VEBAs in the Auto Industry: How Companies are Dumping Union-Negotiated Health Care Plans
by Jack Rasmus
copyright 2007

Once partners in pioneering employer-union health benefit plans in the early 1950s, the United Auto Workers Union, the UAW, and the big-three auto companies—General Motors, Chrysler, and Ford—now find themselves jointly presiding over the rapid dismantling of that very same system as it approaches its final stage of terminal illness!

The transition vehicle which now makes possible the accelerating collapse of Employer financed health benefit plans is called a VEBA. VEBA officially stands for ‘Voluntary Employee Beneficial Association’. On the shop floor in the auto industry, however, it is sarcastically referred to by autoworker rank and file as ‘Vandalizing Employee Benefits Again’.

This past October the UAW and GM established a VEBA health benefits fund. It was quickly followed by a Chrysler-UAW VEBA. And as this article is being written, the UAW and Ford Motor Co. have begun preliminary discussions on establishing the same, as the company and union prepare for general contract negotiations.

What’s a VEBA and What Is It Worth?

With a VEBA, what were once health benefit plans funded by the companies—with defined dollar contributions per employee per every hour worked deposited into the fund—are now transferred in toto from the companies to the Union to manage and run. The companies transfer the plans and the funds that remain left in them; the Union now ‘owns’ and administers them. The companies abandon all financial responsibility and liability for providing or financing health care benefits; the Union assumes that same full liability and responsibility.

The problem is that the VEBAs of the U.S. big three auto companies are severely under-funded—individually and collectively. They have a total liability of approximately $100 billion, according to a New York Times article of October 6, 2007. However, the three will have only available total funds upon transfer to the UAW of around $50-$52 billion. That leaves about $48-$50 billion short.

By any definition from any fiduciary source, a trust fund (a VEBA, pension, or other) with only a 50% funding ratio would be considered severely underfunded, a candidate for bankruptcy, and would be at significantly great risk of collapse!

The estimated $50 billion collective shortfall for the three auto company VEBAs also represents the dollar amount that the Union and its members may eventually have to come up with in the years immediately ahead to ensure the VEBA funds remain solvent. The day of reckoning for funding the $50 billion shortfall may come sooner than later, as the auto companies know full well. For new, emerging U.S. financial accounting rules being rolled out this year and next will require trust funds like VEBAs and pensions to be valued accurately and fully funded going forward. That will require additional major financing and contributions by whomever ‘owns and manages’ a fund if it is ‘under water’. The auto companies are thus conveniently exiting the game just in time, leaving the union and workers holding the bag.

The Three VEBAs

Various sources estimate the GM VEBA fund’s total liability as high as $55 billion and its available funds at only around $35 billion, which leaves roughly $20 billion under-funded. But the available $35 billion includes only $29.9 billion ‘cash’ and $4.4 billion company securities. The securities element thus is about 15% of the total $35 billion. GM will therefore have to get a federal exemption to the legally allowable limit of only 10% of company stock in such funds. The 10% limit was established in order to avoid ‘Enron-like’ events where funds overloaded with company stock become worthless when the company goes bankrupt, leaving nothing for employees. The point is that the under-funding in the GM VEBA may rise well beyond $20 billion should the value of the securities in the VEBA fall—which may well happen should recession occur in the US in the near term as appears increasingly likely. That possibility aside, the GM VEBA shortfall therefore is at least $20 billion.

In the case of Chrysler the actual amount in the VEBA and its unfunded liability is more murky. Recently purchased by a private equity firm, Cerberus Capital Management, Chrysler is no longer a public company and need not report its finances in as much detail as GM or Ford. But it appears that Chrysler’s VEBA is even more poorly funded than GM’s. Whereas GM’s fund will have roughly $35 billion in it at transfer, or about 70% funded, Chrysler’s VEBA is reportedly only 53% funded according to business sources. Given that the total liability for all the ‘big three’ US auto companies is about $100 billion, and assuming the remaining $45 billion ($100 billion – GM’s $55 billion) is evenly divided between Chrysler and Ford, then the Chrysler VEBA total liability is estimated around $22 billion. Sources like the Financial Times reports Chrysler’s VEBA currently has no more than $8.8 billion in the fund. Chryslers’ VEBA shortfall therefore may be around $13 billion.

With bargaining about to commence between the UAW and Ford as this article is written, it is virtually certain that a third VEBA will be agreed to by the union. The only question is what percentage of the total liability will be available in it at transfer. Ford claims it is financially the least profitable of the ‘big three’. It will no doubt request even greater contract concessions from the UAW and offer less of a contribution to its VEBA than Chrysler or GM. In a Wall St. Journal article of October 26, 2007, one of the participants on the bargaining teams, noted that “the two sides still haven’t agreed what Ford’s retiree health-care liability is—let alone how it will be funded�. One thing is certain, however, Ford is “trying to figure out a way to get more than GM got�. It is virtually certain that Ford will contribute less than Chrysler’s $8.8 billion to its VEBA. Most likely around $7 billion. With a total liability of around $22 billion, and available funds of $7 billion, that leaves an unfunded liability for the Ford-VEBA of roughly $15 billion.

In summary, the total un-funded liability for the VEBAs for the three companies combined now being dumped on the union and the autoworkers is approximately $50 billion by best available estimates: $100 billion total liability minus the $35 billion for GM’s VEBA, and $8.8 and $7 billion respectively for Chrysler’s and Ford’s.

