Public employers understand the many angles to the healthcare question. As employers they provide benefits to employees and their dependents sometimes well into retirement. They also administer workers compensation programs and comply with health and safety regulations. As public servants, they see state and local budgets hit by the high cost of providing healthcare to the uninsured. The February 24, 2009, issue of the Washington Post has no fewer than three stories on healthcare, leading with President Barack Obama’s plan to make healthcare reform his top fiscal priority.
One of the other two articles is about an agreement between Ford Motor Co. and the UAW on how to fund retiree health benefits. Unfortunately, what’s touted as a potential model for other car companies does not translate to the public sector. The agreement, which has yet to be ratified, calls for paying part of the cost of retiree health benefits in stock rather than with cash.
The third article that caught my eye was about a program in Howard County, Md., designed to provide health insurance at a very low cost (around $50 per month) to the uninsured. The Howard County program is one of only two such programs in the country, and while it may sound like an excellent idea, there is a problem—not enough people are enrolling. There are three reasons for this low enrollment: first, there is no extra money even for the small premium payment; second, there is a belief that insurance isn’t necessary because the individual is young and healthy; and finally, people don’t know the program exists.
Public HR professionals, because of their unique position in the community, should make their voices heard on the healthcare debate. What are some problems and what are some possible solutions? What would make it possible to continue to provide some level of benefits to retirees while maintaining the fiscal soundness of state and local budgets? Is universal healthcare the answer, and if so, are there concerns unique to the public sector that we should tell lawmakers about? The IPMA-HR Healthcare Taskforce recently came up with several principles to help guide the debate. We would welcome your input as well.