The Wall Street Journal Backs Health Care Choice Act - Again
Two cheers for the United Auto Workers, who this week woke up to the realities
of competition in agreeing to a deal that will help General Motors save $15
billion or so in health-care costs. We hope it's the beginning of wisdom about
the global economy for the American labor movement.
No doubt the immediate wake-up call was last week's bankruptcy filing by
auto-parts maker Delphi, the largest in the history of the American automotive
industry. The UAW could see Delphi in GM's future if it didn't do something. It
also realized that GM's management, urged on by major shareholder Kirk
Kerkorian, was finally gearing up to play hardball.
Still, this is a watershed concession by the American industrial workforce in
the middle of a contract that doesn't expire until 2007, and it will certainly
save jobs. Ford is currently in talks with the UAW about lowering its own
health-care burdens and both it and DaimlerChrysler have already made it known
that they expect equal treatment.
The details of the accord probably won't be announced until tomorrow at the
earliest -- and they must be approved by the union's membership and a federal
court before they can take effect. But we already know the realities of GM's
health-care costs, which keep going up even as the number of people covered
keeps going down. Some 1.1 million Americans currently have health insurance
courtesy of GM, which expects to spend $5.6 billion on their care this year. Ten
years ago it cost the company only $3 billion to cover 1.2 million workers,
retirees and dependents.
Meanwhile, GM's 106,000 hourly employees continue to receive benefits that most
American workers haven't seen in years, if ever, with little or no co-pays or
even deductibles. This year the company's hourly workers will pay just 7% of
their total health-care bill, compared with 27% for salaried workers; the
corporate America average is 32%. GM CEO Rick Wagoner said Monday that salaried
workers' cost share will rise to 31% in 2006.
GM management shares the blame for agreeing to these gold-plated benefits back
in the days of its market dominance. The company began to offer health insurance
to employees in 1950 and expanded the system to retirees in 1961, adding bells
and whistles as the years went on. The tax code made it easier by subsidizing
employer-paid health care, and the benefits helped buy labor peace.
But these costs are unsustainable now that GM has only one worker for three
retirees, and when Honda and Toyota aren't burdened by the same unionized
benefit levels in Tennessee and Ohio, much less in Nagoya. Change should have
begun long ago, but for years the UAW was more willing to shed jobs than bend on
benefits. Let's hope this week's concession is a sign of more management-labor
cooperation to come.
The federal government could also contribute, by recognizing how its policies
have driven up health-care costs. Nationwide, the average per-employee cost of
health care is $7,323 this year, according to Hewitt Associates, and is expected
to rise to $8,046 in 2006. In some quarters, this is a call to turn all health
care over to the government, as if Americans want to wait months for an MRI as
they do in Canada.
The better idea is to introduce more competition into the health-care
marketplace. A few years ago the supermarket chain Whole Foods switched to a
consumer-driven health-care plan in which its 32,000 employees were allowed to
pick from a menu of care options. After three years, the company's health-care
costs rose by only 3.3% a year, compared with national averages in the double
digits, and job turnover plummeted, according to researchers Regina Herzlinger
and Tom Nerney. Congress could help by enhancing the appeal of health-savings
accounts and by passing Congressman John Shadegg's (R., Ariz.) bill to allow
Americans to purchase health insurance from vendors in any one of the 50 states.
As for the auto workers, we are going to hear often than its concessions signal
the death of the American middle class. The truth is that these changes are the
only way to preserve it. The most secure future for workers isn't the
industrial-age labor model with one company providing pensions and health-care
benefits for life. Just ask thousands of former steelworkers.
Job security depends on constantly upgrading skills, and financial security
requires individuals to have more freedom to negotiate their own health-care and
retirement funds, and the ability to transport them from job to job across a
lifetime of work. The key is ownership, not paternalism. The UAW isn't there
yet, but at least the union appears to have awakened from its long, willful
oblivion before one of the Big Three filed for Chapter 11.