UNFUNDED LIABILITIES OF THE UAW VEBAs

Contributions to VEBAs Estimated Total Liabilities Unfunded Liabilities

GM: $35 billion $55.0 billion * $20.0 billion
Chrysler: $8.8 billion $22.5 billion ** $13.7 billion
Ford $7.0 billion $22.5 billion ** $15.5 billion

Totals: $50.8 billion $100 billion $49.2 billion

* Wall St. source estimate
** Writer’s estimate based on publicly reported total liabilities

This scenario of grossly underfunded liabilities raises the key strategic question: where will the UAW and autoworkers get $50 billion future financing—especially given the likelihood of imminent recession, continuing double digit rises in health care costs, anticipated sharply rising worker retirement rates as the companies quickly push a new round of employee buyouts, and, as especially noted, given the pending stringent new accounting rules to require full financing and solvency of such funds by accounting agencies?

When VEBAs Go Bust

UAW union leadership has thus far been unable to save other VEBAs it has negotiated in recent years. The most notable example was the early VEBA set up with the UAW represented unit at Caterpillar Corp. in 1998. The VEBA there ran out of funds in 2004. The union has been in litigation ever since. Other UAW VEBAs recently at Detroit Diesel and Case are reportedly faring no better.

Other unions like the United Steelworkers have also set up VEBAs and they too are doing poorly. Which leads one to suspect that perhaps VEBAs are not meant to be long term solutions, but only transitional devices, ‘halfway houses’, ‘holding pens’, on the way to what is the real endgame—i.e. to get workers to ‘cash out’ their respective share of the fund at some future point and go buy some individual insurance based health plan coverage.

The latter is called a ‘Health Savings Account’, or HSA. HSA’s represent the fundamental strategic direction Bush and Corporate America want to drive the health benefits system longer term. A VEBA is the intermediate stage on the way to HSAs and what Bush & Co. call ‘consumer driven healthcare’. As the editorial page of the Wall St. Journal recently suggested, once the VEBAs are transferred the UAW should “rethink its coverage plans, using the new generation of consumer driven health care options (such as personal health savings accounts)�. Corporate sources thus clearly see the link between VEBAs and eventually converting VEBAs to a more individualized, consumer driven health care system with HSAs playing the central role.

If this preceding scenario is correct, the long term corporate-government plan may be somewhat similar to what has been happening with defined benefit pensions on the retirement benefits side for the past decade: namely, convert the Defined Benefit Pension plans to interim ‘Cash Balance’ plans and then allow workers to ‘cash out’ and go purchase an individual 401k pension plan. VEBAs on the healthcare side are thus close cousins to Cash Balance Plans on the pension side.

Unattractive Alternatives

It is highly likely that the under-funding crisis for the auto industry VEBAs will further deteriorate. There will be few choices or options for effectively dealing with it. The following are some of possible, and not so attractive, alternatives as VEBAs go bust.

First, the union can attempt to restore its under-funded VEBAs by raising dues for its members to restore the VEBA funds. Or, it can reduce benefit levels. Or both. Retiree members will resist benefit cutting and favor dues increasing. Actively working union members will reject the dues increasing and prefer benefit cutting. The two elements in the union—retirees and actively working members—will thus attempt to protect their respective interests at the other group’s expense. Internal dissension in the union will grow, undermining further the union’s future bargaining effectiveness. Both groups in turn will blame the union, since the union will now have to make the unpalatable decision to cut benefits or raise dues—not the companies and management as before.

Instead of raising dues the union could negotiate with the company to divert part of current hourly wages to the fund. But with new ‘two tier’ wage structures and wage cuts of 50% or more in the new UAW-GM contract, it is not likely that wage diversion would be supported by union members.

An alternative route to saving an under-funded VEBA might be for the government to prop up VEBA funds in general by setting up an agency similar to the Pension Benefit Guarantee Corporation, the PBGC, which currently administers the dismantling of pension funds. A PBGC ‘socializes’ the costs of pension funds going bankrupt by contributions from other companies whose funds are more stable. The PBGC then uses those contributions to partially ‘pay out’ workers whose pensions go bust. Workers get a cash out about half of what they would have earned in retirement from their now defunct pensions. Something similar might be instituted for VEBAs. At present, however, it is politically not likely that a PBGC-like agency for VEBAs would happen.

Another possible route is for the government to change rules that now allow companies to transfer money from company pension funds to health care, in effect increasing the amount limits that can be transferred. Companies siphoning off pension funds to pay for rising health care costs has been going on for more than a decade now. The practice has contributed to a parallel crisis of under-funding for defined benefit pension plans. This option would simply move money from one leaky bucket to another. It’s not a real solution to under-funded VEBAs or under-funded pensions.

Government might let private sources like Insurance companies and Investment banks ‘buy out’ an under-funded VEBA (at bargain discount prices of course) and then ‘cash out’ workers from the VEBA at a fraction of its value. Insurance companies in the U.K. are now being allowed to pilot such ‘leveraged buy outs’ of pension funds, in effect ‘buying’ the fund and then managing it at a profit (and cutting benefits to make it profitable in the process). The concept could easily extend to VEBA funds. Severe cuts in benefit levels would almost certainly accompany such an option, however.

Finally, the government could simply ‘bail out’ VEBAs on a case by case basis at direct taxpayer expense. After all, the Savings and Loan banks were ‘bailed out’ to the tune of a $1 trillion dollars at taxpayers’ expense in the 1980s. Companies are ‘bailed out’ by government-funded special deals all the time. Why not VEBAs? But what government might thus do for businesses, it is not likely to repeat for a union and its members. That’s just not how the current U.S. capitalistic system operates. Thus, case by case bailout of troubled, underfunded VEBAs is a highly unlikely option.

