Comment by WalterBright
21 days ago
> Prorate medical insurance payments based on hours, so companies that won't pay people for more than 30 hours a week pay their fraction of medical insurance
Attaching medical insurance to one's job is a market distortion caused by government tax policy. I.e. it enables one to buy insurance with pre-tax dollars rather than after-tax dollars. Making medical insurance premiums fully tax-deductible would fix that.
> A minimum wage high enough that people making it don't need food stamps.
That just makes those people unemployable, and will need food stamps even more. Nobody is going to hire people who cost more than the value they produce.
> Google should be broken up into Search, Browsers, Mobile Devices, Ads, and Services, and the units prohibited from contracting with each other.
Google is already in trouble because AI is disrupting their search/advertisement business model.
I'd be careful about destroying big business. The US is only part of the world. Destroying US big business means other countries will have those companies, and it's lose lose for the US. Do you want Big Tech to be American companies, or foreign companies?
> Attaching medical insurance to one's job is a market distortion caused by government tax policy
Here in the US, FDR had a wage freeze as part of his policies [1] to deal with the continuing Great Depression that WWII had not stopped yet by 1942. Because of that, companies needed to get inventive about ways to increase benefits but not illegally increase wages. Companies started offering insurance plans.
That's where the employment/insurance coupling started.
1. https://en.wikipedia.org/wiki/Stabilization_Act_of_1942
That's correct.
It’s not that simple. Pretax premiums could be wiped out with the stroke of a pen.
I worked at an entity with 300+ thousand employees and Probably another 200k retirees… I was able to pay full cost to retain my health insurance from them.
The benefits and out of pocket costs are incredible - my current CEO asked me why I do that rather that use the company insurance and I walked through it with him. It’s not possible to buy that coverage, between the legacy insurance plan and huge risk pool, only the largest entities can have the best insurance.
The “simple answer” is pretty easy. Put a 10% payroll tax with a $5M income cap, and build out Medicare with whatever benefits are doable under that cost structure. Let the market compete for extended benefits, which would work like a traditional insurance market.
The doctors and medical industries would be happy. People would gain newfound job mobility and freedom. Most people would save money vs the payments they make today. Rich people would be sad because taxes.
> People would gain newfound job mobility and freedom
Something tells me the people in charge most definitely do not want this at all…
> Rich people would be sad because taxes.
Something tells me the people in charge most definitely do not want this at all…
It is sad how many allegedly and vocally "free market" capitalists don't actually want a liquid and free labor market. The shame is that most of them also don't know what "free market" technically means anymore.
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> only the largest entities can have the best insurance
Exactly. The bigger the better.
I'm still baffled why local and state govts aren't easing into a public option.
Ditto the largest (self-insured) employers. It'd be so easy to extend benefits to their partners, local supporting businesses (eg daycares), and so forth.
> I'm still baffled why local and state govts aren't easing into a public option.
That's easy enough to answer: lobbying efforts by major insurance companies (and insurance company adjacent companies) prevented it. In many states such lobbying efforts prevented it entirely in the legislature adding direct laws and some state constitutional amendments that states explicitly weren't allowed to build a public option as a part of their healthcare exchanges. It was a big part of the uproar when the ACA was passed at the federal level, a big part of why many states' healthcare exchanges were sabotaged and broken on Day One, and a large part of why the ACA itself made too many compromises in how it established the state-driven healthcare exchanges.
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> I'm still baffled why local and state govts aren't easing into a public option.
Because socialism is well known for unsustainable costs and poor service.
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> Attaching medical insurance to one's job is a market distortion caused by government tax policy. I.e. it enables one to buy insurance with pre-tax dollars rather than after-tax dollars.
Also the ACA Employer Mandate[1]. Get rid of that and maybe figure out some sort of "nutrition label" style thing to make it easier to compare offers that are more cash vs more benefits.
[1] https://www.irs.gov/affordable-care-act/employers/employer-s...
First, private insurance shouldn't exist at all. It is rent-seeking of the highest order. There's no need for it. The US is the only country that works this way.
