The Whole Foods Alternative to ObamaCare

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By JOHN 
MACKEY<http://online.wsj.com/search/search_center.html?KEYWORDS=JOHN+MACKEY&ARTICLESEARCHQUERY_PARSER=bylineAND>

*“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. 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 move us much closer to a
government takeover of our health-care system. Instead, we should be trying
to achieve reforms by moving in the opposite direction—toward less
government control and more individual empowerment. Here are eight reforms
that would greatly lower the cost of health care for everyone:

• *Remove the legal obstacles that slow the creation of high-deductible
health insurance plans and health savings accounts (HSAs).* The combination
of high-deductible health insurance and HSAs 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. We also provide up to $1,800 per year in additional
health-care dollars through deposits into employees’ 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 worker satisfaction.

• *Equalize the tax laws so that that employer-provided health insurance and
individually owned health insurance have the same tax benefits. *Now
employer health insurance benefits are fully tax deductible, but individual
health insurance is not. This is unfair.

• *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 insurance wherever we live. Health insurance should be portable.

• *Repeal government mandates regarding what insurance companies must
cover. *These mandates have increased the cost of health insurance by
billions of dollars. What is insured and what is not insured should be
determined by individual customer preferences and not through
special-interest lobbying.

• *Enact tort reform to end the ruinous lawsuits that force doctors to pay
insurance costs of hundreds of thousands of dollars per year.* These costs
are passed back to us through much higher prices for health care.

• *Make costs transparent so that consumers understand what health-care
treatments cost. *How many people know the total cost of their last doctor’s
visit and how that total breaks down? What other goods or services do we buy
without knowing how much they will cost us?

• *Enact Medicare reform.* We need to face up to the actuarial fact that
Medicare is heading towards bankruptcy and enact reforms that create greater
patient empowerment, choice and responsibility.

• *Finally, revise tax forms to make it easier for individuals to make a
voluntary, tax-deductible donation to help the millions of people who have
no insurance and aren’t covered by Medicare, Medicaid or the State
Children’s Health Insurance Program.*

Many promoters of health-care reform believe that people have an intrinsic
ethical right to health care—to equal access to doctors, medicines and
hospitals. While all of us empathize with those who are sick, how can we say
that all people have more of an intrinsic right to health care than they
have to food or shelter?

Health care is a service that we all need, but just like food and shelter it
is best provided through voluntary and mutually beneficial market exchanges.
A careful reading of both the Declaration of Independence and the
Constitution will not reveal any intrinsic right to health care, food or
shelter. That’s because there isn’t any. This “right” has never existed in
America

Even in countries like Canada and the U.K., there is no intrinsic right to
health care. Rather, citizens in these countries are told by government
bureaucrats what health-care treatments 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
treatments.

Although Canada has a population smaller than California, 830,000 Canadians
are currently waiting to be admitted to a hospital or to get treatment,
according to a report last month in Investor’s Business Daily. In England,
the waiting list is 1.8 million.

At Whole Foods we allow our team members to vote on what benefits they most
want the company to fund. Our Canadian and British employees express their
benefit preferences very clearly—they want supplemental 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
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 government spending and control, we need to address the
root causes of poor health. This begins with the realization that every
American adult is responsible for his or her own health.

Unfortunately many of our health-care problems are self-inflicted:
two-thirds of Americans are now overweight and one-third are obese. Most of
the diseases that kill us and account for about 70% of all health-care
spending—heart disease, cancer, stroke, diabetes and obesity—are mostly
preventable through proper diet, exercise, not smoking, minimal alcohol
consumption and other healthy lifestyle choices.

Recent scientific and medical evidence shows that a diet consisting of foods
that are plant-based, nutrient dense and low-fat will help prevent and often
reverse most degenerative diseases that kill us and are expensive to treat.
We should be able to live largely disease-free lives until we are well into
our 90s and even past 100 years of age.

Health-care reform is very important. Whatever reforms are enacted it is
essential that they be financially responsible, and that we have the freedom
to choose doctors and the health-care services that best suit our own unique
set of lifestyle choices. We are all 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 lives and will help create a vibrant and sustainable
American society.
—Mr. Mackey is co-founder and CEO of Whole Foods Market Inc.Printed in The
Wall Street Journal, page A15
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