Enhanced premium tax credits, which are designed to make healthcare more affordable through the Affordable Care Act marketplace, are set to expire this year. It's a major issue that is dragging out the government shutdown. Democrats want to extend the credits now, but Republicans want to discuss it once the government is open again. Small businesses are watching closely as health care for their employees is already a major expense.
NTD spoke with Javier Palomarez, Founder and CEO of the U.S. Hispanic Business Council and former Obama campaign advisor, and Michael Busler, an economist and public policy analyst who serves as a Professor of Finance at Stockton University. -- 🧶More NTD Programs: https://www.ntd.com/programs?utm_source=YouTube&utm_medium=SocialM
Enhanced premium tax credits, which are
designed to make health care more
affordable through the Affordable Care
Act marketplace, are set to expire this
year. It's a major issue which is
causing the government to shut down to
drag out for longer. Democrats want to
extend them, but now Republicans want to
discuss it once the government is open
again. Small businesses are watching it
closely as health care for their
employees is already a major expense.
Joining us to discuss is Javier Palirez,
founder and CEO of the US Hispanic
Business Council and former Obama
campaign adviser. And we have Michael
Bustler, an economist and public policy
analyst who serves as a professor of
finance at Stockton University. So,
thank you both for coming on this
afternoon. Javier, I'll start with you.
Uh, how are business owners feeling
about the prospect of these premium tax
credits uh expiring at the end of this
year? Well, as you can imagine, uh, Don,
this is a major issue for every American
small business. You know, larger
corporations don't have this issue. It
doesn't impact them. I've said a hundred
times. This doesn't impact Wall Street,
but it could devastate Main Street. Uh,
American small businesses employ uh, you
know, literally millions of Americans,
almost 50% of our population. Uh and
it's those employees of the small
businesses that you know depend on the
uh the the tax credits that make health
care affordable. And you're talking
about 22 23 million Americans that def
depend on these uh enhanced premium tax
credits. So this is a very very
difficult time for the small business
community. You know the clock is
ticking. We're at the 11th hour. Um,
we're now in this is the longest
shutdown in American history. I don't
see, you know, any light at the end of
this tunnel. We're talking to both sides
of the aisle. Um, both sides are are
pretty stuck in in their positions right
now. And at the end of the day, it's the
American small business community, our
employees, uh, that are going to that
are going to suffer. um these healthc
care benefits are going to double triple
in some cases making health care
unaffordable for literally uh millions
of Americans at a time when we certainly
need it.
>> So Michael Hav is right that we're
approaching the longest shutdown uh ever
in in history of this government. Um so
why is it that small businesses are made
to foot the bill in the first place?
>> So let's look at the big picture here
for um a minute. So, um Obamacare w was
passed 15 years ago with the promise of
reducing um health care premiums uh and
ensuring more more people. Um before
Obamacare, we had 90% of the population
of of households had health insurance.
After Obamacare, there's now 91% of the
population that have uh have health
insurance. Premiums have skyrocketed.
So, back in the the big beautiful bill,
um the uh Congress decided that um
they've got to do something to reduce
the annual deficit because the public
debt is now over $ 38 trillion. And
we're spending uh almost $2 trillion a
year more, the government is than it
takes in in tax revenue. So, we've got
to cut government spending. So, in when
the bill passed, they said, "Look, um,
in 2021, Congress said, uh, we're coming
out of COVID. Unemployment's fairly
high. A lot of people can't afford their
benefits, so we'll pass a temporary, uh,
subsidy to help people pay the
benefits." Um that subsidy was due to
run out at the end of 2025
and Congress said um let's not extend it
because we have to get uh government
spending down to reduce the annual
deficit. Uh just when they did that um
Obamacare healthc care premiums are
about to skyrocket on on their own. So,
the uh problem that we have now, now the
Democrats say, "We're not going to open
up the government until you agree to uh
pay for that, and over a 10-year period,
that's $1.5 trillion. It will add to the
public debt at a time when we're trying
to hold the debt constant or even trying
to get it down. The um the Republicans
are going to stand uh hard with this.