But let's put that aside. What we have now isn't amarket distortion caused by using pre-tax dollars for employer insurance. It's that an employer can collectively bargain for insurance in a way that an individual never can.
If you have 100,000 people in a group then statistical norms come into play of how often you'll need to do a transplant or [insert expensive procedure here]. Plus you have the negotiating power to get better coverage at a lower price than an individual ever can.
So individual insurance can never work regardless of tax policy. Tying insurance to employment is bad for pretty obvious reasons. And this is how we return to "private insurance shouldn't exist".
>First, private insurance shouldn't exist at all. It is rent-seeking of the highest order. There's no need for it. The US is the only country that works this way.
Some other countries have private insurance as an option. For example, you can buy private insurance in the UK and some provinces of Canada if you want. Some people obviously feel it is worth it to them to do so (faster time to treatment, private versus shared hospital rooms, etc.). The difference from the US system is that there is a public system available without this expense.
It can be problematic even as an option. Now doctors have a conflict of interest because they make more money from private insurances than within the public system. It also needs to be finely balanced otherwise too much of the spending is through private companies, starving the public system of funds.
It can work, but it needs to be very carefully regulated.
> That just makes those people unemployable, and will need food stamps even more.
This doesn't actually bear out. Minimum wage increases really don't have a history of making minimum wage employees unemployable, or destroying the companies affected. In fact, the opposite tends to happen, as these businesses tend to be frequented by other minimum wage employees as customers, so it ends up being a rising tide that lifts all boats.
> Do you want Big Tech to be American companies, or foreign companies?
I'd argue that you can't just airdrop these companies into another country and have them be as successful as they are. Even with much stricter monopoly laws, there is a LOT about America that incentivizes these companies to locate there, and frankly I'm not convinced they'd move.
And as a Canadian, I don't even want Big Tech to be American. =) The US is only part of the world, as you said, but your lax and corrupt legal system is polluting the world with these dangerous megacorps.
Don't get me wrong, we're none better, our system would allow for nearly the same abuse, were it not for the fact that our whole country is smaller in population that California. But the point remains that there's a lot of the world that is looking on in horror at these rampaging monster companies and is not in any way assured by the "at least they're American" defense.
> This doesn't actually bear out. Minimum wage increases really don't have a history of making minimum wage employees unemployable, or destroying the companies affected. In fact, the opposite tends to happen, as these businesses tend to be frequented by other minimum wage employees as customers, so it ends up being a rising tide that lifts all boats.
It's not nearly that settled
https://www.youtube.com/watch?v=Wvr0NhYfkO4
https://www.youtube.com/watch?v=8H4yp8Fbi-Y
It's not "settled" not because it isnt true - Dube, Lester, Reich proved that conclusively that it is.
It's "debated" because raising the minimum wage hikes usually come out of profit margins: https://cepr.net/documents/publications/min-wage-2013-02.pdf
If there's one thing the business community and the econ think tanks it funds can all agree upon it's that any policy that involves sacrificing profits is Bad. Global warming denial and this both come from the same source.
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I'll give you the economist as an acceptable source... but reasontv has a habit of omitting easy to access data that's detrimental to the argument they started with. While that lack of candor might not be disqualifying, it's dishonest when you also present yourself as a journalist.
>as these businesses tend to be frequented by other minimum wage employees as customers, so it ends up being a rising tide that lifts all boats.
Then why not just make minimum wage $100/hour?
Because among other things that would make the oligarchs sad and trigger massive capital flight. Whether the emotional and financial well-being of the richest 150-ish people on the planet should be a credible concern is TBD.
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>That just makes those people unemployable
Or, put differently, it makes the profits of the companies who hire them unsustainable. IMO allowing an non-livable wage in order to subsidize profits isn't a great policy.
When the company has an unprofitable business model, it goes out of business.
You missed the point with an overly simplistic take. They shouldn’t be (more) profitable by essentially having the government subsidize the wages of their employees. That means we, the taxpayers, are subsidizing their profits. I’m pro-capitalism, but not the type that requires tax dollars to maintain profitability and margins. If their only means of profitability is to pay non-living wages, I generally don’t want them in business because it creates an underclass as a means to profit.