Yet the preceding option may be the long term solution UAW leadership may very well be hoping for. UAW union leaders surely know the precarious under-funded condition of the current auto industry VEBAs. It may be that Gettlefinger and staff are hoping the VEBAs can be kept afloat for a few years until some kind of national health insurance can be enacted by Democratic Party congresses. At that point they could roll the VEBAs into such an arrangement and get out from under the liability.

On the other hand, currently proposed plans by all Democratic Party presidential candidates are essentially plans to ensure that insurance companies maintain a central role in any future health benefits financing system as individual companies like GM, Chrysler, Ford and others exit from direct financing of those health benefits. If this is what the current UAW leadership is thinking, it is a highly risky gamble. But then, they themselves will be retired and comfortably out of the picture.

The ‘Selling’ of VEBA

The recently negotiated union contracts at GM and Chrysler containing VEBA agreements were nonetheless recently ratified by UAW autoworkers this past fall. GM’s was ratified by about a 2 to 1 vote. Chrysler’s ratification margin was about 55%. A UAW-FORD contract and VEBA will almost certainly pass as well, given the passage at GM and Chrysler.

Despite the approval of the VEBAs in recent contracts, internal UAW membership opposition to the contracts was significant if not sufficient to prevent passage. A number of large plants, both at GM, and in particular at Chrysler, voted by significant margins to turn down the proposed contracts. Significant rank and file movements also began to appear during the ratification process, although they were not able to link up in time to form an effective national opposition movement. Many highly regarded and long respected local union presidents and leaders came out publicly opposed to the VEBA deals and overall contract. As did several retired, regional directors and international UAW executive board members, who voiced their opposition in writing and in communications to the membership, laying out their concerns in particular with VEBA.

There was even a flurry of outside legal opposition to the GM-VEBA deal aimed at obtaining a temporary restraining order to stop the vote. This legal move was based on the argument that UAW leadership did not fully or properly inform the membership during the voting of the full details of the financing of the VEBA, as was required under federal securities laws.

Why then, one might ask, did the recent auto industry contracts, containing not only VEBAs with $50 billion under-funded liability but tens of billions of dollars of wage and other concessions as well, nonetheless pass? Why were the union and autoworkers willing to agree to such a massive shift of income from themselves to the companies, and, in particular, agree to assume the risky $50 billion liability represented by the VEBAs? The answer to this key question is perhaps complex but not impossible to comprehend.

First, it must be recognized that major verbal assurances were given by both the auto companies and the UAW leadership to the workers to get them to vote for the contracts. The assurances were dubious at best, and in most part will not be delivered. But most autoworkers still want desperately to believe them. To begin with, there was the assurance by UAW President Gettlefinger that the VEBAs would have sufficient funding to ensure payments to retirees for 80 more years—a claim without any verifiable proof or substance. Then there was the assurance by GM itself that in exchange for offloading the VEBA from the company to the union (as well as in exchange for the historic wage cuts and other concessions), the company would provide more job security. Specifically, it would place a moratorium on outsourcing of jobs and would commit to new investment in 17 of the companies’ 82 plants in the U.S.

These two major assurances were presented to workers essentially as guarantees, although no such guarantees were made if one consulted the fine print. The outsourcing moratorium could be lifted. And investment in plants does not necessarily mean job-creating investment. Even the company made it clear the investment was depended on market conditions. Nor did investment mean a guarantee of no lay offs.

In fact, no sooner than the GM contract was ratified, the CFO of the company, its chief financial officer, declared in a public forum that investment did not mean there would be no layoffs in the future. On October 3, GM announced it planned to close 13 plants, four more than originally announced, and within the next four years. A few days later GM also announced plans for a new early retirement ‘buy out’ package for 18,000 more of its remaining 73,000 workers. Moving them out would make way for the now much lower paid, second wage tier workers now earning only $14-$16 an hour compared to the $28 an hour average of 1st tier wage workers.

Concurrent with the above assurances (the carrot) was the threat (the stick)—pushed by both the company and the union—that if major concessions were not agreed to in the contracts GM might well go bankrupt. If that happened, it was argued, there would be nothing left in the health fund to pay for benefits. Better that the union take over the fund in the form of a VEBA and manage it, the UAW argued to its members. That way at least something could be saved of past worker contributions to healthcare should GM go bankrupt.

Fears of bankruptcy at Chrysler and Ford were projected as even more likely. Given that the Chrysler was recently bought out by the private equity firm, Cerberus International Management, a company notorious for buying then splitting up and selling off parts of companies, the threat of bankruptcy was an easy sell. Similarly, having publicly announced intentions to sell off divisions of the company, at Ford it was easier still to raise the bankruptcy red flag. Companies typically raise such threats in negotiations. But what was qualitatively somewhat new now was the union itself aggressively pushing the ‘fear factor’ on behalf of the company in the appeal to its members. In plants and local unions where the vote was particularly close, UAW staff descended on union meetings and played the company’s ‘bankruptcy card’ threat to the hilt.

The Profitability of Terror

But in reality neither GM, nor even the other companies, are approaching financial collapse. On October 19, for example, the major story appeared in the business press that GM had achieved a record 9.1 million in global vehicle sales of for the past year. And the most recent quarter was the highest on record with sales of 2.38 million cars worldwide. GM senior management further announced it expected another record year to come. While GM’s sales in the U.S. had dropped 6% in the most recent quarter, that was largely due to the company’s decision not to sell to car rental fleet companies, i.e. its own unilateral decision. Finally, GM noted it did not expect its sales in the U.S. next year, 2008, to decline despite rising gasoline prices and housing market woes. This is hardly a picture of a company about to go bankrupt!

