<p>Health care $$ go into too many pockets for these costs to be driven by one dominant greed factor. However, pockets of these costs are certainly driven by, shall we say, external market factors.</p>
<p>Any one of us who has chased top stock market returns can be contributing to this problem, in theory, but that’s how the system works. To the degree that we buy (or sell!), a healthcare fund, for example, we are sending the signal that pursuit of profits is all important. So we pressure the for profit parts of health care to increase profits, often through price increases.</p>
<p>But, the real problem is a classic market failure, in an economic sense. For all to many people, the choice of products/services, the consumption of products/services and the payment for the same are all different. Contrast health care with auto repair. Car repairs? We ask, because we pay out of our own pockets (and it is interesting to note that, in segments of auto repair where we don’t pay ourselves, like collision repair and in some cases glass repair, we have some of the same problems as in health care…)</p>
<p>Anyway, GM’s problem, IMHO, is not greedy shareholders. Rather, GM and other legacy manufacturing companies are paying the price for generous labor settlements in years past - settlements with a long liability tail that could not be anticipated.</p>
<p>But GM is far from alone. The health care disease will hit all of us soon. Indirectly, each of us with job related health insurance is already paying. A company that shells out $10,000 per year per employee for family hc coverage is spending real money, cash that does not go into pay increases etc. </p>
<p>IMHO, anyone who is not in the gilded executive class (you know who you are - the ones who have taxable benefits that are not ERISA qualified, first dollar health care for example…) should watch one’s back side. Counting on a company provided health care plan when you retire? Right. Good luck. </p>
<p>This is not just a GM problem.</p>