Health Insurance Reform Builds Bargaining Power. Goal: Stability & Security for All Americans President Obama is proposing reforms to the health insurance.

Health Insurance Reform Builds Bargaining Power

Goal: Stability & Security

for All AmericansPresident Obama is proposing reforms to the

health insurance system to protect and improve the benefits of those who have them, and provide quality, affordable health care for Americans

who are uninsured or underinsured.

More stability, security if you have insurance

Quality, affordable choices if you don’t have insurance

Reins in health care costs for our families, our businesses, and our government

“The price of health care is very important to my family. Last December, our third son, Mitchel, was born 15 weeks premature. He was only 1 pound, 13 ounces. Since then he has had eight surgeries, and has been a true

fighter. Needless to say he is what we call our million-dollar baby. I just couldn't imagine what all we would have to go through if health care costs would increase.” - Jeremy Woodward, President, USW Local 1237 - Newark, Ohio

If You Have Health InsuranceThe President’s plan won’t force you to change anything and provides stability and security:

• Ends discrimination against people with pre-existing conditions

• Prevents insurers from dropping coverage when you are sick and need it most

• Caps out-of-pocket expenses so you don’t go broke when you get sick

• Eliminates extra charges for preventative care like mammograms, flu shots and diabetes tests to improve health and save money

• Protects Medicare for seniors and eliminates the “donut-hole” gap in coverage for prescription drugs

If You Don’t Have InsuranceThe President’s plan offers quality, affordable choices:

•Creates new insurance marketplace for quality insurance at affordable prices – called The Exchange

•New tax credits to help people buy insurance, help small businesses cover employees

•Public health insurance option for those who can’t afford alternatives

•Low-cost “high risk” pool to protect those with pre-existing conditions until The Exchange is created

For All AmericansThe President’s plan reins in the cost of health care for our families, our businesses and our government:

• Is paid for upfront – won’t add to the deficit

• Creates an independent commission of doctors, medical experts to find waste, fraud and abuse in system

• Orders immediate malpractice reform projects

• Requires large employers to cover their workers and individuals who can afford insurance to buy basic coverage to lower costs for all

"I’m fighting for universal health care for people like my brother, Dale Robert Loepke. Dale was allowed to die from a treatable infection because he was neglected at two hospitals because he didn’t have health care insurance. He was 40 years old. It’s our responsibility to make sure this doesn’t happen in America." - Kathleen “Kitty” Loepker, USW Local 1899 -Granite City, Ill.

For USW = Bargaining Power

• Health care costs are single biggest issue at the bargaining table

• Reform helps lower costs for all of us, offers alternatives so that we can focus on wages, pensions, health and safety and other issues

• Helps our employers be more competitive, which saves jobs

Why we care

• Cost affects our wages, ability to bargain for health and safety improvements, and help our retirees

• Takes resources away from other government programs: education, national security, job creation and economic development, trade enforcement, etc.

•The rest of our agenda: manufacturing policy, trade, Employee Free Choice

Why We Care•Every 12 minutes an American dies because they lack health insurance (45,000 annually). 

•46.3 million Americans are uninsured.  When they can’t pay, the costs for their care shift to the insured - $1,100 per family, on average.

•Between 2000-2008, the percentage of employers offering health insurance declined from 69 to 63; for firms employing less than 10 workers - 57 to 49 percent.

•From 2000-2008, percentage of employees with deductible greater than $1,000 increased from 1 percent to 18 percent. Among small businesses, more than 1 in 3 workers must spend at least $1,000 out of pocket before benefits kick in.

"Health care reform is that something needs to happen - and soon. I am not full-time, and our company doesn't offer health insurance for part-time staff. I cannot afford any other type of health care. Over a year ago, I had a miscarriage. I had to pay for emergency room care and testing to find out what was wrong. I’m still paying for that out of my pocket. When I tried to get help, they told me that I had to have a child. That's the thing - I was trying to. I hope something comes of all of this and helps those of us who do work and unfortunately get denied for health care." - Nicole Snapp, USW Local 9349 - Chisholm, MN

Health care is costing us all

• Health care is 16 percent of the total U.S. economy – the fastest growing sector

• $2.4 trillion in health care costs in 2008

• $1.1 trillion of that was federal, state and local health care costs – 46 percent of the total cost

•$810 billion, or 36 percent, was federal costs alone

Future Costs• By 2030, health care costs will be biggest part of federal budget – 16 to 20 percent of the entire economy (GDP) – up from 13 percent in 2000 and 5 percent in 1960 (Kaiser Family Foundation)

•Medicare, Medicaid spending will exceed Social Security spending next year

•Deficit will increase $1 trillion a year without health care reform

•Rising health insurance premiums will continue to eat away at working families’ pocket books - $30,000+ a year by 2019

Health care cost hurting workers

• Health insurance increases exceeding wage increases.

