I am so pleased to see the Obama administration recognized the potential job-killing effects of the Affordable Care Act’s employer mandate (TNT, 7-3).
Many large corporations will continue to offer “self-insured” plans exempt from certain ACA requirements. Hopefully with this postponement, the administration will help even out that playing field for smaller businesses by encouraging or at least allowing small business associations to group together and form their own self-insurance pools.
Long ago, businesses started offering health coverage as a benefit to their employees. Now it’s become expensive and time-consuming for employers to administrate. It may be time for businesses to push to divorce themselves from health care altogether so they can focus on business productivity.
After all, health care should be a personal responsibility. There should be built-in rewards for people who responsibly complete preventive health care and follow their medical providers’ health plan recommendations. There should be penalties for those who don’t comply with routine preventive care, recommended immunizations (except for allergies or contraindications), medications, exercises, smoking/drug cessation, diet and weight control.
There should be no free health care for anyone. There needs to be a buy-in, even if it’s small.
(Phillips is a registered nurse.)