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Tea -- rich how how does small business feel about the president's plan let's ask Larry Burns he's CEO of -- Smart sampling which offers health care to 57 full time employees.
We're also joined by doctor Schrager potter -- who -- president and CEO vital spring technologies a software firm.
That helps companies manage their health care costs gentlemen good to see you both Larry.
First -- a fight can.
You've you -- for what you know about the various proposals on the table.
One of which has unfunded mandates another has some vague suggestions of taxes along the way.
What worries you were concerns you most about what's what's on the table.
What worries me most about what's on the table as I have yet to seek clarity and a definitive perspective on how it's going to save me cost.
My health care -- for my employees went out initially 16% when they presented -- With the 2009 plan we -- -- negotiate that down to fourteen but that comes on the back of close to ten years if not double the -- to double digit increases.
I wanna provide healthcare to my employees and the issue is how is this -- going to play itself out through the legislative process.
To give me answers to what's it gonna mean from my budgeting in 20102011.
Okay that's what we bring in doctor potter -- do you know how could you help somebody like Larry how do you help businesses out there become smarter.
And given that so called business intelligence when it comes to cutting your own costs and not waiting for the government.
Well Liz you know health care begins with the employer and its employees and that's a fundamental mistake.
That the president's battle has really addressed it's empowering the employers and its employees.
Drive insurance carriers and everybody else accountable and they get empowered.
Being able to get transparency in terms of what these health plans are really costing and how they track their performance today employers are really struggled with that so.
They've president has chosen perhaps to -- battle but the wrong game plan.
Because he's now enabled.
Talking about enabling small businesses but even some large businesses.
Are still not there.
Now Larry eight you don't have the luxury sitting back like most of us -- just watching these things transpire inside about what you have to plan for the center.
You had a 9% increase.
In in I guess it was in last your health care costs.
How do you plan for the future when you're not sure what that future's gonna bring.
Well it was a 40% increase and the way we swim team and while some of the worst.
Yeah I was 14% we assume the worst and hope for the best and importantly what it's done to me and for my employees.
-- I've had to change the burden that I put on our employees I go back ten -- that was covering health care completely I thought that was the right thing to do it it made us.
Feel good -- -- business it was great retention plan but as cost continue to increase we are running a business.
So we have to unfortunately put more of the burden on -- family care for instance on the backs of our employees which lowers their take home.
It sounds to Larry -- plan of the let me just jump in here -- or Larry like you use psychologically are on board with them -- giving people health care coverage with -- which I think it's fair but.
What would you most like to see in an Obama health care plan.
What I'd most like to see our clarity in terms.
What the actual cost are going to be in terms of how can we contain the cost I actually like the notion of a public option just so that there is competitiveness.
I don't believe in a government run health care and actually don't believe that's -- being proposed.
I believe that we as business people should have options and choices I -- three different plans for my employees now they can choose high level PPO they can shoot mid level they can -- HMO.
But all of those have increasing cost hero of the year -- year and that's the biggest issue to me it's not should I should deny its title I do it no way that doesn't cost us so much.
In terms of being able provide what I think it's a very important benefit to our employees with his health care.
Doctor its its cost and simplicity or -- lack of simplicity that very often as the primary concern of of of business managers like Larry.
Will anything that you've you've heard being proposed in Washington help in those two regards.
The president has proposed this whole concept of exchanges.
To provide more transparency in terms of how business measures likely -- he can.
Get more information.
The reality David is that in order to have these exchanges.
You have to make an investment in technology to bring all that information together.
And none of the current bills actually factor in the cost.
Of putting in place these exchanges.
So there's no way that we can get deficit neutral.
With the investment we have to make in the technology to give business managers like -- The right information and I think he also raises another point in terms of the subsidies.
Another proposal is that we subsidize the cost for those who under the poverty line or close to it to help pay for their health care.
-- what will happen to the overall cost in the system and those people start to access hospitals and doctors show.
The president has really chosen a battle here where they haven't really understood.
And we have to give information to these employers and business managers but there's going to be a cost incurred to put in place that mission control.
Doctor quick answer here nobody's talking in my opinion enough.
About attorneys' fees and whether we could do more to clamp down on medical malpractice.
Frivolous lawsuits which have been added exponentially to the cost of health care.
It's important that it must be addressed I think there's always a fine balance in terms of being able to look at.
Cost effective quality care and make sure that physicians.
Are looking at that the president has intentionally.
Dodge that issue but the fact of the matter is is that a lot of medicine is practiced defensively today.
And especially in certain states like West Virginia so it must be addressed doctor potter -- -- and Larry Burns great to see -- both.
Thanks very much for coming -- thank you right now by the way the --
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