When examined globally the big three companies worldwide are highly profitable and have aggressive expansion plans—outside the U.S. GM in particular now sells more than a million cars a year in China and is rapidly expanding its output there as well as in India and Russia, including a new state of the art plant in St. Petersburg in that country. Similarly, Chrysler recently announced plans to double its sales outside the U.S., particularly in China and Europe. Despite this global focus and profitability, the UAW bargaining team, it was reported to this writer by a seasoned UAW negotiator, does not insist in contract negotiations with the companies that they provide it data reflecting their worldwide operations and profitability. Only the relatively weaker U.S. data is provided as a basis of US bargaining. The union thus negotiates with half a dataset, while the companies view themselves truly as international entities and calculate their profitability worldwide.

In short, the selling of the VEBA deals was made possible by the cumulative decades of what can only be called the ‘terrorizing’ of autoworkers by their companies and with the increasing assistance of the union in that task. One must remember most of the current workforce in auto has spent most their working lives over the past thirty years, i.e. since the beginning of concession bargaining in 1978, living with the constant fear of loss of their jobs. That fear of job loss and deep, decades-long ingrained insecurity has a real, not imagined, basis.

In the 1980s there were 350,000 autoworkers at GM alone. That declined to 270,000 in the mid 1990s. Today it is only 73,000 and rapidly still falling. That kind of constant, massive job loss generates a level of insecurity that is easily preyed upon by management and union negotiators alike. Given the fact that over half of the remaining 73,000 workers at GM will approach retirement in the next four years, the insecurity and anxiety is such that many older workers are inclined to agree to the severest terms imposed on them so long as they can ‘reach the magic retirement finish line’. And they outnumber the younger workers and union members. The companies know this. So does the union. Consequently assurances of job security and false promises of the continuation of health benefits, combined with exaggerated scenarios of pending company bankruptcies (i.e. threats of job loss), can play a deciding role in contract ratification votes in the auto industry. And so they have in the recent agreements.

The Strategic Significance of VEBAs

The coming of VEBAs in auto means VEBAs will not only become generalized throughout the industry, but will now quickly spread throughout other unionized companies in the U.S. There probably is not a major company with a union contract that will not now assign a team of human resources, lawyers, and accountants to quickly study how to implement a VEBA of its own. Many will attempt to reopen current contracts with their unions in order to negotiate the changes. Already Bloomberg, the financial news company, reports that companies like AT&T, Verizon, and others have internal preparations underway to shift their health benefits to VEBAs.

VEBAs are strategically significant as well because they represent the analogue in negotiated health benefits that Cash Balance Plans represent to negotiated defined benefit pensions. Cash Balance plans have been the device over the past decade to convert defined benefit pensions to an intermediary stage (i.e. Cash Balance plan) on the way to fully privatizing pensions in the form of an eventual 401k plan. VEBAs are the same halfway house on the way to converting union negotiated health benefit plans to privatized, individual Health Savings Accounts. VEBAs, like Cash Balance plans, are thus transition vehicles to the eventual ‘cashing out’ of benefits and to a full privatization benefit delivery system. That’s the essence of Bush’s and corporate America’s plans for a so-called ‘ownership society’.

If the rise of private, individualized 401k pensions marked the beginning of the demise of traditional, employer-union negotiated defined benefit pension plans, the coming of VEBAs represents the further, and now accelerating, decline of the union-employer negotiated health benefit plans. Employers today are clearly getting out of the game of providing either retirement or health benefits for their employees. However, nothing equivalent is being proposed to replace those two benefits so central to the American workers’ standard of living. VEBAs and Cash Balance plans represent the ‘wake’ before the funeral for the post World War II retirement and health benefits systems that are now in their final stages of decline.

What VEBAs also represent is a major acceleration in the shift of relative income from workers to corporations and their investors. An example of how much an income shift can be shown by the following calculation: GM estimates that its total cost per hour per employee is approximately $78. Most studies show health benefit contributions are equivalent to about 20% of the total hourly labor costs. That’s about $14 based on the above $78 assumption. With VEBA, GM will no longer have to pay the $14 per hour per employee. For GM that’s savings equivalent to about $2.1 billion per year. Add another $2 billion at least for Chrysler and Ford. Now factor in rising health care costs over a typical contract term, and the total corporate savings comes to at least $15 billion. Include the discounted future value of those savings and the total savings easily equals $20 billion. That’s $20 billion that the companies once paid but no longer have to; and $20 billion the workers did not but now do. That’s a $20 billion income shift—each year and every year going forward. And that’s only three companies.

VEBAs also represent a fundamental change in both the institution of collective bargaining and the very nature of Unionism in America. From the late 1940s to the mid-1970s, collective bargaining expanded in scope, adding new areas to contracts like health benefits, pensions, cost of living clauses, job banks and a host of other innovations. Collective bargaining also expanded in terms of magnitude, as levels of funding for these areas were increased and wages were also raised in synch with rising productivity levels. This was the golden age of contract bargaining—and of what might be called ‘Contract Unionism’.

From about 1978-1982 on, however, a major shift occurred reflecting the new, aggressive Corporate Offensive launched about that same time. Nationwide bargaining agreements were broken up, balkanized, and instead of collective bargaining characterized by expanding in scope and magnitudes, the primary focus of bargaining increasingly was on concessions in and on reductions in the magnitudes or dollar value levels in contracts. Wage gains also increasingly fell behind productivity year after year. This period, which lasted until the present, might be called ‘Concessionary Unionism’, with its focus on minimizing the reduction of magnitudes and values in bargaining.

