[HN Gopher] Ex-IBM sales veteran sues for access to health benefits
       ___________________________________________________________________
        
       Ex-IBM sales veteran sues for access to health benefits
        
       Author : rntn
       Score  : 79 points
       Date   : 2023-11-19 17:41 UTC (5 hours ago)
        
 (HTM) web link (www.theregister.com)
 (TXT) w3m dump (www.theregister.com)
        
       | neilv wrote:
       | One of the things I like about some tech companies is that they
       | seem to care how employees feel about the company.
       | 
       | I haven't gotten that impression from IBM in a long time,
       | however.
        
         | ChuckMcM wrote:
         | In my brief tenure at IBM after they acquired Blekko I quickly
         | came to realize that the near death experience in the 90's
         | fundamentally changed the company. It gave their Finance team
         | an iron lock on all decisions and all of their decisions were
         | based on 'how much will this cost?' and 'how much will this
         | save?' It made corporate politics easier, if you pitched a
         | project all you had to do was code the language that Finance
         | wanted to hear and even if people didn't "want" it, it could
         | get approved. Quite sad in a way.
        
         | namdnay wrote:
         | I think that's an indirect consequence of tech companies being
         | profitable and operating in a tight labour market.
         | 
         | As soon as investors worry, the whole care-bear thing goes out
         | of the window, and it never even existed for those cleaning the
         | offices
        
         | toast0 wrote:
         | I would rather honesty. I don't want to be told to bring my
         | authentic self to work, when that's not really what they want.
         | 
         | I'm also not a fan of the company providing food, laundry,
         | transportation, travel arrangements, etc, etc, etc and claiming
         | that they want to ease my life or whatever, when really they
         | just want to make it harder to leave to another job.
        
           | neilv wrote:
           | On those little lifestyle perquisites, those can be good for
           | morale, and can also mean a person spends more time and
           | attention working.
           | 
           | Before dotcoms, I worked places that would pay for delivered
           | dinner for anyone working late (otherwise, as soon as you
           | leave the office, you call it a day, plus company is feeding
           | you like parent, plus little social camaraderie break with
           | other people working late), or would provide cab vouchers for
           | people who worked late (no going home only because don't feel
           | safe walking home after dark), etc.
           | 
           | I don't think anyone has illusions about the motives there,
           | and there's some alignment.
           | 
           | The "make it harder to leave to another job" I dislike is
           | things like stock options that must be exercised within 90
           | days of leaving, before the stock is liquid and before you
           | know whether it'll be worth anything. Or health insurance
           | situations for some people (improved since ACA). Or bonus or
           | retirement contribution schedules that mean waiting until the
           | end of the year (and with no guarantee there won't be layoffs
           | shortly before, especially given that a sociopathic company
           | has incentive not to pay). (One of the big reasons I didn't
           | take a nice non-blockchain fintech job offer with FAANG-like
           | TC level was because of all the complex structuring of the
           | compensation, with several kinds of bonuses and shares and
           | retirement contributions, which supposedly were all but
           | guaranteed, but all on annual schedules, and the salary alone
           | wasn't going to elevate my lifestyle from an early startup.
           | Contrast with a company that routinely deposits so much money
           | into your bank account that you don't much have to think
           | about money -- that's a nice way to retain people and let
           | them focus on the work.)
        
       | ChuckMcM wrote:
       | I wish him luck. I had a very humbling discussion with an
       | employment attorney when I was dealing with some clearly illegal
       | stuff going on at work and their advice was "First, people don't
       | keep employed people who are suing them so ask yourself how much
       | money you'll have at the end of the next two years if you just
       | quit and work somewhere else, or spend $15K - $30K on a lawsuit
       | that may or may not result in a severance package?" And then the
       | kicker, "Then ask yourself what a hiring manager of a company you
       | are applying to work at will feel when they find out you sued a
       | previous employer?"
       | 
       | It really is stacked against the worker here. That he is already
       | retired is a good thing, one hopes there isn't a clause buried in
       | his pension that cancels it if he ever sues IBM.
        
         | toomuchtodo wrote:
         | The best people to file these claims are those near retirement
         | who have much less to lose. Otherwise, the situation for
         | workers remains...suboptimal in perpetuity. It is full of peril
         | as you mention.
        
