In the current issue of Washington Monthly, Editor-in-Chief Paul Glastris spotlights “Ten New Ideas for the Democratic Party to Help the Working Class, and Itself,” and writes, “For many years, outside observers, including the editors of this magazine, have warned that the Democratic Party cannot win if it continues to hemorrhage the support of working-class Americans. The results of the November election should put an end to any debate about this….
The tragedy is that as president, Joe Biden did a lot to try to bring back these voters. He openly supported unions and was the first sitting president to walk a picket line. He pushed through major legislation to fund infrastructure and manufacturing projects that would produce, he said again and again, good-paying jobs that you don’t need a college degree to get—and by design these projects were disproportionately located in red areas. He signed other bills that put cash in the pockets of average Americans, including a short-lived but successful child tax credit. He began a revolution in competition policy that took on corporate power and greed in favor of small businesses and employees. When he dropped out of the race, Kamala Harris picked a running mate with working-class rural roots and proposed to help ordinary Americans buy a first home, start a new business, and secure protection from corporate price gouging…. Yet despite all of this, Donald Trump not only won the election but also gained ground with working-class Americans of every race and gender and in every part of the country.”
Here’s a teaser from one of the ‘ten new ideas,’ “Medicare Prices for All: Want a real raise? Slash health care costs by tying employer plans to Medicare rates” by
….Everyone complains about the high price of drugs and hospital stays. But few people are aware of how hidden health care costs that don’t show up in the Consumer Price Index are profoundly eroding their purchasing power.
To understand how this giant rip-off works and how to fix it, you need some background. Most working- and middle-class Americans receive their health care coverage through employer-sponsored insurance plans. Most of us covered by such plans know full well that we are perpetually being asked to pay higher deductibles and co-pays. Most of us also know when our premiums go up. Individual workers covered by such plans typically pay around 20 percent of the cost of the premium in the form of a paycheck deduction. Workers who insure a spouse and two children under an employer plan typically see about 32 percent of the cost of the premium deducted from their paycheck.
….The employee-benefits expert Syl Schieber has calculated how much rising health care costs have lowered what he calls the “kitchen table” income of workers with employer-sponsored health care plans—that is, the income they have available each month to pay for housing, groceries, gas, and other day-to-day expenditures. He finds that due to the wage suppression caused by the rising cost of their health care plans, lower-income workers with family coverage had $2,500 less kitchen table income in 2019 (adjusted for inflation) than they brought home two decades earlier. In effect, health care inflation gobbled up all of the meager raises they received as they gained seniority, and more.
….Since 2010, health care costs for the average family of four with an employer-sponsored plan have risen by more than $13,000, or over 71 percent. Currently, the cost for individuals covered by such plans is rising by 6.7 percent a year, roughly double the official rate of inflation. No wonder so many Americans, even those “privileged” enough to have employer-sponsored health insurance, feel like the economy is not working for them.
….What can be done? Abolishing our employer-based health care finance system and replacing it with something like a government-financed, “Medicare for All” program might be a good idea. But it hardly needs saying that it is a political nonstarter at the moment.
….So here’s the solution. Just mandate, going forward, that all employer-sponsored plans pay providers the same, or close to the same, prices Medicare does. And further mandate that employers share the enormous resulting savings with their workers.”
Read more here.
Alternative Ideas
1. Federal Minimum Wage policy should take into account geographic Cost of Living, even inside states (regional and differentiated between urban, suburban and rural areas)
2. Federal government should pick up more of the cost of Unemployment Insurance and expand coverage and benefits, also taking into account Cost of Living while avoiding long term unemployment
3. Regulate last minute changes in Work Schedules
https://www.brookings.edu/articles/low-income-workers-experience-by-far-the-most-earnings-and-work-hours-instability/?utm_campaign=Brookings%20Brief&utm_medium=email&utm_content=341862308&utm_source=hs_email
4. Take the lead on Smart Tariffs
5. Support Work from Home, including by the federal government, so that jobs can continue flowing out of the “star” cities
6. Reform the Earned Income Tax Credit, so that Single Adults receive more than nominal benefits
7. Create Federal Relocation assistance (use ineffective WIA funds) and reform Housing assistance focused on the Long Term Unemployed, so that housing benefits can be retained when people move, instead of becoming an incentive trap in poorer communities
8. Completely rethink training programs, specially for older adults (including those that didn’t finish degrees or who want to change careers -people essentially ignored by the current Pell Grant system-)
9. Reform the marriage penalty for safety net programs
10. Reform the benefits cliff/work penalties for safety net programs
1. Medicare Prices for All
Politically unviable.
There is no constituency for this, as the vast majority of people don’t understand how the system works and can be deceived into opposing any changes.
This is an attack on providers (doctors) that would not go unnoticed. Democrats need to add support, not substract.
Also, this would not be the kind of thing you could just attach as a simple amendment to any bill.
2. Make Employers Secure the Border
In reality many Democrats oppose any kind of immigration enforcement.
But at least this one makes political sense.
3. Open a New Front for Racial Justice
More of the same.
4. Champion the Self-Employed
If middle class people want to self-exploit or can’t do basic math and notice how little they pay themselves per hour, that is their business.
The problems are when contractors avoid paying taxes, specially Social Security, but then later file for SSI.
Or when poorer people prefer gig work because minimum wages are so low.
5. Make Transportation Fair Again
Airline prices have held pretty steady for decades. This sector needs minor tinkering, not wholesale re-regulation.
It would be incredibly stupid politically to target truck drivers.
Rail and shipping would need subsidies.
Shipping needs to be rethought because of national security concerns, so this is the sector where re-regulation could fly (but notice the Jones Act hasn’t worked).
6. Fire the Contractors
Really good idea, but many of these are Democratic voters and donors.
7. Free College for the Working Class
More of the same.
What about a differentiated Pell Grant system according to majors?
8. Corporate-Proof the Care Economy
Child care actually needs deregulation to lower costs.
9. Tutorize, Don’t Privatize, Public Schools
More of the same.
10. Reconstruct the Administrative State
The issue here is messaging.