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Strike Disagreement Due to Health Insurance

Posted 10-27-2005

For the first time in my 10 years as commissioner, we are experiencing a strike by some county workers. The Children's Bureau caseworkers and clerical staff, as well as clerical workers from the Mental Health / Mental Retardation Program, which are represented by Teamsters Local 205, walked out on October 12. Because of the sensitive nature of negotiations, though none are happening now, I do not want to address any particular details of our impasse. But I think it is important for the public to know that the disagreement centers on our position that employees begin to make a contribution towards the cost of the health insurance that the county provides at taxpayers' expense.

This issue is one that affects all working Americans in one way or another. Most people working in the private sector have, for a number of years, contributed toward the cost of their health insurance. As usual the public sector has moved along more slowly, but Westmoreland County is certainly not the first government body to seek an employee contribution. Our neighbors in Armstrong County have had their employees make a health care contribution for the past several years. Other counties are following a similar path as health care costs continue to outpace the rate of inflation.

Right now, Westmoreland County spends approximately $13 million annually on health care. The county is self-insured, and we introduced competition among insurance carriers several years ago to make sure we are spending taxpayer dollars as wisely as possible. But the cost of medical claims continues to increase. This phenomenon is not unique to Westmoreland County. In fact, even corporate giants like General Motors have asked their unions for help in offsetting the cost of health insurance, and the United Auto Workers recently agreed to do so.

The problem for employers in the United States, in both the private and public sectors, is that health insurance is still attached to employment. The rest of the industrialized world has years ago moved away from this concept. The cost of health insurance has put American businesses at a disadvantage with their foreign competitors. American auto manufacturers have stated that health care costs add as much as $1,500 to the price of every car compared to cars manufactured in countries where health care is not a part of employee benefits. I know one local company that moved some manufacturing work to Germany even though the hourly wage of the German workers was $2 per hour more than what the company was paying here. The company claimed one factor in its decision was that in Germany it would not be paying for those workers' health insurance. So the overall cost to the manufacturer was not as high moving the work to Germany.

Since Westmoreland County has been purchasing health insurance for employees, taxpayers have paid the entire premium, and the only responsibility employees have had is a small co-pay on prescriptions and doctor visits. That structure was common in most governmental entities. But as governments have seen health care costs rise dramatically in the past 15 years, many have moved toward having their employees share some of that burden. It has been a bumpy ride for all ,as change, particularly in the public sector, is often a slow and painful process. But it has happened in governments like Armstrong County where workers performing similar functions do not earn as much as they do in Westmoreland County.

We recognize many of our employees do not earn tremendous wages. But neither do the overwhelming majority of the people paying for us to be here. Even people on Medicare have to pay an increasing amount for Medicare supplements. How do we in good conscience ask you the taxpayers, who are assuming more of the burden for your own health care coverage, to continue to pay so that county employees have it for free?

 

 
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