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View Diary: SEIU to do Obamacare outreach in 14 states (29 comments)

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  •  Unions have good reason to be concerned (1+ / 0-)
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    worldlotus

    The two big ones are that the ACA taxes - and thereby seeks to destroy - so-called (severely mislabeled) "Cadillac plans" - which really just means plans that are comprehensive enough to actually allow people to seek care when they need it without being blocked by big co-pays.  These are plans that unions have fought hard to win and keep over many years - a fight the ACA will make much harder.
    The second - on which I am not fully conversant - is that it apparently gives very unfavorable tax treatment to so-called Taft-Hartley plans.  These are multi-employer, union-run, employer-financed plans prevalent in the building trades, where workers often change employer, while keeping their health care.  Again, it's always a fight to keep the plans alive, and the law makes the fight harder.
    I just watched an interesting video that shows some of the flavor of union leaders' anger.
    Of course, you could make a good case that these are the same unions that have helped block serious consideration of a single-payer medicare for all model - so to a degree they have only themselves to blame.

    "Wouldn't you rather vote for what you want and not get it than vote for what you don't want - and get it?" Eugene Debs. "Le courage, c'est de chercher la verite et de la dire" Jean Jaures

    by Chico David RN on Fri Sep 13, 2013 at 06:06:10 PM PDT

    •  Union Medical Insurance (0+ / 0-)

      I've always wondered why unions didn't a long time ago offer all kinds of insurance to members. It's the kind of benefit that is tailored to members better than it can be from an employer to all kinds of employees. And it's also a profit center, even if moderated to leave more money in members' pockets (eg. if the union is run non-profit, excess from premiums reduces general dues, or reinvested in outreach or other programmes).

      Indeed, insurance is best offered as a "finance union" that spreads risk across the whole group, just as employment risks are spread across a union generally. Unions follow a career far more than a given employer.

      It's not too late. Why don't unions offer insurance in the exchanges now? The national scope but local structures of most unions would position them to compete better with either monolithic or state-only insurers. And would be a far better target for public subsidy than private insurer banksters.

      "When the going gets weird, the weird turn pro." - HST

      by DocGonzo on Sat Sep 14, 2013 at 06:26:20 AM PDT

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