Would work
with states to establish a guaranteed access
plan for individuals who have been denied
insurance because of pre-existing conditions
or other reasons.
Barack Obama’s
plan:
-
Would
create a national health insurance
exchange for individuals to buy
coverage, including a
government-sponsored plan similar to the
one offered to federal employees.
-
Would
provide small businesses with a tax
credit to offset the cost of health
insurance premiums.
-
Would
require larger employers to pay
additional taxes if they don’t provide
health insurance.
Sources:
McCain, Obama campaigns
Individuals
could buy insurance from a national health
insurance exchange, which would offer
various plans, including a
government-sponsored plan similar to the
coverage now provided to federal employees.
McCain
contends his plan would reduce health care
costs by making individuals better health
care consumers and by increasing competition
among health insurers. Employer-provided
coverage would still be an option, he said,
and individuals would be able to take their
insurance plan with them from job to job.
Critics,
however, said McCain's plan would gut the
employer-based system, which provides most
Americans with their health insurance, by
removing the incentive to offer health
benefits.
"I don't think
politically it's going to be possible to
throw off the employer-based system," said
John Arensmeyer, chief executive officer of
Small Business Majority, a national
organization that prefers Obama's approach.
Obama's
proposal, however, also would face political
challenges, despite Democratic control of
Congress.
The economy
likely will remain weak when the next
president takes office. As a result, a "pay
or play" insurance requirement for
businesses would be "extremely difficult to
push through," said Karen Kerrigan,
president and CEO of the Small Business and
Entrepreneurship Council.
And Obama's
tax credit likely won't be large enough to
enable small businesses to afford the
benefit-rich coverage available through his
national insurance exchange, Kerrigan said.
Obama is "out of touch with how expensive it
might be for small businesses," she said.
Still,
Kerrigan sees a chance that Congress would
create some sort of federal insurance pool
and provide small businesses with tax
credits for insurance purchases.
Comprehensive health care reform is less
likely, she said. "When that happens, that's
when you lose people," Kerrigan said.
The financial
meltdown, high gasoline prices and spiraling
budget deficits also may have made health
care reform less urgent than other
priorities.
Only 4 percent
of small business owners said health care
was the top issue in this election in a
survey conducted in September for Discover
Financial Services. That compares with 52
percent who said the economy was the top
issue. Health care also trailed the war in
Iraq, government ethics and corruption and
immigration.
Arensmeyer,
however, said action on health care can't
wait, since fewer small businesses can
afford to provide coverage every year.
"This is yet
another crisis we need to deal with," he
said.
Energy
Both John
McCain and Barack Obama have issued plans on
how the nation should meet its energy needs
while addressing global warming, but some
small business owners aren't impressed.
"I don't know
that either candidate has come up with a
complete package or plan for energy
independence," said Eric Donaldson,
president of Hot Shot Delivery Inc. in
Houston.
High gas
prices have cut into the profit margins of
Donaldson's company, which provides same-day
delivery services for everyone from
attorneys to manufacturers.
He would like
the U.S. to produce more of its own oil. But
drilling isn't enough, Donaldson said. There
needs to be a bigger push to build more
refineries in the U.S.
"We can drill
all we want, but if we can't refine our
product, it doesn't matter," Donaldson said.
No new
refineries have been built in the U.S. since
the 1970s, a situation that McCain blames on
excessive regulation. Environmental groups,
however, contend oil companies are limiting
refining capacity to keep the price of
gasoline high.
Obama,
meanwhile, has proposed federal incentives
for investment in ethanol and biodiesel
refineries, but building more oil refineries
doesn't appear to be a priority for him.
Both
candidates also are neglecting the role
small businesses can play in solving the
nation's energy problems, said Scott Hauge,
who owns a business insurance agency in San
Francisco and serves on a state committee
implementing California's law capping
greenhouse gas emissions.
"I don't see
either one talking about it," said Hauge,
who also is president of Small Business
California, an advocacy organization.
Both McCain
and Obama talk about the role innovation and
entrepreneurs can play in developing
alternative sources of energy, but neither
offers specifics on what that means for
small businesses, Hauge said.
They also are
not addressing the significant contribution
small businesses can make by becoming more
energy-efficient, he said, noting that small
businesses consume about half the energy
used for commercial purposes, and about 30
percent of the energy they use is wasted.
The
presidential candidates have said nothing
about programs that would help small
businesses use less energy, such as on-bill
financing, which would allow small
businesses to pay for energy efficiency
improvements through their monthly electric
bills, Hauge said.
Both
candidates support legislation to cap carbon
emissions and create a system for trading
carbon credits, although Obama's timetable
is more aggressive.
Even though
now might not be the ideal time to impose
such a potentially costly mandate on the
economy, the nation may be running out of
time to combat global warming, Hauge said.
"If it's
really a serious problem, it just seems to
me you've got to find a way to get money to
solve it," he said. "We're talking about the
human race here."
Both
presidential candidates support tax
incentives for alternative sources of
energy, and that is good, Donaldson said.
But oil
companies also need incentives to drill for
oil in hard-to-reach places, he said. "My
car doesn't run on wind."
Labor
Businesses
could expect a lot more union organizing
activity if Barack Obama is elected, and
Democrats strengthen their control of the
Senate.
Obama is a
co-sponsor of legislation to make it much
easier for unions to organize workplaces.
The Employee
Free Choice Act would allow unions to
represent workers if 51 percent of employees
sign a card indicating they want a union. No
election would be necessary.
The bill is
the AFL-CIO's top legislative priority. It
passed the House this Congress, but died in
the Senate.
President Bush
promised to veto the bill, and John McCain
opposes it. Both contend the legislation is
undemocratic because it denies workers the
right to a secret ballot.
Giovanni
Coratalo, executive director of the U.S.
Chamber of Commerce's small and midmarket
business councils, said he has heard more
concerns from businesses about the Employee
Free Choice Act than any other issue besides
the economy.
"Small
businesses should be afraid of this,"
Coratolo said. Video
If the
Employee Free Choice Act is enacted, "every
type of business will be targeted because
[organizing] will be so easy," said Keith
Ashmus, a partner in the Cleveland law firm
Frantz Ward LLP, who chairs the National
Small Business Association's presidential
elections task force.
Only 16
million workers now belong to unions — 12
percent of the nation's work force,
according to the Bureau of Labor Statistics.
Neil Golub,
chief executive officer of Price Choppers
Supermarkets, a 116-store chain based in
Schenectady, N.Y., said the Employee Free
Choice Act is the union movement's "last
stand" to change "the playing field for
collective bargaining."
Golub, who has
been working on coalitions opposing the
Employee Free Choice Act for the past two
years, said the bill should be called the
"Forced Choice Act" because employees would
be coerced by union organizers to sign the
union cards.
But Bill
Samuels, the AFL-CIO's director of
government affairs, said the only people
circulating these cards would be co-workers
-- union organizers are not allowed on a
company's property. Some employers already
voluntarily recognize the results of card
check organizing campaigns, and "there's no
history of coercion to sign authorization
cards."
By Kent
Hoover, Bizjournals, posted on MSNBC.com on
Oct. 16, 2008