         | kshacker wrote:
         | I think the amounts are big enough to warrant a lawsuit. He is
         | retired. The program is for retirees so they have nothing to
         | lose in terms of future employment.
         | 
         | The article hints at annual damages being 15-20K per retiree,
         | and mentions impact on 3000 people (without actually calling it
         | so precisely), so if 60 M is the annual savings to IBM, it is a
         | lot of money to find lawyers and arrive at a retired-employee
         | friendly outcome.
        
       | recursivedoubts wrote:
       | i can see both sides of the public/private healthcare debate
       | 
       | but tying healthcare to employment is just incredibly stupid
        
         | lotsofpulp wrote:
         | Technically, it is giving employers and employees a tax break
         | if the employer buys the health insurance and sufficiently
         | subsidizes it to incentivize sufficient employees to opt into
         | the subsidized health insurance such that it passes the non
         | discrimination testing. Roughly worth at least couple thousand
         | dollars per year for individuals and quite a few thousand
         | dollars per year for families.
         | 
         | Basically, a way to give bigger/better funded businesses an
         | advantage over smaller businesses who cannot afford all that
         | employment overhead, especially HR paperwork. Plus it helps
         | obfuscate labor prices so labor sellers have a harder time
         | shopping around for a better offer.
         | 
         | Retiree healthcare coverage is beyond stupid though, I would
         | value it at zero as an employee unless it was the federal
         | government offering it. I don't think there are any protections
         | for it either, so the employer holds all the cards.
         | 
         | I would prefer if all these tax advantages were nixed from
         | employers and offered directly to all individuals, if that.
        
           | ghaff wrote:
           | My dad had some retirement healthcare through an employer. As
           | I recall, it wasn't especially cheap and then, to his
           | surprise, it turned out there was a cap. So basically was a
           | pretty lousy deal.
           | 
           | I agree with the broader point. There are historical reasons
           | in the US for good health insurance benefits being so tied
           | to, mostly, large employers. But it's just bad policy.
        
           | phpisthebest wrote:
           | People need to understand the historical significance of why
           | these things came into being.
           | 
           | Especially since we are on the verge of WWIII on multiple
           | fronts. History should not repeat itself if we find ourselfs
           | in a world war again
           | 
           | WWII price controls are directly responsible for Employer
           | Beneficent plans, it was illegal to raise wages, but it was
           | not illegal to offer employee's health care, at the time this
           | was direct health care, companies were employing nurses,
           | doctors, etc that would not only see the employee but their
           | entire family often free or very low rates.
           | 
           | This morphed over time into the employer insurance model we
           | have today.
        
             | lotsofpulp wrote:
             | WW2 ended 80 years ago, that is plenty of time for Congress
             | to change the rules if it were so inclined.
             | 
             | The fact that they don't even want to level the playing
             | field on this specific issue, which is already overall
             | tilted towards big business and the rich, speaks volumes.
        
         | grecy wrote:
         | From the employer's perspective it's not stupid at all. It ties
         | people to a job, even when it sucks.
        
           | phpisthebest wrote:
           | I can assure you if given the choice employers would stop
           | offering health insurance to employee's, it is one of the
           | larges increased in employment costs, and has a HUGE
           | unpredictable factor given more and more companies are opting
           | for direct payment (meaning they pay the costs of all health
           | expenses directly)
        
         | shoo wrote:
         | Decoupling health insurance and retirement investment plans
         | from one's employer reduces friction for individuals selling
         | their labor to switch jobs without worrying that it is going to
         | blow up some other facet of their lives.
         | 
         | How it works here in Australia: there's a public health system
         | (~15% of federal government budget). Individuals or families
         | can also purchase varying degrees of private health cover, if
         | they so wish. Health insurance isn't coupled to employment.
         | There's no standard or expectation that employers directly
         | provide health cover to employees as part of the deal of being
         | an employee.
         | 
         | Similarly, choices for how to invest for retirement are
         | decoupled from employment. 11% of gross wages must be paid into
         | a "superannuation" fund, a special kind of tax-advantaged
         | investment fund. The employee has the choice of which
         | superannuation fund they want to use, and can elect to switch
         | between funds.
         | 
         | There is a marketplace of private health insurers and
         | superannuation (retirement investment) funds. Both the private
         | health insurance sector and the superannuation sector are
         | regulated, which reduces the potential for the degree of
         | criminality and grift. Competition is essential, but regulation
         | is also essential and in the public benefit.
         | 
         | Large companies may choose to set up and offer their own
         | proprietary superannuation funds to their employees, but
         | employees have the freedom to ignore this and choose a
         | different externally managed fund. E.g.
         | LiarsGriftersThievesMountebanks LLC might offer their employees
         | the option of directing their superannuation contributions to
         | the proprietary LGTM retirement fund, which invests employees
         | funds in bonded whisky barrel scams run by parties related to
         | the directors, and charges 2% p.a. management fees, but
         | employees have the freedom to ignore this deal and use some
         | other super fund. There are giant "industry funds" that
         | historically were set up by trade unions & only open to people
         | working in a specific industry -- they're often operating at a
         | large enough scale to provide good investment returns, have low
         | fees, and are operated as not-for-profits.
        