But VEBA funds may represent the beginning of yet a new phase or stage and the further fundamental transformation in the nature of collective bargaining, and even unions themselves. With VEBA the focus is not just on reducing the values or magnitudes of contracts, but now on rolling back the very scope of bargaining and on the incremental, piecemeal dismantling of contracts. With VEBAs, unions now find themselves directly cooperating with companies on the actual dismemberment of contracts and jointly eliminating previously sacrosanct contract provisions won over the course of many decades. One can easily imagine, for example, not only the rapid spread of VEBAs throughout various industries, but also the extension of the basic concept inherent in a VEBA—i.e. the idea of negotiating the spinning off entire sections of contracts, excluding them from future bargaining, and even turning their function over to third parties. For example, the imminent trend, now piloting in the U.K., is for third parties such as insurance companies and investment banks to ‘buy out’ pension plans and directly managing them for profit.

This new condition, symbolized by the advent and spread of VEBAs might be identified as the era of ‘Corporate Unionism’. In the era of Corporate Unionism, unions increasingly cooperate directly with management in the process of contract dismantlement and become even more integrated with the strategies, aims and objectives of global corporate management. Corporate Unionism means, at the level of collective bargaining, the basic ‘outsourcing’ of the union contracts themselves. VEBAs clearly lie in that orbit and are strategic precursors to a new Corporatism in union-company relations.

Dismantling the Postwar HealthCare System in America
by Jack Rasmus
copyright 2007

The current system for financing health care, which originated in the immediate post-World War II period, is today approaching collapse. Its decline began in the 1980s and 1990s under then Presidents, Ronald Reagan and Bill Clinton. The dismantling of that system has been accelerating under George W. Bush.

This process of dismantling the postwar health care system is not unique. It’s been witnessed before. In recent years a similar dismantling of the employer-union negotiated pension system has occurred—it also largely a product of the late 1940s ‘social compact’ and compromise between Business, Unions and Government. Just as employer-union negotiated Defined Benefit Pension plans have been largely displaced over the past two decades by 401K-type individual contribution plans, so too now a similar process has begun with the displacement of traditional employer provided insured health care plans by individualized health care schemes.

The general replacement of that system is the Corporate-Bush ‘band-aid’ called ‘consumer driven health care’, now appearing in various ‘forms’ of individual-purchased health care plans. As in the case of Defined Benefit Pension plans, employers increasingly are ‘cashing out’ their previously provided insured health care plans, giving their workers a fractional part of their—the company’s—previous dollar contribution to employees’ health insurance, and telling them—the employees—to go buy their own private coverage and plans. Typically, the ‘cash out’ amounts on average to 50% or less of the cost once paid by the company for health insurance coverage for the employee, thus resulting in huge cost savings for the company and effectively transferring income from the employee to the company.

The Corporate ‘VEBA’ Cash-Out Solution

A variant, or new ‘twist’ on the ‘cash-out’ theme, and the latest milestone on the collapse of Employer negotiated health plans in the U.S., is the recent UAW-GM arrangement called VEBA, short for ‘Voluntary Employee Beneficiary Association’—a pension-like health care fund to be partially financed by GM. A VEBA deal allows a company to jettison its health care contribution responsibility and exit all obligations of future liability for providing health care benefits. With a VEBA, the company pays out a fraction of what it would otherwise to its employees’ health care benefits, saving the company tens of $billions as a consequence in the case of GM. With VEBA, GM will in effect ‘cash out’ its previously negotiated health care liability at reduced cost—i.e. much like, for example, the bankrupted United Airlines ‘cashed out’ its pension plan in recent years, saving itself $10 billion; or like IBM in 2006 was allowed to ‘cash out’ its defined benefit pension obligations in exchange for setting up a ‘Cash Balance’ personal pension plan. VEBA is thus the analogue in health care to the dismantling of the postwar defined benefit pension plan system.
A difference from the dismantling of the guaranteed pension plans is, in the case of VEBA, it is the union—in the GM case the auto union, the UAW—which will be responsibility for the liability and funding the shortfall in the employer’s (GM’s) contribution to cash-out. The union, the UAW, will thus have to make up the difference in the cash-out shortfall. That will undoubtedly mean the UAW will have to either ‘tax’ its working members and raise union dues to fully fund the shortfall or reduce the benefits of UAW union retirees to reduce the shortfall, or what is more likely, both tax working members and cut benefits for retirees.

How much is the estimated cash-out or ‘shortfall’ in the GM-VEBA solution? The company, GM, in recent negotiations reportedly used the figure of $51 billion in unfunded liability for UAW active members and retirees. Wall St. Journal estimates place the liability as high as $55-$56 billion. But the assumptions behind that liability are unreported and unclear. As in the case of assumptions for pension and health care plans, it is often a ‘fast and loose’ game played by negotiators and fund administrators. Assuming the $56 billion is correct, on the eve of the settlement between the UAW and GM in late September, GM had offered only 60% funding cash-out, or in other words about $30 billion—leaving $26 billion unfunded, but indicating it might fund 65% ($33 billion) if a settlement without strike occurred. More likely, it will agree to a settlement cash out funding of 71%-73%, or around $36 billion. That’s still $15 billion that will have to be made up by the union, UAW, at the direct expense of its members and result in pitting active members against its retired members. However, even the $15 will undoubtedly prove an underestimation, since a great percent of GM’s $30-$36 contribution is reportedly in the form of stock and pension fund income transfers. With a major, and perhaps global, recession just around the corner due to the emerging financial crisis, stock and investment values will no doubt decline significantly, leaving an amount well less than $30-$36 billion from GM and a corresponding even greater amount to fund by the UAW.