They're not going to bend. We can't
continue to spend money. we don't have
I'm very sympathetic to the people that
are going to see these large increases
in premiums um and we don't want to see
that happen to anybody but on the other
hand you can't ask the taxpayers who
already pay 80% um of the premiums for
these people to pay even uh more. The
problem is health care is too expensive.
We have to change the health care system
to get it to a point where the costs are
not going up so much every year, the
quality improves and people are able to
keep their uh doctors.
>> So, Javier, what what do you think about
those points that were just made by
Michael?
>> You know, no question that u you know,
we're in a we're in a bad situation when
it comes to the budget and the deficit.
Uh no argument there. Uh, look, I'm not
a politician and I'm not an economist
like like Dr. Bustler. Uh, I'm a
businessman and I'm talking to the
people who pay the taxes, drive the
economy, create the American jobs. It's
the American small business community.
We represent about 70% of net new jobs
in this nation. We need help. Our
employees are the ones that depend on
the Affordable Care Act and these earned
premium tax credits, uh, enhanced
premium tax credits. uh at the end of
the day uh there are arguments pro and
and against and all of them seem to make
sense but it is the American small
business community it is our employees
who are going to feel the brunt argue as
a businessman I couldn't argue that we
need to stay within our budget but there
are other ways to to get the tax revenue
we need there are other ways to fund
this government we are spending an
insane amount on military on on defense.
Uh the these are expenses. These are
dollars that could be used to help the
average American family. We're talking
about 22 million Americans
that will not have healthcare. And as I
said, our members in Congress and most
of us will not get impacted by this.
That's part of the problem. The people
deciding what to do, they're going to go
home. They'll still have a job. They'll
still have excellent healthcare. this
does not impact them, but we're the
ones, it's our constituency of business
owners and our employees that will get
impacted. And the system is absolutely
backass. And we need this Congress, this
administration, and politicians on both
sides of the aisle to pay attention to
the American small business community.
We're the ones who make this economy
work. We don't have, you know, huge tax
departments working for us. We don't
have huge marketing departments working
for us. We don't have uh you know
lobbyists talking to every single member
of the Congress. We just don't have
those assets. We don't have those
resources. Thank God that NTD and other
other media networks are even listening
to us. But this is a crisis and this
will impact ultimately the American
economy in ways that we may not be able
to to to recover from very quickly. And
so there is a way here for us to get
through this thing. We need to fund the
government. We need to get back to work.
And we need to extend the earned premium
tax credits, the enhanced uh premium tax
credits on behalf of the Americans who
need it. Working Americans, by the way.
>> Okay. So, Michael, I'll go off of
Javier's point a little bit and I see
where you're coming from, Michael. And a
lot of people would agree with you that
we need to keep the national debt down,
but how do you explain that in in light
of small businesses suffering? They're
thinking about their own situation right
now.
>> Javier is absolutely right. Small
business is the backbone of this
country. The vast majority of new jobs
are created by small business and we
need to do everything we can to make it
easier for small businesses to succeed.
Most new businesses end up failing
within the first three years. So the
ones that that make it um have done
things right and they've created a
business, they've create created jobs.
We have to keep that going. On the other
hand, we can't continue to spend money
that we don't have. We just can't
continue to spend money we don't have.
