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Small MT Company may have to close


Posted: Jan 4, 2010

A wonderful small MT company in my town will soon be faced with closing if the Health Care Reform bill is passed.  She does not provide health insurance for her MTs but pays them well enough that they can afford their own (14 cpl).  She cannot afford health insurance for them because her group is too small for any significant discounts.  If the Health Care Reform passes which states that employers who do not provide health insurance will be fined/taxed $750 per employee, this MT company will be gone.  There is no way she could afford to pay $30,000 in fines or taxes to the federal government. 

It makes me wonder how many smaller companies will fail if this bill passes.  Even larger companies who do not offer health insurance may find it easier to close their doors than pay the $750 per employee. 

In addition, those MTs left without coverage will be faced with having to either buy insurance, go with the government run health care or be fined or put in jail, if they do not have either.  As was said lately to rationalize this "everyone has to have car insurance, so why not make everyone have health insurance." What a stupid rationale that is.

So let's hope that this bill dies quickly.  Even though it does not take effect for 3-4 years, the taxes and fines start right away.  Small businesses of all types will be closing and this most certainly will include some well known and well liked MT companies. 

;

Having heard about people whose lives are - L

[ In Reply To ..]
being devasatated by not having insurance, I will always be on the side of the people who need insurance coverage. Some cannot afford critical care, ventilation machines, life saving dialysis. The MT company sounds like she has IC employees, not furnishing the insurance to them. If that is so, then she would not need to cover. If, however, she has people working and they are employees and not covering them with insurance, I think according to how many you have working for you in the first place might constitute breaking a law. I believe in insurance for all and am hoping, therefore, for the passage. I am sure it is going to pass, though.

why does that sound like IC to you? - cj

[ In Reply To ..]
There are countless employees without insurance. Why would this constitute IC to you? However, I hope this company goes to using ICs only so they can stay in business. As the OP stated, many businesses will be forced to close. What will happen to the people employed by them? Then they will only not have insurance, they will also have no jobs and no income. You know one of the biggest employers in the country and also the richest entity, WalMart, has 1000s of employees without insurance. That is because legally they only have to provide for full-time employees so they limit people to, say, 35 hours so they don't have to cover them. And yet the public is so foolish as to flock to Walmart rather than make a statement that their business practices are unacceptable. Those are the situations that need to be addressed.

I agree - and furthermore

[ In Reply To ..]
when people lose jobs who did not even have insurance when working, how will they pay for it without an income? The bill indicates that all must have health insurance and it is not free.

Dark days is correct. We need to clean house in November 2010 and hope it is not too late to save the USA!

CJ - Old MTSO

[ In Reply To ..]
Your analogy to the Walmart situation is an excellent one. I do not shop there because I do not want the money I save to be made on the backs of other working people. There is a wonderful documentary called THE HIGH COST OF LOW PRICES. You can rent it at Blockbuster, Netflix, etc. I think everyone should see it. It is very well done and opens eyes to many things.

And you think that critical care will be - Dark days are coming

[ In Reply To ..]
provided by the government? Wake up please. You are looking socialized medicine right in the eye and you don't even recognize it. On tonight's national news, as of January 1 a large city clinic is no longer accepting Medicare. Why? Because there has been a major cut in Medicare in this proposed bill. The Academy of Cardiologists have a law suit against the federal government because of a 40% cut in Medicare for nuclear testing done in cardiology offices, by the way, is much cheaper than when done in a hospital setting. When doctors and hospitals quit accepting Medicare, where will the elderly get their care? And more so, watch the doctors leave their profession because they cannot afford what Medicare will pay, even if they do participate in the program. Your idea of health care for all is a good one, but unfortunately, it will not be the kind of health care we are now accustomed to. All companies will suffer with this, and our profession as MTs will be on the line as well.

So if the MT profession is just now on the line, what in the world - have I been reading for the last year or more

[ In Reply To ..]
about the sky falling for MTs? The majority on this board are talking about the treatment they get with the MTSOs, their lack of work, their lack of pay, it goes on and on, so your MT profession suffering because of that does not hold water. I am for the same insurance plan as Canada and other countries have. By the way, they do not call their's socalized medicine, only the people against O's plan call the US insurance that.
irrelevant what they call it... - cj
[ In Reply To ..]
You can call it anything you want. It is what it is no matter what you name it. A rose is a rose is a rose. Only this one is definitely not a sweet or beautiful rose but, rather, the thorny stem.

Medicare provided critical care when my grandmother needed it. - ginger

[ In Reply To ..]
And experimental treatment, too. And she absolutely no difficulty finding a provider.

How in God's green earth is MT going to get any worse than it is now?

RE: Small MT company and insurance - Old MTSO

[ In Reply To ..]
I really feel for you. I have been opposed to this bill for many reasons, but since this is not a political forum, I will not post them here. Suffice it to say that I do not want the government running my health care. I am a former MTSO who is semi-retired and now works for a mid-sized company. We are large enough that we already have insurance (thankfully), but I feel for small company owners (I used to be one) and for people who are in your position as well. I once had to go on COBRA in the 90s and even then and it was about 1K a month! I really hope it does not pass, either. KILL THE BILL!