It is a great historical irony that the UAW, once pioneer in making employers pay for workers’ health care, now finds itself agreeing to transform itself from a labor union into a private insurance carrier and let the auto companies exit the health care financing field altogether. It is a choice that will undoubtedly prove disastrous to the union, as well as to the personal finances of its members.

In other words, the UAW and GM, once partners in the origination of negotiated company-provided health care plans in the late 1940s, now find themselves jointly presiding over the dismantling of that very same system of insured company-provided health care benefit plans, as that health care financing system that reigned for six decades approaches its final stage of terminal illness.

To understand the accelerating collapse of that system today requires placing the current process in historical perspective.
The Post-World War II ‘Rules of the Game’

Prior to 1947, with a few exceptions, the position of American Labor was to advocate the adoption of Single Payer Universal Health Care financed and administered through the Social Security system. That approach recognized that health care was not only a personal ‘right’ but a ‘public good’ that benefited all society and was therefore a justified public investment.

However, that strategic focus was sidetracked in the late 1940s and replaced with a quite different post-World War II arrangement and new ‘rules of the game’ for financing and delivering health benefits.

Immediately following World War II several of the most strategically powerful unions broke ranks with Labor’s historic position demanding Single Payer Universal Health care as part of the Social Security system. During the period 1946-1949 the Mineworkers, Steelworkers, Autoworkers and other major unions shifted from advocating Single Payer Universal Health Care as their primary policy focus to providing health benefits by directly negotiating health benefit plans with employers. The goal of Single Payer Universal health care was not rejected outright. It was still there. But it now became a secondary objective at best—derailed in all but words and the occasional perfunctory union convention speech.

Despite Labor’s strategic shift and willingness circa 1946-49 to press for health benefits for no more than one-third the national workforce (organized Labor’s membership at that time being about one third of that work force)—employer resistance to the idea of negotiating health benefit plans was nonetheless strong at first. The idea of a system of health benefits based on union-employer negotiated health plans, with the insurance industry as ‘broker and middleman’, was not immediately embraced by Corporate America. After all, Business had just successfully convinced Congress to pass the Taft-Hartley Act in 1947 which essentially de-fanged the trade union movement, depriving it of the use of those solidarity tactics (i.e. sympathy strikes, plant occupations, closed shop-hiring halls, the secondary boycott, the right to strike for union recognition, etc.) that were the basis for much of Labor’s success in the preceding decade. Why should employers concede and agree to negotiate health benefit plans that would only raise costs and cut into profits? Or create another program to administer, with yet another liability?

But corporate resistance, vigorous up until the late 1940s, was significantly softened by the close of the decade as a result of direct U.S. government-provided incentives, and various new ‘rules’ encouraging employers to negotiate such plans.

Among the various new ‘rules of the game’ introduced at the time, corporations were now allowed to deduct all their health care costs from their annual tax liability, thereby reducing corporate costs and in turn boosting company profits, stock prices, and in turn senior management bonuses. And there was a further beneficial secondary effect to this as well: Employer health benefit contributions reduced hourly wage increases and direct labor costs. Unlike health benefit contributions, wages could not be deducted from corporate taxes. But by substituting health benefit contributions for wage raises, the cost of those wage raises diverted into health benefit plan contributions were also in effect tax deductible and thus amortized across the general taxpayer base. Negotiating benefit plans reduced overall labor costs, in other words, with positive bottom line results to corporate income statements.

Still another set of new incentives allowed businesses to boost corporate balance sheets as well as corporate income statements. Health benefit contributions often went into a healthcare fund. As the fund grew, it became an ever-growing asset on the corporate balance sheet as well as a positive entry on the company annual income statement. The company could thus appear even more profitable than it in fact was, providing a further boost to its stock price. And with a relatively young and healthy workforce at the time, the costs of health care were not likely to exceed the revenues in the form of workers’ deferred wages and company contributions reflecting those deferred wages. The funds themselves would therefore grow and provide an alternative source of investment revenue—a still further corporate benefit. Later, additional new ‘rules’ would allow corporations to divert surpluses earned from their pension funds to their health care benefit funds.

For the rapidly expanding insurance industry circa 1947-52 the potential benefits were even more direct and lucrative. The relatively youthful average age of the U.S. work force at the time all but made certain that insurance costs would not exceed insurance revenues for decades to come. They too therefore added their substantial political and lobbying voice in favor of the new ‘rules’.

For the above material reasons employer resistance evaporated relatively quickly around 1950, led by the insurance industry, banks, and the large manufacturing-mining-transport based companies. Medium and smaller businesses soon followed, as employer-provided health care plans became a standard benefit offering to employees to avoid unionization. Tens of thousands of union-negotiated and employer-only insured health benefit plans were quickly established during the period, 1949-1952, and spread rapidly thereafter. Employer provided health plans and contributions became widespread throughout the U.S. economy. Either jointly negotiated with unions, introduced unilaterally by employers to avoid unionization, or required simply in order to attract skilled and other labor during the labor shortages of the fast economic growth years of the 1950s and 1960s—the postwar system of Employer-Provided Health Benefit plans became the accepted ‘rules of the game’ and the norm.

