Is Wal-Mart Using Health Reform To Target Target?

This intriguing blog post by Michael Cannon, the libertarian Cato Institute's resident healthcare guy, got me thinking more about the news Tuesday that Wal-Mart supports a federal mandate that most employers provide health insurance. According to Cannon, it isn't all that surprising.

First, a recap: After a meeting with White House Chief of Staff Rahm Emanuel, Wal-Mart released a letter it delivered to President Obama backing the mandate. Wal-Mart President and CEO Mike Duke, Service Employees International Union (SEIU) President Andy Stern and Center for American Progress President John Podesta signed the letter.

Naturally, this raised some eyebrows in Washington. It also undoubtedly raised some folks' blood pressure in the corporate headquarters of Wal-Mart's competitors.

Speaking of those competitors, Cannon tells a story about a chat he had in a taxicab with an unnamed Wal-Mart lobbyist, who told him two years ago that the company wanted to see a so-called employer mandate on the books. (These days, Democrats are calling it "shared responsibility." I'll skip the Newspeak and stick with the old name).

So what's the giant retailer's ulterior motive? Why, screwing Target of course!

... [I]t all became clear when the lobbyist explained the reason for Wal-Mart's position: "Target's health-benefits costs are lower."

I have no idea what Target's or Wal-Mart's health-benefits costs are.  Let's say that Target spends $5,000 per worker on health benefits and Wal-Mart spends $10,000. An employer mandate that requires both retail giants to spend $9,000 per worker would have no effect on Wal-Mart.  But it would cripple one of Wal-Mart's chief competitors.

That certainly would partially explain why America's second-biggest company and single largest employer (2 million workers!) would break away from the rest of the business community to support the employer mandate.

By the way, big business groups in Washington didn't take kindly to Wal-Mart breaking formation (and joining up with a labor union and a liberal think tank, no less).

The U.S. Chamber of Commerce took a pretty nasty swipe at Wal-Mart when I emailed them for a comment. Here's the statement the Chamber's press office sent me, attributed to James Gelfand, its senior manager for health policy: "Some businesses make the decision to use the government as a weapon against their competition. We do not agree with this method." Ouch.

The Chamber, of course, was not alone in its surprise and dismay. Neil Trautwein, a vice president at the National Retail Federation, of which Wal-Mart is obviously a member, told the Wall Street Journal that he was "flabbergasted" by Wal-Mart's maneuver.

Mr. Trautwein said an employer mandate is "the single most destructive thing you could do to the health-care system shy of a single-payer system," under which the government handles health-care administration. The mandate "would quite possibly cut off the economic recovery we all desperately need," he said. The group believes forcing companies to provide insurance will raise costs for its members.

Target doesn't seem keen on the employer mandate, judging by a press release issued in May. Pay close attention to the world "voluntary" in this excerpt:

Target believes that public and private partnerships are crucial to improve the health of our communities. The commitment by large employers and all sectors of society to continue providing voluntary coverage is contingent on legislation that contains rising costs, improves efficiency and value and increases overall quality with prevention and wellness as a priority.

Based on the axiom that nobody in business or politics acts strictly out of altruism, it's safe to assume that Duke and Wal-Mart's board of directors concluded that backing the employer mandate would provide the company with some kind of competitive advantage. When I originally reported the story, it wasn't immediately clear to me what that might be, though I suspected it must have had something to do with Wal-Mart's calculation of how much money the mandate would cost them relative to other retailers.

Presented by

Jeffrey Young

Jeffrey Young is a staff writer at The Hill, the newspaper for and about Congress, where he covers health care, lobbying, politics, and the intersection thereof for the "Business & Lobbying" section. He's been covering health policy in Washington for a decade and still hasn't heard that one good idea that will fix everything. Email Jeffrey at jeffrey.young.atlanticbusiness@gmail.com

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