Agree, agree, agree! - meowforme

[ In Reply To ..]
Yes, kill the bill, before it starts killing Americans with rationed health care. And to the poster whose grandmother received critical care under Medicare, tell her not to go to the Mayo Clinic for care because they just decided to not accept it any longer. Only the first of many to come. My mother is on Medicare also and went through extensive diagnostic testing for a heart condition. Even with her supplemental insurance, she ended up making payments on her medical bills for over a year and we were helping her buy food. If O's plan gets through Medicare will take such a hit that it probably won't pay hardly anything. However, they will raise the rate taken out of our parents' social security check, deny the yearly raise for social security, which they have already done for this year due to there not being any increase in the cost of living (wonder where they live) and the retired will have even less to try and survive on. You want the same health insurance as Canada? Perhaps that is why the Canadian people come to the USA to get life saving medical treatments that are denied to them there. If you want that type of health care you can always move to Canada or Europe. The USA has excellent health care and 92% of us (according to a recent poll) do not want the government controlling yet another important aspect of our lives. They can't even keep terrorists off our planes any longer and you want them administering health care? Oh my goodness!

I believe this only applies to companies that employ a certain number - jd

[ In Reply To ..]
If I'm not mistaken, small employers will not be affected by this. I am in favor of health care coverage for all. I don't much like the idea of being forced to have it unless it is truly affordable, but so many people are against absolutely anything that is attempted in this direction. If we had universal health coverage, people would not be so tied to their employer that they are afraid to ever look around and see what else is available.

I believe it is small business with less than 25 employees are exempt from providing employees healt - IAMT

[ In Reply To ..]
Then 25-50 employees, the company would have to pay 60% of the premium - BUT in turn get a tax credit. Not sure of the facts on the larger than 50 employee companies.

Little confused about the OP's description of the company and her concern for the situation. Why would the company not switch the employee status to IC? At 14 CPL, I would certainly think the MTs could pay for their health insurance. As an IC, they could then deduct their business expenses and the insurance premium.

My other point is that if this company has 40 employees and would have to pay 60% of a premium which is usually cheaper for group rates than individual plan, why not have a conference with the employees and discuss that they could stay in business if they paid their employees say 12 CPL (still very good rate) BUT would provide MTs with health insurance with their contribution to be 40% of premium which would allow them to stay in business and MTs to keep their jobs with the MTSO getting the tax credit for doing so?

Companies with less than 50 TOTAL employees should - be OK

[ In Reply To ..]

The following are excerpts from the actual bill(s).  Of course, everything could change when they try to combine the House Bill with the Senate Bill.  As it stands now, it looks like that small MTSO should not be concerned (if your numbers are accurate and actually only 40 MTs).  That is the good news.  The bad news is that they will probably never be able to increase the total number of employees (including office staff, tech staff, etc) to more than 49 people.  That will dramatically impair their ability to take on new accounts in the future.  In effect, the Health Care Reform Bill is going to prevent small MTSOs from ever becoming medium-sized MTSOs, without a major infusion of owner money to keep them afloat until new accounts bring in enough money to cover the added expenses for new employee’s insurance.  So much for capitalism. 


 


 


REQUIREMENTS FOR EMPLOYERS: Not required to offer coverage, but companies with more than 50 employees would pay a fee of $750 per employee if the government ends up subsidizing employees’ coverage.


SUBSIDIES: Tax credits for individuals and families likely making up to 400 percent of the federal poverty level, which computes to $88,200 for a family of four. Tax credits for small employers.


REQUIREMENTS FOR INDIVIDUALS: Almost everyone must get coverage through an employer, on their own or through a government plan. Exemptions for economic hardship. Those who are obligated to buy coverage and refuse to do so would pay a fine starting at $95 in 2014 and rising to $750.


HOW YOU CHOOSE YOUR HEALTH INSURANCE: Self-employed people, uninsured individuals and small businesses could pick a plan offered through new state-based purchasing pools. Would generally encourage employees to keep work-provided coverage.


BENEFITS PACKAGE: All plans sold to individuals and small businesses would have to cover basic benefits. The government would set four levels of coverage. The least generous would pay an estimated 60 percent of health care costs per year; the most generous would cover an estimated 90 percent.


INSURANCE INDUSTRY RESTRICTIONS: Starting in 2014: no denial of coverage based on pre-existing conditions. No higher premiums allowed for pre-existing conditions or gender. Limits on higher premiums based on age and family size. Starting upon enactment of legislation: children up to age 26 can stay on parents insurance; no lifetime limits on coverage.


GOVERNMENT-RUN PLAN: In place of a government-run insurance option, the estimated 26 million Americans purchasing coverage through new insurance exchanges would have the option of signing up for national plans overseen by the same office that manages health coverage for federal employees and members of Congress. Those plans would be privately owned, but one of them would have to be operated on a nonprofit basis, as many Blue Cross Blue Shield plans are now.


 

We need affordable health insurance that will SM - stop it

[ In Reply To ..]
be forced to cover people who have pre-existing conditions. If you are an employee and your company is not offering health insurance to you, 14 cpl is not enough to purchase your own and you can't get it if you are an individual with pre-existing condition.

You are certainly misinformed! - Also aware of law

[ In Reply To ..]
Read the law if you are able to comprehend anything. You are just going along with the hype that has been put out to jeopardize the rest of us from getting coverage.

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