially if it cost you nothing) and taking to many medicines. I don’t have insurance because I don’t want to pay for people who are addicted to alopathic healing.
It is baffling that so many have bought in to the notion that the employer will pass along any savings realized to the employee. As the more recent Mercer survey found,
The question I have asked, and yet to receive an answer, is where will the government find the $149 billion that the CBO had estimated would be raised from the higher wages when that fails to materialize?
Top end health insurance plans are not good for you? The health care industry has a motivation to keep you going to doctors??
….you’re kidding, right???
If we’re looking to even out wealth disparities, which I agree we should be, why don’t we tax the rich to pay for health care, like the House bill does?
I’m going to share some very sad sentiment with some Democrats I just spent an hour arguing with over at ThinkProgress.
‘You’re not supporting the effort? You’re not supporting the policy? You’re not supporting the Democrats?’
‘You’re a Tea Partier! You want Democrats to lose! You’re trying to divide Democrats!’
The excise tax is bad news, bad policy, and bad politics. If the Obama administration and Democrats in both houses had any interest in doing what was right and what was effective, they’d ditch it. Then again, if they had an interest in doing what was right and what was effective, they’d be doing a lot of things differently.
“Are the Dems. really this stupid and this delusional?”
YES!
Health insurance benefits-”Cadillac” or not–should be taxed just as other forms of compensation should be taxed. It’s not fair for those of us who have to buy our own insurance to see others subsidized in this way. The fact that they are not is one reason why health care costs are so high in the US.
That said, the bill is joke and the mandates to buy insurance will drive up the cost of health insurance. Obama and the Dems really blew it. They don’t cover everyone and they end up increasing costs for everyone. Not change we can believe in.
“You’re trying to divide Democrats!”
Any divisions in the democratic party should rightly be placed at the feet of the president and congressional leaders. Throughout the entire process of developing the current health insurance bill the concerns of the left have been trampled on and discarded. There has been no compromise only capitulation.
Loyalty is not an obligation, it is a reward and must be earned.
I’ve seen the same sentiments expressed elsewhere in Left Blogistan. They’re nauseating. So are those who declare that we must support this bill because otherwise we’ll lose a historic opportunity to reform health care. To my mind, this is not a reform and the historic opportunity was lost when Obama sat on the sidelines and allowed the pols to chip away everything that smelled like reform – just as he sat on the sidelines and let the opportunity for re-regulation of our financial system slip away. The Democratic party in general and Obama in particular have lost my confidence and they’ve lost my vote. The time is long past when just not being Republicans is enough, especially when the outcomes from the Democrats are indistinguishable from those of the Republicans.
“Health insurance benefits-”Cadillac” or not–should be taxed just as other forms of compensation should be taxed.”
Usually the person receiving the compensation is taxed. In this case the tax is levied (depending on the type of plan) on the health insurance issuer, the employer, or the person that administers the plan benefits.
edit: in reply to #14