This is about health insurance – but believe me – it will effect real estate. Read on…
3 years ago, I was a registered nurse working at a hospital receiving employer provided health insurance. This insurance for my wife and four children cost $800 pre-tax, with $400 deducted from my bi-weekly paycheck. Our deductible was $1,000 individually, and $2,500 for the family. Collectively, my direct health care coverage cost $9,600 in premiums, with a potential to cost $12,100 if one or more of my family incurred hospital costs. These figures do not include copays for office visits, vision, or dental costs, nor prescriptions.
Fast forward 3 years. I am no longer at the hospital, and purchase my insurance directly in the market place as an individual. With our newest bill from our insurance provider, we now pay $2,050 per month, and have a “per person” deductible of $3,800, and a group deductible of $7,600. Again this does not include the other incidentals of copays, etc. My direct costs are now $24,600 per year. If anyone in my family incurs hospital costs, my health care tab is now a cool $32,200. This is not a typo. My health care costs have gone up 266% since the implementation of the “Affordable Care Act”.
There is one saving grace. Neither my wife, myself, nor my two sons have a uterus, yet we all have prenatal and obstetric care. Hallelujah! In addition, we have opted out of vision care, as the hassle factor of trying to utilize it is not worth the money we pay for it.
Health care is now the single largest line item in our family budget. It exceeds our mortgage payment (which includes taxes and insurance). It exceeds out transportation costs and other insurance costs.
This is where the rubber meets the road. Gallup says 44% of Americans get their insurance through their employer. To 44% of you out there, you have been deliberately insulated from these rising costs by the political class. This was a conscious decision by your representatives to delay these cost to a majority of Americans until this election year. Your employers’ mandates have been delayed, and your insurance, although most likely higher than 3 years ago are getting ready to go through the roof as mine have.
I have no use for platitudes, generalities, or straw men. This is not affordable. There are solutions to this. Government has created this problem. It is not the Government that can fix this problem.
So how does this impact real estate? As we move forward into the morass of “affordable health care” and all the surprises awaiting us, health care costs will take a primary seat at the table. No longer will the mortgage be the single largest line item in a family’s budget – that seat of honor is now reserved for health care. As we push around the nuts in our family budgets, the health care dollars have to come from somewhere – and my guess is those dollars will come from what was once reserved for housing.