By the early 1980s, more than 80% of all health care coverage was provided through Employer-Provided Health plans. (The remainder by the Medicare and Medicaid programs, the former for the retired and the latter for the most impoverished). There was as yet virtually no personal-private health insurance or plans at that time.

Dismantling the Post-World War II ‘Rules’ Governing HealthCare

The above post-World War II rules and Employer-Provided health benefit plans represents an essentially ‘hybrid’ system. Neither fully collective, or public, as would have been the case of a Single Payer System funded through the Social Security system; nor yet a fully privatized or individualized approach to delivering health care that would emerge after 2000 with George W. Bush’s ‘Consumer Driven Health Care’. And like all hybrid systems, over the long run it was unsustainable.

The new rules and system were the product of a broader set of tacit agreements and cooperative understandings between Business, Government and Labor that emerged during the period, 1947-1952. Those agreements and understandings have been breaking down since the 1980s and no longer exist—at least as far as Business and Government are concerned. When the basic agreements, tacit understandings, and social compromises between Business, Labor and Government began to unravel in the 1980s—and their breakdown accelerated further after 2000—so too would the above system of healthcare financing that was in essence a reflection of those same agreements and compromises.

Not all the ‘rules of the game’ associated with the postwar Employer-Provided benefit plan system were advantageous to employers. In exchange for the incentives and advantages to corporate ‘Profit/Loss’ and ‘Balance Sheets’, companies nevertheless still were responsible and liable for providing and financing health care benefits. Union negotiated, and even employer-only provided, plans spelled out a certain level of benefits the company was required to provide employees and dependents. If funds were insufficient for any reason, the increase in cost had to be diverted from corporate net income.

That responsibility and liability was tolerable for employers so long as a better arrangement, providing the same financial advantages as the old rules but without the liability, had not yet emerged. So long as government ‘rules’ still subsidized corporate contributions to health benefit plans, so long as unions were willing to forego wage increases to help ‘fund’ health benefits, and so long as insurance companies and other middlemen did not seek to dramatically increase their relative share of profits in the industry at the direct expense of other employers directly providing the health benefit plans, money could actually be made off the arrangement.

But once the equation changed, once insurance companies got overly-greedy, once Corporate America and its government allies envisioned a health care benefits alternative offering the same corporate subsidies but in an even more profitable alternative arrangement, the liability inherent in the ‘old rules’ became increasingly unacceptable. That alternative began to take shape in the 1980s and 1990s. It emerged full blown under George W. Bush.

Reagan Establishes the Pre-Conditions

Two developments in particular during the Reagan years, 1980-1988, pointed to the eventual breakdown of the old system and the development of new ‘rules’ and a new arrangement for financing health benefits. The first was the widespread de-unionization that occurred during the Reagan years and the break up and balkanization of collective bargaining itself that accompanied that de-unionization. The second was the new ‘model’ for privatizing employee benefits that appeared with the creation of 401k personal pension plans as an alternative to traditional, negotiated defined benefit pension plans.

Both the de-unionization and the balkanization of bargaining reflected the intent of Business and Government after 1980 to discontinue the broader agreements, tacit understandings, and compromises with Labor that had been established in the late 1940s. The postwar social compact between Business-Government-Labor was finished. Corporations knew it. The Reagan administration knew it. Only the junior partner, Labor, would not believe or accept the fact it was no longer welcome at the table. And if Labor was no longer needed, so too unnecessary now were the health benefits financing system based on a system of negotiated Employer-Union health benefit plans.

Widespread de-unionization and the balkanization of collective bargaining cleared the way for the emergence later of ‘two tiered’ negotiated benefits. Two-tiered plans provided significantly less health benefits coverage for newly hired employees. It thus created great dissatisfaction among a significant percentage of younger workers with the ‘old rules’ that provided far less for them and often at an additional cost. Two-tiered benefits consequently over time would make a growing share of the workforce more amenable to accepting ‘new rules’ for financing health benefits that employers and government might subsequently propose. Younger workers disenchanted with the old system would become easy targets for Bush’s later Consumer Driven Health care proposals.

The second critical development during the Reagan period was the emergence of 401k pension plans that were first introduced in 1983 and then expanded rapidly. 401Ks provided a new ‘model’ of how corporations and employers could extricate themselves from liability for, and contributions to, traditional defined benefit pension plans.

Like the current health care benefits system, the defined benefit plan pension system also originated in the immediate post World War II period. It too then expanded in the late 1940s through 1950s and grew to become the dominant pension delivery system in the 1960s-1970s. By 1980 more than 80% of private sector employees were covered under Defined Benefit Pension plans. After the introduction of 401Ks in the 1980s, however, Defined Benefit Pension plans have been progressively dismantled and replaced with ‘Personal’ 401K private pension plans. Today no more than 20% of private sector workers are covered by traditional Defined Benefit Pension plans, and that number is about to drop dramatically further in the next two years. As defined benefit pension plans have disappeared by nearly 100,000 since the 1980s, they have been replaced with 401k plans. The result has been less cost to companies, continuation of the subsidies for companies originally provided by defined benefit plans, but without corporate liability and responsibility for financing employee retirement. 401ks thus reflect a new set of ‘rules’ that in essence allow corporations to effectively exit the pension benefits system.

The point is what has happened with 401k plans replacing traditional pensions is today happening as well with current employer-provided health care plans. The analog to pension 401ks in health care is Bush’s proposed ‘Health Savings Accounts’ (HSAs), which are currently expanding rapidly throughout corporate America. Reagan created 401Ks. George W. Bush spawned HSAs, which are essentially the same animal as 401ks—i.e. ‘new rules’ permitting corporate America to shed liability, dramatically reduce and eventually eliminate costs, and allow employers eventually to exit the health benefits financing system altogether, leaving workers and their families holding the entire financial bag.

