Health Care Reform – Full Article
by admin, August 14, 2009 | Permalink
As you are probably aware, I wrote an Op/Ed piece that was published in the Wall Street Journal earlier this week on health care reform, one of the biggest and most emotional issues facing our country. I was asked to write an Op/Ed piece and I gave my personal opinions. While I am in favor of health care reform, Whole Foods Market as a company has no official position on the issue.
In answer to President Obama’s invitation to all Americans to put forward constructive ideas for reforming our health care system, I wrote this Op/Ed piece called simply “Health Care Reform.” An editor at the Journal rewrote the headline to call it “Whole Foods Alternative to Obamacare,” which led to antagonistic feelings by many. That was not my intention – in fact, I do not mention the President at all in this piece.
I fully realize that there are many opinions on the healthcare debate, including inside my own company. As we, as a nation, continue to discuss this, I am hopeful that both sides can do so in a civil manner that will lead to positive change for all concerned. You are welcome to share your thoughts in the comments section below. (Just remember our comment guidelines prohibit vulgarity and personal attacks.)
Here is the original unedited version that I submitted.
Health Care Reform
“The problem with socialism is that eventually you run out of other people’s money”-Margaret Thatcher.
With a projected $1.8 trillion deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money. These deficits are simply not sustainable and they are either going to result in unprecedented new taxes and inflation or they will bankrupt us.
While we clearly need health care reform, the last thing our country needs is a massive new health care entitlement that will create hundreds of billions of dollars of new unfunded deficits and moves us much closer to a complete governmental takeover of our health care system. Instead, we should be trying to achieve reforms by moving in the exact opposite direction-toward less governmental control and more individual empowerment. Here are eight reforms that would greatly lower the cost of health care for everyone:
1. Remove the legal obstacles which slow the creation of high deductible health insurance plans and Health Savings Accounts. The combination of high deductible health insurance and Health Savings Accounts is one solution that could solve many of our health care problems. For example, Whole Foods Market pays 100% of the premiums for all our team members who work 30 hours or more per week (about 89% of all team members) for our high deductible health insurance plan, and provides up to $1,800 per year in additional health care dollars through deposits into their own Personal Wellness Accounts to spend as they choose on their own health and wellness. Money not spent in one year rolls over to the next and grows over time. Our team members therefore spend their own health care dollars until the annual deductible is covered (about $2,500) and the insurance plan kicks in. This creates incentives to spend the first $2,500 more carefully. Our plan’s costs are much lower than typical health insurance, while providing a very high degree of team member satisfaction.
2. Change the tax laws so that that employer-provided health insurance and individually owned health insurance have exactly the same tax benefits. Right now employer health insurance benefits are fully tax deductible for employers but private health insurance is not. This is unfair.
3. Repeal all state laws which prevent insurance companies from competing across state lines. We should all have the legal right to purchase health insurance from any insurance company in any state and we should be able use that health insurance wherever we live. Health insurance should be portable everywhere.
4. Repeal all government mandates regarding what insurance companies must cover. These mandates have increased the cost of health insurance many billions of dollars. What is insured and what is not insured should be determined by individual health insurance customer preferences and not through special interest lobbying.
5. Enact tort reform to end the ruinous lawsuits that force doctors into paying insurance costs of hundreds of thousands of dollars per year. These costs are ultimately being passed back to us through much higher prices for health care.
6. Make health care costs transparent so that consumers will understand what health care treatments cost. How many people know what their last doctor’s visit cost? What other goods or services do we as consumers buy without knowing how much they will cost us? We need a system where people can compare and contrast costs and services.
7. Enact Medicare reform: we need to face up to the actuarial fact that Medicare is heading towards bankruptcy and move towards greater patient empowerment and responsibility.
8. Permit individuals to make voluntary tax deductible donations on their IRS tax forms to help the millions of people who have no insurance and aren’t covered by Medicare, Medicaid, SCHIP or any other government program.
Many promoters of health care reform believe that people have an intrinsic ethical right to health care-to universal and equal access to doctors, medicines, and hospitals. While all of us can empathize with those who are sick, how can we say that all people have any more of an intrinsic right to health care than they have an intrinsic right to food, clothing, owning their own homes, a car or a personal computer? Health care is a service which we all need at some point in our lives, but just like food, clothing, and shelter it is best provided through voluntary and mutually-beneficial market exchanges rather than through government mandates. A careful reading of both The Declaration of Independence and the Constitution will not reveal any intrinsic right to health care, food or shelter, because there isn’t any. This “right” has never existed in America.
Even in countries such as Canada and the U.K., there is no intrinsic right to health care. Rather, citizens in these countries are told by governmental bureaucrats what health care treatments and medicines they are eligible to receive and when they can receive them. All countries with socialized medicine ration health care by forcing their citizens to wait in lines to receive scarce and expensive treatments. Although Canada has a population smaller than California, 830,000 Canadians are waiting to be admitted to a hospital or to get treatment. In England, the waiting list is 1.8 million citizens. At Whole Foods we allow our team members to vote on what benefits they most want the company to fund on their behalf. Our Canadian and British team members express their benefit preferences very clearly-they want supplemental health care more than additional paid time off, larger donations to their retirement plans, or greater food discounts; they want health care dollars that they can control and spend themselves without permission from their governments. Why would they want such additional health care benefit dollars to spend if they already have an “intrinsic right to health care”? The answer is clear-no such right truly exists in either Canada or the U.K.-or in any other country.
