On March 30th, Main Street Alliance leader Rick Poore made the trek to Washington, DC from his business in Lincoln, Nebraska to testify at a hearing of the House Energy & Commerce Committee's Subcommittee on Health.
Rick discussed his support for the new health law. He told his story of steep annual rate increases - several times in excess of 30 percent - in the years before the passage of the health law. And he recounted how his current insurer does rating differently, spreading risk and costs more effectively across younger and older workers, and how he sees that as a microcosm of how the new health insurance exchanges will help small businesses by expanding risk pooling and spreading risk more effectively.
Rick's opening remarks from the hearing are pasted below:
Chairman Pitts, Ranking Member Pallone, and members of the Health Subcommittee,
Thank you for the invitation to testify today. My name is Rick Poore, and I own DesignWear, a screen printing business in Lincoln, Nebraska. I’m also a member of the Main Street Alliance small business network.
I’ve been a small business owner for 17 years. I started with 3 employees, and we’ve grown to employ 29 people.
I offer health insurance to my employees. It makes sense for morale and retention. But our rates have gone up every year – several times over 30 percent.
At the same time, our benefits were whittled away, in an effort to keep things affordable, until we had little more than a fig leaf left.
Two years ago, I switched to a new insurer. They do rating differently, spreading risk and costs more evenly, and it’s markedly cheaper for me overall. I see this as a microcosm of the new health insurance exchanges coming in 2014.
The country counts on small businesses to create jobs, but if you want to talk about a job-killer, look no further than runaway health insurance costs. Small businesses’ ability to create jobs has been seriously undermined by insurance costs more than doubling in 10 years.
We saw years of steep increases, with no tools to do anything about it. Without bargaining power, I had better odds from a midway carney than I did from my insurance company.
The Affordable Care Act is finally changing that, for the better.
The argument that the health law will cost our economy jobs ignores reality. It ignores the lessons of the last decade, where it was the lack of action by Congress to curb skyrocketing costs that left small businesses in the lurch.
The real threat to job creation is the threat of repealing the law and going back to a system that stacks the deck against us.
On the employer responsibility requirement, we’ve got to remember two facts. First, over 95 percent of our nation’s businesses have less than 50 workers and won’t be impacted. Second, 96 percent of businesses with more than 50 workers already offer coverage.
If some larger businesses complain that paying for health coverage will harm their ability to create jobs, remember that when they don’t pay, the rest of us pay their way for them, and that hurts our ability to create jobs. This is anti-competitive.
Imagine if my competition stopped paying wages and I was held responsible for making their payroll. It may sound crazy, but that’s effectively what we’re doing with cost shifting in health care.
Recent data from insurers in Nebraska, Kansas City, and national companies like UnitedHealth Group and Coventry show encouraging increases in small business coverage. ,
From the tax credits to stronger rate review and the value for premiums requirement, the health law is already helping small businesses offer coverage, save money, and plow those savings back into job creation. We’ll get even more help in 2014 when the insurance exchanges open.
I’m looking forward to broader risk pooling and bargaining power in a Nebraska insurance exchange.
There are 40,000 firms in Nebraska with less than 50 employees that could buy in the exchange, employing 230,000 people. Talk about increasing my bargaining power.
I know insurance lobbyists are trying to blame recent rate increases on the new law. But insurers find an excuse to raise rates every year. If they’re raising them again, it’s in spite of the law, not because of it.
Even insurance executives admit this: an executive in Massachusetts said recently that only one percentage point of his company’s increases this year was due to the new law.
Small business people are problem solvers. We wake up every day looking for a better way to do business. We take whatever pitch is thrown at us and do something with it.
Problem solving is what the American people send Representatives to Washington to do.
Here’s the thing about problem solving: most solutions aren’t perfect out of the box. But that’s no reason to scrap them. We make a start in the right direction and correct the course as needed.
Our country and our economy can’t afford to go back to a health system that stacks the deck against small businesses. We’ve got to move forward.
The other day I had to ask my wife when we actually started DesignWear – as a habit, I believe most entrepreneurs look mainly forward and rarely back. That’s what I’m asking you to do.
By moving forward, you can level the playing field for small businesses, allowing us to focus on creating jobs and building our local economies.