My curiosity over his decision had
been peaked by my own tax career background, since from the law’s inception I
had always considered the mandate penalty portion to be a tax. It met the simple definition of a tax (a charge usually of money
imposed by authority on persons or property for public purposes – per Merriam-Webster). When incurred it was to be collected by the
IRS (a fact now presented by Conservative opponents as a revelation – who did
they think was going to collect it, the Daughters of the American Revolution?).
That it was called a penalty was
appropriate in my opinion. The fact of the matter is that the Internal Revenue
Code is filled with penalties, and all those penalties when retrieved become
part of the general revenue. The reason
the term is used at all is because the tax can be avoided by simple compliance
by the taxpayer. An obvious example is the requirement on the part of the Federal Government
that everybody who owes an income tax must file an income tax return. That mandate doesn’t impose a criminal
violation if someone chooses not to do it; rather such failure only adds a
penalty onto whatever tax (plus interest) that the taxpayer owes. Like the AHA, no one has to pay the
penalty if they comply with the mandate.
Simple…no surprises.
So Republicans, who had planned
to be able to use the Court striking of AHA as a major failure of the Obama
Administration, now have to fight the
particulars of a law which, when exposed to the light of truth, has much more
upside than down. They start by symbolically burning Chief Justice Roberts in
effigy, then screaming (occasionally in tears) that Obama deceived the nation
into accepting an atrocious tax - something along the lines of charging a
mother with child abuse because she tricked her boy into eating cauliflower by
telling him it was white broccoli.
The next major step is to once
again portray the AHA as a “job killer” making repeated reference to the burden
placed on business (which under the law means businesses having 50 or more
employees – those with less than 50 employees actually get tax-credit benefits
under the law). This burden on business argument gets to me
as well. It ultimately clouds the
relationship between employer and employee and the understanding of what
compensation is.
In this country, the use of
health care insurance as a benefit of employment is an accident of history, as
are some other benefits. Despite the
problems these arrangements have created, it has become the primary means of
delivering these insurance services to the public. Probably the most serious opponents
to health care reform are those who obtain their health care insurance, paid wholly
or mostly, from their employer. What has
been lost is that the cost of health care insurance has become misconstrued as a
fixed expense of the employer when it is actually a variable expense of labor,
otherwise known as compensation.
Employers have always treated it as compensation, but because they don’t
directly see it, employees generally don’t. Even worse, employees often look at such a benefit
as largesse from their employers, like it was a gift.
If under AHA an employer finds
that they have to contribute more (or at all) to employee health care insurance
plans, they will factor that into their overall labor costs. The actual payer of those costs always has
and always will be the employee, as a portion of their compensation is being
directed to purchase that particular service.
That is why this “job killer” argument is so hollow and so
political. Small businesses have always had
control of their labor costs, if they are well run. What kills them is a lack
of market.
What employers primarily want is predictability,
which includes labor costs. What would
maximize that predictability would be to get employers out of the health care business
all together, but because neither political party has the foresight (or cohunes)
to get that accomplished (at least for now), the next best thing is to step
away from the hodgepodge inefficient system we had prior to AHA, provide consistency
of health care insurance coverage to the entire nation and then begin to work
seriously toward the next step – reducing per capita health care costs.
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