Rather than increase governmental spending and control, what we need to do is address the root causes of disease and poor health. This begins with the realization that every American adult is responsible for their own health. Unfortunately many of our health care problems are self-inflicted with over 2/3 of Americans now overweight and 1/3 obese. Most of the diseases which are both killing us and making health care so expensive-heart disease, cancer, stroke, diabetes, and obesity, which account for about 70% of all health care spending, are mostly preventable through proper diet, exercise, not smoking, minimal or no alcohol consumption, and other healthy lifestyle choices.
Over the past two decades, breakthrough scientific research by Colin Campbell, as documented in his book The China Study, and clinical medical experiences by many doctors including Dean Ornish, Caldwell Esselstyn, John McDougall, Joel Fuhrman, and Neal Barnard have shown that a diet consisting of whole foods which are plant-based, nutrient dense, and low-fat will help prevent and often reverse most of the degenerative diseases that are killing us, and becoming more and more expensive to treat through drugs and surgery. We should be able to live healthy and largely disease free lives until we are well into our 90′s and even past 100 years of age.
Health care reform in America is very important. Whatever reforms are enacted it is essential that they be financially responsible and that we have the freedom to choose our own doctors and the health care services that best suit our own unique set of lifestyle choices. We are responsible for our own lives and our own health. We should take that responsibility very seriously and use our freedom to make wise lifestyle choices that will protect our health. Doing so will enrich our personal lives and will help create a vibrant and sustainable American society.
Categories: health care reform, Uncategorized
Leave a Reply
Comments are moderated and generally will be posted if they relate to the
specific topic discussed in the post on which they are made. Off-topic comments, personal attacks (hostile, derogatory or deliberately insulting
comments toward a specific individual or group) and flaming (comments intended to induce an angry response) will not be posted. For more
information, please see our Comment Posting Guidelines.
This blog is intended to discuss only the specific topics that John Mackey writes about. You are welcome to address other topics in our
forums.
November 22nd, 2011 at 9:45 am
John,
Great, well-constructed piece on this topic. I have a new appreciation of the other side of this argument. Thanks for that!!
Thanks also for the great value we find shopping at Whole Foods. It really is a pleasure shopping and doing business there.
Dan Krause
March 4th, 2012 at 11:49 am
Mr. Mackey,
Your analysis is exceptional. Healthcare reform is complex and arcane. Unless one is highly versed in the construct, he would be hard pressed to interface meaningfully with the dialogue you initiate here. Know that it nurtures thoughts, even if not express comments. Thank you for your courage. A customer.
April 4th, 2012 at 4:31 pm
interesting article, i used to work for whole foods but not long enough to get their health care. i have to say that they’re employee culture, individually and as a group, is unique. some of these ideas have been floated before, such as portability, regional monopolies don’t like that idea. president clinton tried tort reform, lawyers don’t like that idea, good thing there are no lawyers in congress. and i agree with him whole heartedly when he says most of the diseases affecting americans are preventable and related to smoking, unhealthy eating and lack of exercise. i guess instead of the govt “forcing us to eat broccoli” he’d favor a strong suggestion and hope for the best. ultimately, the biggest problem with reforming health care anywhere butts up against other industries who make unhealthy products for consumers. also, i’d say that in a country where the population thinks it has a right to everything the reality of preventable disease vis a vis better eating habits is meaningless. i mean, the first lady is ridiculed for her anti-obesity efforts, taking soda machines out of schools is called totalitarianism, etc. hey, i’m no fan of the affordable care act because it just throws a bone to insurance companies but the president bush had six years of a republican congress to do something and did little. i do agree with his modernizing record keeping in health care because it is done at the VA hospitals, which is where i receive heath care, and it is remarkable. the whole foods model assumes a very involved health care consumer that is steadily employed and healthy enough or has someone to look after their health care when they’re ill. and even though he didn’t say so, computer savvy and eager to learn, as well. in a country where about 50% of the population votes for a president and even less for other elected officials, and many employers can’t or won’t provide health care, i don’t see how that model works for the general population. i too like shopping and eating at whole foods.
April 10th, 2012 at 2:26 pm
Mr. Mackey,
Thank you for your article. Your culture at Whole Foods is obviously very unique. I’m sure encouraging your employees to eat a healthy diet is much easier than other companies. How do you recommend a “typical” employer encourage its individual employees to overcome their addiction to processed foods, simple sugars, etc.? The normal response is – it’s too expensive and inconvenient to eat healthy. What type of incentives does Whole Foods provide to its employees?
Thank you.
April 12th, 2012 at 5:01 am
Agreed with the others. There is great emotional cost in performing unnecessary medical tests.
May 17th, 2012 at 7:36 pm
John’s blog on building trust in organizations is one of the best articles I have ever read. This is one of the worst. Full of disingenuous nonsense, especially when discussing the Canadian healthcare system. Yes John, 830,000 of us are waiting for a procedure. But these are procedures most Americans aren’t entitled to, even with insurance. You run a great organization, so stick to commenting on what you actually know something about.