• Costs exceeding rate of inflation by 2.5 percent a year.

• Medical bills responsible for 62 percent of personal bankruptcies – 80 percent had insurance.

• Hidden tax of about $1,100 per year/per family to cover emergency room visits of uninsured.

Health insurance reform is the civil rights issue of our time and the moment for action is now. Reform is key to regaining economic strength, bargaining power, protecting jobs and business, helping our retirees and doing the right thing for those in need.

We support a plan with these essential components:

Affordable health insurance options that means health care for all Americans.

Public option that will lower costs by competing with the private sector.

No taxation for employer-provided insurance, rules to ensure big employers retain coverage.

Shared responsibility by requiring all employers to provide coverage, also known as “pay to play.”

Significant cost containment to help families, retirees, businesses and our governments.

A federally funded catastrophic reinsurance program to help employers and VEBAs that provide benefits for pre-Medicare retirees ages 55-64.

Where Our Union Stands

"The picture explains why I am for a single payer or public option national health care plan. My wife and I have decent (but expensive) coverage through my retirement benefits. But neither of our grandsons, nor our daughter and son-in-law, nor my other two adult children have any health insurance. Financial disaster could happen any time for them." - Gary Gaines, Retired Steelworker, SOAR 7-34-2

For Our RetireesNational health care presents some issues specific to our retirees. Our union will fight for what’s best

for our retirees:

•Medicare Advantage: Some plans such as Sen. Baucus' bill would cut funding to Medicare Advantage. President Obama promises benefits will be the same if the subsidies to insurance companies that offer these plans are eliminated.

•Employer Mandate: A proposal to replace the employer mandate with a so-called “free rider” provision would require employers to pay half the average national cost of Medicaid for every employee who receives Medicaid. An employer would have to pay the full cost of any tax credit an employee uses to purchase health insurance.

•Pre-Medicare: People ages 55 through 64 who do not have employer-sponsored insurance or Medicaid coverage could voluntarily enroll in Medicare beginning January 1, 2011.

•Age-Rating: Setting premiums based on age at a 5-to-1 ratio. This means that the same basic package that would cost a 30-year-old $100 a month would cost $500 a month for uninsured Americans aged 50-64.

Tools and Resources

Online toolkit www.usw.org/healthcare: •Latest on actions calls and events•Sample letters to the editor and editorials•Talking points, fact sheets•Latest info on legislation•Flyers, handouts, links, videos and more

Staffing:•“War room” staff at USW headquarters – research, support•District coordinators•Legislative staff in D.C. monitoring reform bills, actions 24/7 and standing up for you in the debate.

What We’re Doing•Actions, letter writing against big insurance companies that are funding anti-reform campaigns with our premiums – Begins Sept. 22, 2009

•Urging support of our key principles from our Congress members; monitoring legislative action so our members, retirees are protected

•Working with Workers Uniting and our sisters and brothers in the U.K. who are providing solidarity in various ways.

•Urging that the bill proposed by Sen. Max Baucus be fixed

What’s Wrong with Baucus Bill•No employer responsibility: shifts costs to workers

•Not affordable: High premiums and out-of-pocket costs; much higher rates for older people and people with families.

•Poor coverage: Barebones benefits at work; high costs in the Exchange.

•Unfair taxation: Tax on high-cost plans forces higher costs and lower benefits on businesses and workers that have good benefits; live in high-cost states; or have older work forces.

•No public option: State co-ops designed to fail. Insurance companies keep their monopoly.

•Eliminates choice: Goes against President’s promise to give people choice, stability.

• Hurts early retirees: No early retiree coverage.

• Weakens regulations: Allows insurers to shop around for states with weakest consumer protections.

Would Tax Most Union Plans•Baucus is proposing an excise tax on "gold-plated or Cadillac" insurance policies – would raise more than a quarter of the $774 billion needed to pay for his plan.

•That excise tax plan would hit many union member plans – including ours: $23,000 for family coverage at one paper mill, $25,000 for a retiree, for example.

•Insurers selling a plan costing more than $8,000 for an individual and $21,000 for a family would have to pay a 35 percent excise tax on the excess amount.

•The national average premium is currently $13,000 for a family policy.

HR 3200 – House Vehicle

• Would impose a surcharge on the wealthiest 1.2 percent earners – by far most of our members DO NOT fit into this category, nor do most Americans.

• House expected to take up bill in October

• Stay tuned to www.usw.org for latest info

What You Can Do Now•Work site leaflet action – download and print from our Web site, or work with us to customize based on real member stories

•Call and write your members of Congress and ask them to support a bill that follows our principles

•Educate your fellow members, friends, families and others

•Share your stories with us – send photos and quotes about why you support reform to [email protected]

www.usw.org/healthcare