       | anonymouskimmer wrote:
       | > But with Medicare Advantage, "once you're in a Medicare
       | Advantage plan for more than 12 months, you cannot then buy a
       | Medigap plan unless you meet insurance requirements," he claimed.
       | So if you have a preexisting condition, they can deny you
       | coverage and the retiree then has to pay that 20 percent.
       | 
       | > Kadereit argues this state of affairs is being allowed to
       | happen by Congress to avoid tough decisions about how to deal
       | with spiraling healthcare costs. And business accounts
       | departments like it because there's profit to be made.
       | 
       | But what we should really worry about are Obamacare death panels.
        
         | fragmede wrote:
         | In hindsight, the argument about Obamacare death panels should
         | defer to the fact that they already existed, the question is do
         | you want insurance adjusters on your panel, or doctors?
        
           | anonymouskimmer wrote:
           | Neither, really. Doctors are famous for not wanting heroic
           | measures taken.
        
             | nativeit wrote:
             | Who said anything about heroes? We just need choices about
             | medical necessity to be made by something other than how it
             | might benefit some company's bottom line. It's not exactly
             | donning a cape.
        
               | anonymouskimmer wrote:
               | In case you didn't know:
               | https://en.wikipedia.org/wiki/Heroic_measure
               | 
               | And yes, it's far better for triage to be done by trained
               | medical people than by insurance adjusters. But if given
               | the option, I'd prefer just me and my loved ones making
               | medical decisions about me. Of course we don't have this
               | option, but it should still be something to strive for.
        
               | RHSeeger wrote:
               | > But if given the option, I'd prefer just me and my
               | loved ones making medical decisions about me.
               | 
               | But, in a system with limited resources, it makes not
               | sense to have individuals that need the resources (but
               | don't pay them) making the decisions. Clearly, nearly
               | _everyone_ would say to use every possible medical option
               | on themselves and their loved ones; even if doing so cost
               | other people (with more established and inexpensive
               | treatments) their lives.
               | 
               | For any system where lots of people pay in, and everyone
               | shares the resources, the decisions on how the resources
               | are distributed _must_ be made by something other than
               | individuals in the group that need them.
        
               | anonymouskimmer wrote:
               | > For any system where lots of people pay in, and
               | everyone shares the resources, the decisions on how the
               | resources are distributed _must_ be made by something
               | other than individuals in the group that need them.
               | 
               | Actually it might be nice if all such decisions were made
               | by a panel of people from just such a group. Regular
               | people _may_ prioritize some classes of people over
               | others, but are probably less likely to than an elite
               | panel.
        
           | CogitoCogito wrote:
           | This was a standard rebuttal at the time. It was obvious then
           | (as it is now) that insurance companies were playing the same
           | roll as the supposed death panels. But the voices saying
           | "government death panels" were just louder than the rebuttals
           | which wasn't that surprising since it was repeated ad nauseum
           | by a certain political party as well as the largest news
           | organization in the country.
        