(To add some nuance, I think it’s ok in some cases for short duration, like subsidizing new industries or those related to national emergencies, if it doesn’t become a long-term strategy. In general, those that pay extremely low wages are not part of those categories)
I guess a more pointed question is: do you think companies with a model that pays sub-standard wages should have their profits propped up by tax dollars? That's not my personal ideal of well-functioning capitalism.
Not true. The way you can stay in business is by socializing your costs. The more handouts and subsidies you can get from government, the longer you can stay in business despite the inefficiencies of your business.
Walmart and McDonald's are good examples of this.
Americans will consider anything other than a proper public health system. Like a hare-brained scheme of pro rating insurance premiums to hours worked, whatever the fuck that means. Or making insurance premiums tax deductible. Just utter stupidity at every turn.
The majority of Americans would favor a public health system[1]. The difficulty is transitioning from what we have now to one. We aren't starting from a blank slate.
[1] https://www.pewresearch.org/short-reads/2020/09/29/increasin...
> Making medical insurance premiums fully tax-deductible would fix that.
They more or less are, for those who pay for their own health insurance.
Why would have the same rule for those who receive health insurance as part of an overall W2/labor-based compensation contract?
No, the insurance premiums aren't tax deductible.
Line 17, Schedule 1: "Self-employed health insurance deduction"
https://www.irs.gov/instructions/i1040gi#en_US_2024_publink1...
"You may be able to deduct the amount you paid for health insurance (which includes medical, dental, and vision insurance and qualified long-term care insurance) for yourself, your spouse, and your dependents. "
"One of the following statements must be true.
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> That just makes those people unemployable, and will need food stamps even more. Nobody is going to hire people who cost more than the value they produce.
Good, a job that cannot support biological needs should not exist. It’s not a viable business.
Why should I pay a stealth subsidy to whatever business it is.
> Do you want Big Tech to be American companies, or foreign companies?
This excuse was used to start wars, trample civil rights and employment rights. It basically means we must become like China to beat China. What would be the point?
> Good, a job that cannot support biological needs should not exist.
There was a time in the not so distant past, that close to 100% of those "Minimum Wage" jobs were held by teenagers and youths with close to zero market value as employees, who needed their first few jobs to develop the skills, knowledge, resume and references so they could get an actual job.
Places like McDonalds and Summer Resorts and Amusement parks - were great places for youth to learn these skills. The real distortion is when you started having adults working in McDonalds. It was never a job to support a family - it was a minimum-wage job for kids to get started.
This is just historically inaccurate (and a regrettably common claim among older conservative-ish folk.
Those "minimum wage" jobs that you had a teenager in the 1950-1986 time period? They paid more than minimum wage does now, on an inflation adjusted basis. That $2/hr job in 1962 would be paying $21/hr if it had kept up with CPI.
That's the whole reason why adults started working in them.
Over time, federal minimum wage did not keep up even with national inflation rates, let alone regional cost of living changes. The result is that these employers, who were once forced to pay even their lowest level employees a living wage, can avoid paying even that.
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> The real distortion is when you started having adults working in McDonalds. It was never a job to support a family - it was a minimum-wage job for kids
Nonsense: Fast-food chains never had a business model of closing during school hours! They remain open, and that shows each role has always required some adult employees with adult budgetary needs.
One can argue minimum-wage jobs are only for kids in school, or one can argue that a regular-businesses-hours company can have min-wage positions, but both together is incoherent.
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> Good
It's not better to have people have no jobs and require 100% assistance.
> subsidy
Regardless of how you define terms, you'll being paying much more to help them when they are jobless.
> become like China
China has a largely state run economy, with the resulting problems.
> It's not better to have people have no jobs and require 100% assistance
It is actually. Former employees are free to learn new skills or do charity instead of being busy surviving a game they can’t win.
You are also subsidising an economically wasteful activity that cannot cover its own true costs - if fast food joint can’t pay a wage, it does not cover the negative externalities from extra traffic on the road, carbon emissions and people getting fat.