Clinton Shifts Responsibility to Workers & Consumers

In the 1990s under Clinton the idea of individual-personal health care received a further push with the introduction of ‘Managed Health Care’. Managed Health Care essentially maintains that the consumer is the cause of rising health care costs—not insurance companies, private hospital chains and drug companies. If consumers are the source of the problem, it follows the solution must be to reduce their access to health benefits and services and/or to raise the cost of such services to consumers in order to ‘ration’ the delivery of health benefit services. And that was the essence of Managed Care. Moreover, once the consumer is thus tagged as both the cause and solution to the problem, it is but a short step to shift responsibility and liability to the consumer for financing the provision of those health benefits—which is exactly what ‘Consumer Driven Health Care’, the George W. Bush direct offspring of the Clinton ‘Managed Health Care’, would later do.

The Clinton shift to targeting and blaming the consumer was not the only ‘innovation’ and fundamental contribution of the Clinton period toward the dismantling of the postwar health benefits financing system. Clinton’s ‘Managed Health Care’ solution actually set in motion the historic run-up in health care benefits costs over the last decade, 1997-2007, which has fundamentally undermined the ‘old rules’ for financing health benefits. By diverting health care cost containment away from the true origins of cost increases which lay in health insurance, pharmaceutical companies, and private hospital chains’ mergers, industry concentration, and monopoly-like pricing behavior, Clinton effectively gave a green light to the acceleration of health care costs that began in his second term, 1996-2000, and which continues today.

As healthcare costs began to rise precipitously in Clinton’s second term his solution was to add new ‘rules’ which would allow companies to divert funds from their defined benefit pension plans to continue to subsidize their health benefit plan cost increases. But all that did was undermine traditional pension plans further, which were already in the process of a rapid decline and many of which would approach near collapse after 2000 because of the allowed diversions.

George W. Bush Puts the Pieces Together

In 1992-93 roughly 75% of employers offered a traditional Employer (or Union-Employer) provided health benefits plan to their workers. By 2003 this percent had declined to only 60%. That’s more than 500,000 companies exiting the postwar system. With the coming of HSAs after 2003 that process both company and worker exiting from the postwar health benefits system has continued to accelerate. About 10-12 million are now enrolled under HSA-type personal health plans, which lie at the heart of what Bush & Co. call ‘CONSUMER-DRIVEN HEALTHCARE. Both corporations and the government are today engaged in a major PR-push to expand HSA-type health benefit plans as rapidly as possible.

Just as 401k personal pension plans have provided the alternative and excuse for companies to exit traditional defined benefit pension plans, so-called ‘Health Savings Accounts’ make it possible for an increasing number of companies to abandon traditional employer-provided health benefit plans. With the ‘new rules’ and projected shift to HSAs it is not unreasonable to project that employer provided healthcare plans will continue to rapidly decline from today’s 60% to 20% within the next decade—just as defined benefit pension plans similarly declined to 20%. That’s several tens of millions more workers, and hundreds of thousands more companies, exiting from the postwar, traditional employer provided health benefits system.

Millions more workers will soon be thrown out of the disappearing postwar health benefits system and are candidates to migrate to HSA plans. But with typical HSA plan deductibles of $1500 to $3000 per year, and with their historically much higher co-pays as well, many workers will simply continue to opt out of health care coverage altogether due to increasing lack of affordability. It is therefore quite possible that over the next decade at least 10-20 million more will be added to today’s 47 million workers and their dependents who lack any health benefits coverage whatsoever. Consumer Driven Health Care, HSAs, and personal-private health plans will therefore fail to solve the current healthcare benefits crisis. In fact, they will make that crisis worse, swelling the ranks of those without any coverage by literally tens of millions.

Healthcare At the Crossroads

Only two paths therefore lead from the dead-end solution of Consumer Driven Health Care, personal health plans/HSAs, and/or employer preferred VEBA solutions. One way leads backward, to try to restore some semblance of the post-World War II system and resurrect employer provided health care benefit plans. That essentially ‘hybrid’ post-war arrangement, however, was a unique result of a specific set of conditions which no longer exist and can no longer be restored—despite a longing to do so by some in the trade union movement. Neither corporations nor their government-political allies will any longer support it. Labor may be willing to throw more and more workers’ wage raises into it to try to maintain it. But that effort over the past decade has proved a dismal failure. It results simply in a transfer of potential wage raises into the pockets of insurance companies and private hospital chains, as health care costs continue to rise, as employers continue to shift those costs to workers, and as benefits coverage levels continue to decline despite the additional contributions by workers. A product of past historic agreements that no longer exit, that alternative cannot be restored to what it once was and should not be resurrected. It has become a ‘black hole’ for workers’ wages and incomes and a contributing factor to the virtual quarter century freeze in the hourly wages, adjusted for inflation, for the more than 108 million non-supervisory workers in the U.S. today.

The choice ahead therefore is twofold: either the further expansion and entrenchment of personal-HSA plans and VEBA plans, in which workers-consumers pay a greater share of total costs and corporations exit in stages from any liability for healthcare financing—or a return to the idea of a true single payer universal health care system delivered through the Social Security System. How to ensure that corporations and the wealthy pay their fair share of healthcare in America, and return to Labor’s original and only effective solution to providing health care benefits for all, is the subject of the companion piece to this article entitled: “Why Pays? How to Finance Single Payer Universal Healthcare�.