           | phpisthebest wrote:
           | In every case I pick the private market over government.
           | 
           | Private markets are run by contract and have at least minimal
           | check via the court system via lawsuits
           | 
           | Government actors are immune from all liability, and can not
           | be sued unless the government gives you permission to sue
           | them
           | 
           | So do i want insurance death panels.... no. But I would
           | prefer them over government death panels
        
             | anonymouskimmer wrote:
             | US State (and subordinate) governments are forbidden by
             | Constitutional law [0] from violating contractual
             | obligations. They can be sued for any such violation
             | without permission.
             | 
             | For the federal government there are a variety of federal
             | statutes that govern various contractual obligations, and
             | provide means to sue.
             | 
             | 0 - https://en.wikipedia.org/wiki/Contract_Clause
        
               | phpisthebest wrote:
               | And you believe that would apply in government created
               | single pay health situation for denial of care
               | 
               | Press F for Doubt
        
               | anonymouskimmer wrote:
               | It depends on what the contract states.
        
             | bobsmooth wrote:
             | The government has a vested interest in my continuing to
             | live via taxes. The insurance company would prefer you die
             | quickly. I would prefer not having to sue while I'm dying
             | to get an insurance company to do what I paid them to do.
        
               | emj wrote:
               | [delayed]
        
             | crazygringo wrote:
             | There are two problems with this logic:
             | 
             | First, you're missing the point that any private company is
             | financially incentivized to end care. Their interests are
             | the _polar opposite of yours_. Whereas government programs
             | aren 't rewarded at all for saving money. (E.g. Social
             | Security doesn't "forget" to mail you checks 10% of the
             | time, the way private reimbursement programs intentionally
             | will.)
             | 
             | And second, you're completely wrong about the ability to
             | sue the government. There's no meaningful difference in
             | being able to sue a company or sue the government. It's all
             | the same court system.
        
             | yummypaint wrote:
             | _Government actors are immune from all liability, and can
             | not be sued unless the government gives you permission to
             | sue them_
             | 
             | You are misunderstanding and wrongly extrapolating
             | qualified immunity. Ready any newspaper and you will
             | encounter multiple counterexamples to your statement.
             | Please at least read the wikipedia entry. Here's a start:
             | 
             | "Qualified immunity applies only to government officials in
             | civil litigation, and does not protect the government
             | itself from suits arising from officials' actions.[4]"
        
         | ghaff wrote:
         | I looked through Medicare stuff recently and I came to the
         | conclusion that, given that Advantage plans almost look too
         | good to be true, and that every insurance company in the
         | country is super anxious to sell you one, the catches (probably
         | mostly about out-of-network) are more than one may want to deal
         | with. Which is pretty much what I've read in the New York Times
         | and elsewhere. They probably can be a good deal but are also
         | probably something of a gamble relative to doing Part A, B, and
         | D plus (probably) Medigap.
        
       | Beijinger wrote:
       | You were not there for me when I looked for a job. Why should I
       | care for you now? Good riddance.
        
         | bigbillheck wrote:
         | As workers we owe it to each other to stick together.
        
       | 1letterunixname wrote:
       | It's not a surprise that corporations prioritize financial
       | interests over the lives of employees and retirees because they
       | can. The mistake employees make is depending on hollow,
       | unenforceable promises for financial and health security. The
       | current only recourse is a lengthy, costly gamble in the courts
       | that could be delayed until the plaintiff runs out of money or
       | dies.
       | 
       | It behooves potential employees to instead form worker-owned co-
       | ops, that like credit unions, have different interests aligned to
       | serve their members.
        
       | taurath wrote:
       | It's little known but when a retiree or on COBRA a company can
       | functionally force you onto a drastically worse plan at any time,
       | whenever they want, to save money. I was paying thousands to stay
       | on my previous companies COBRA and suddenly my low ($1000)
       | deductible plan had changed overnight to a plan with a $7000
       | deductible. Suddenly I was paying for the privilege of paying.
       | This is devastating to a lot of people.
        
         | DANmode wrote:
         | Linking a vital need such as healthcare to something so
         | fungible as an employer seems poorly thought out in this era.
        
           | yummypaint wrote:
           | Yeah its absurd that people's employers effectively make
           | medical decisions on their behalf. Death panels indeed.
        
         | theGnuMe wrote:
         | Cobra makes you eligible for the health plan but you have to
         | pay both the employer and the employee portions which is why it
         | jumps up.
        
           | extra88 wrote:
           | They know that, that's not the problem they were describing.
        
       | ericjmorey wrote:
       | Access to healthcare should not in any way be tied to an employer
       | or employment.
       | 
       | Please let's stop this system and replace it with a functioning
       | one with proper incentives.
        
       ___________________________________________________________________
       (page generated 2023-11-19 23:01 UTC)