Monday, November 9, 2009

The Debate


by Don Harkey

A portion of our population believes that the American Health Care system is fundamentally flawed to the point that it requires major reconstruction. A portion of our population believes that government-option Health Care Reform will be a major step toward the socialization of America and will lead to a reduction in the basic Liberties we enjoy as Americans.

It is a debate that is not unlike one person arguing that the Colts are the best NFL team and another person arguing that football is stupid. They can debate well into the night, but they won't reach a resolution because they aren't arguing over the same thing.

I was lamenting the Health Care reform passed by the House yesterday with a good friend of mine. I brought up the impact of such a reform on businesses and used WalMart as an example. According to one website, WalMart employees 1.4MM employees in the US, about half of which get health insurance. The legislation passed by the house will require WalMart to provide insurance for those 700,000 employees. If they can get a plan for $400 per month (average) per employee (which would be a great deal), they will end up paying over $3 Billion per year extra. WalMart profits are around $13 Billion per year.

Suffice it to say that WalMart will have some thinking to do... let's see... how do we compensate for this huge new load on our business... Raise prices? Open fewer stores? Close down existing stores? Layoff employees?

Now here is one of the many "debates" we can have as country. Is WalMart "evil"? My friend would probably say "yes", although he might soften the language. They regularly hire people below the poverty line, fail to provide health insurance for 1/2 of their workers and they push the envelope in getting people to work as much as possible without qualifying for benefits.

On the other hand, WalMart has improved the efficiency of the distribution system throughout the country to the point that it's prices are very low. WalMart provides great value to its customers, which is reflected in the fact that 80% of the U.S. population will enter a WalMart at least once this year. WalMart is largest corporate employer in the world (McDonald's is 2nd in the US with about 1/4 as many employees). Roughly 1% of the U.S. workforce works for WalMart.

Conclusion #1: First and foremost, WalMart is not a person, it is an organization. Just like any large organization, it operates within its system and pays little attention to individual people or their needs. This is the nature of large organizations. It is successful because it provides great value and lots of people work their because they are willing to hire people. Personifying a company is naive. It does what it does, and if Health Care Reform passes, we should wonder what it will do...

Conclusion #2: The U.S. Government is finally standing up to big business and the big insurance companies, right? Remember that WalMart employs about 1.4MM people. The U.S. government (local, state, and federal) employs 20MM people

...and it is about to employ even more.

The point here is simple... the WalMart's of the world must operate under the principle of economics. If they stop providing good value then they will shrink in size as has happened countless times in the past (1950 - 2 largest companies were General Motors and A&P). If employees can find better opportunities, they will go elsewhere which will lead to an overall decline in their quality, which will lead to their decline. It happens.

The U.S. Government (or any government) does not follow the rules of the market. As people vote themselves more and more programs and benefits, they are increasingly unlikely to release these benefits as they become more and more dependent. The problem is that the government must perform within the economy and they find that they must consume more and more resources until they can no longer provide the benefits they have promised. This has also happened countless times in the past (Soviet Union, England).

Don't forget who the "big guys" really are!

2 comments:

  1. Thanks for giving me the big picture of health care and comparing the size of a major corporation like Wal Mart (# of employees) to the Government. Probably not a great time to pass this bill with our unemployment reaching 10%. I wish congress would read your blog and pay more attention to history and being able to see the big picture!

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  2. I doubt that there's a direct link between the mandatory nature of car insurance and falling premiums. However, the competition between GEICO, Progressive, Allstate and others is intense, holding premiums down.

    It's wrong to conclude that making health insurance mandatory will necessarily cause premiums to increase.

    The greatest pressure on health care costs come from tobacco, obesity and lack of exercise, which are not the fault of the government.

    Some element of competition could cause downward presssure on the cost of health care (of which insurance is just one part).

    WalMart seems to already be in the process of providing clinics in its stores for employees and others. We can expect WalMart to use its ingenuity and market share to create a low-cost solution for itself.

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