Business will be forced to innovate and invest in automation
>>Good, a job that cannot support biological needs should not exist. It’s not a viable business.
>>Why should I pay a stealth subsidy to whatever business it is.
I think a lot of the argument around minimum wage is a disagreement (or misunderstanding?) about minimum wage workers.
Let's say you have a $10/hr minimum wage, and some company BigCo hires people and pays them $10/hr. Now, the disagreement: is BigCo actually getting $10/hr of value out of those workers? Or is it $20/hr, or $50/hr, or $5/hr, or $2/hr? Because I think that's a critical question both in terms of "should we subsidize those workers/BigCo" and "should we raise the minimum wage".
Some people do not currently, and may never, have skills that are worth $25/hr in terms of value produced in our economy. I think we need to make sure those people still have an acceptable standard of living, but I don't think setting the minimum wage to $25/hr is likely to do that.
> Now, the disagreement: is BigCo actually getting $10/hr of value out of those workers? Or is it $20/hr, or $50/hr, or $5/hr, or $2/hr?
I think this is the wrong question and it’s not our job to solve that.
Example - suppose I have a diamond mine, I can hire anyone with zero skill - homeless, drug addicts, criminals - pay them $5 an hour and they will dig up $1,000 of diamonds a day. What is the answer your own question - how much value is the business getting?
What we should consider instead is this - there is a certain cost for civilisation to continue. Workers must be born, educated, and then create the new generation. If they are not paid enough to continue the cycle, we will not let the country collapse, will we?
I as a taxpayer will end up picking up the tab in one way or another - whether it’s through food stamps, or in immigration or something else.
These jobs could be a total net loss once you account for carbon emissions and other externalities.
I would rather get these people to do charity work or plant trees instead.
>Good, a job that cannot support biological needs should not exist. It’s not a viable business.
And "biological needs" are an ever-increasing target, just beyond minimum wage. When minimum wage increases so does the target. Why? Because it's not about biological needs. It's about relative wealth dressed up as "basic needs".
I do think the US should have a minimum wage increase, but the discussion around it seems so disingenuous.
Is there some evidence that big american companies are less negative than big [insert adversary of the decade] are?
Companies are not bound by morals, national identity, or any interest other than self-perpetuation. They are a virus that we harness to do good. When the virus overwhelms its host, its time for medicine.
>Do you want Big Tech to be American companies, or foreign companies?
So true - imagine an iPhone made in China - the horror.
> Making medical insurance premiums fully tax-deductible would fix that.
...or alternatively, removing deductions for medical insurance.
> That just makes those people unemployable, and will need food stamps even more. Nobody is going to hire people who cost more than the value they produce.
You're subsidizing those wages with your tax dollars. You're paying billions per year to make those low incomes livable. In the end it's just corporate welfare:
https://www.forbes.com/sites/clareoconnor/2014/04/15/report-...
https://www.cnbc.com/2020/11/19/walmart-and-mcdonalds-among-...
https://laborcenter.berkeley.edu/a-downward-push-the-impact-...
It's not the case that they wouldn't employ people. They're not employing people now out of the goodness of their heart.
If they paid living wages (as they should) you'd pay less. Good businesses pay their costs.
But as it is, the likes of Walmart and McDonald's are privatizing their profits and socializing their costs.
> You're subsidizing those wages with your tax dollars.
Under your proposal I'd be paying even more tax dollars to those rendered unemployable.
> It's not the case that they wouldn't employ people.
People who produce less value than they cost become unemployed.
Actually, they're called by a different name. Shareholders.
So, straightforwardly, you believe Walmart operates the stores it does, employees the people it does, and has the profit it does because of taxpayer subsidies. And you're happy to take on the cost of that welfare even if you don't shop at Walmart because Walmart is so inefficient that without state subsidies it would no longer operate or employee anyone. And you must protect Walmart from its own incompetence and distort the market so Walmart doesn't have to pay its true costs and so it can survive.
You probably don't think of yourself as a socialist but socialism is what you're wholeheartedly advocating for here.
And the welfare state you're supporting the worst kind of socialism: corporate handouts for privatized profits and socialized costs.