One of the few good
parts of the health care reform law was to make a cafeteria of plans and
coverages available for small business employees. This was to be done by setting up insurance
exchanges that
worked like this.
Health
insurance availability and cost are huge concerns for small businesses. They
have less bargaining power than large companies and generally pay higher prices
for insurance, if they can afford it at all.
The 2010
law stipulates that each state will have a Small Business Health Options
Program, or SHOP exchange, to help employers compare health plans and enroll
their employees.
One of
the most important tasks of the exchange is to simplify the collection and
payment of monthly premiums. An employer can pay a lump sum to the exchange,
which will then distribute the money to each insurance company covering its
employees.
But Republican delays have set back the process.
Exchanges are scheduled to start enrolling
people on Oct. 1, for coverage that begins in January. However, the
administration said that the government and insurers needed “additional time to
prepare for an employee choice model” of the type envisioned in the law signed
three years ago by President Obama.
And the really neat thing, beside Mr. Obama getting
blamed for the delay. These exchanges,
using private insurance companies and competition is exactly what Republicans
wanted, supported and probably would have implemented had they been in power.
If Mr. Obama proposed massive tax cuts for the wealthy
would Republicans block that to avoid giving Mr. Obama any success? Don’t bet against it.
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