Period. Every politician says, "Well,
let's reduce government spending to get
the deficit down." But as soon as you
say, "This is where we're going to cut
it," a politician has a problem. Well,
that affects my constituents. You can't
cut it there. Find some other place to
to cut it. And then when you find
another place to cut it, let's cut
defense. Well, someone says, "Look,
there's wars going on. We're trying to
get over these wars. Our military was
decimated during the last
administration. We need to build that
up. So, don't don't cut defense
spending. Well, how about some of the
other things? Uh uh Medicare and Social
Security account for over half the
spending. Well, we can't cut that
because all these people paid into it
all all these years. So, there's very
little room to to cut spending, but we
have to cut spending. This
administration got the deficit down from
a little over two trillion down to 1.8
trillion. They'll probably get it down
to about 1.4 trillion in the next f
fiscal year. And they'll do that if
they're able to hold the line on
spending. The dilemma we're in now is
that we can't spend any more money we
don't have. And yet, if we don't
subsidize health insurance for the 20
million uh people, they're going to run
into a lot of trouble. And Javier's
right. Big business can afford well
health insurance goes up a little bit.
We'll absorb it here here and there. Big
small business can't do that. You end up
raising the um health insurance premiums
and either they have to say to their
employees, "Look, we're not going to be
profitable if we pay this. So either
you're going to have to pay it. We could
try to raise our prices, but it's a
competitive market. We're trying to
fight inflation and keep prices down.
This is a very difficult problem." the
the answer to the problem is let's get
the government opened. We only need five
Democratic senators to vote for that.
Let's get it open and then let's sit
down and say, "Hey, we've got to mess
with healthcare." Uh regardless of who
likes it and who doesn't like it right
now, it's not working and it's too
expensive. So, let's figure out a way.
There's some very intelligent people in
in Congress. They should be able to
figure out a way to keep the health care
system improving, keep the quality of
the health care, in my view, the best in
the world. But we have to keep the cost
down. I think a lot of it uh during
Obamacare from Obamacare, they have very
good intentions, get the government
involved to kind of watch this, that,
and the other thing. The problem is
there's too much government involved
now, and the only ones making out here
are the insurance companies. health
insurance companies profits are
skyrocketing and they keep uh coming in
and say we need um rate increases. What
we need to do is get the cost down.
Let's get the government open. Let's get
both sides of the aisle to sit down. We
all have the same goal. We want the best
quality health care and try to cover as
many people as possible and keep it at a
reasonable cost. So, Javier, your
response, but I also want to ask you, do
small businesses have any backup plans
or alternatives to footing the bill?
>> Um, before I I get into that, Don, you
know, again, you know, I'm not nearly as
learned as as Dr. Dr. Bustler, uh, but
but to give it a little bit more
context, you know, you're talking about
may maybe 5% the GDP. So, so this is not
a huge hit. It is a hit and it is an
expense but it's not an outlandish
expense. This is a very small uh portion
of our our GDP. Uh and and if we don't
extend the the the tax credits and these
go away, there are consequences. For
example, 57 billion of economic output
goes out the window. Uh you're looking
at $34 billion uh you know of our GDP
taking a negative hit on an annual
basis. you're talking about $21 billion
in state taxes that will go away. And on
top of that, it's estimated some 300,000
American jobs will go away. So there
there's the other side of this coin that
that yes, you know, there this is a hit
to our GDP. This is a hit, you know, in
terms of our budget and our expenses,
but it is not a significant expense when
you look at everything else we've got
going on. And there are some real
benefits from an economic standpoint of
keeping people healthy and keeping them
on the job. So the to give the full
story that's the other half of this. Now
in terms of contingency plans, we have
none. Uh you know it comes down to this.
We let people go because we can't afford
the health care for all of them. So some
have got to go so that we can afford the
higher price for the rest that are left.
We shutter the business altogether.
um or our people go without insurance at
all. And none of those is an option that
we're comfortable with. We shouldn't be.
Uh it it is a dire situation. And again,
the bad, you know, really sad part of
all of this is that the people making
the decisions at the end of the day are
not impacted because their health care
is going to be just fine. They're going
to have the world's greatest health
care. Their families will be taken care
of. They'll have a job tomorrow. It's
the small business community and the
millions upon millions of Americans that
we employ that are going to take this
hit.
>> Hey, so Michael, we're just about out of
time. If you have any final thoughts,
uh, you like to say right now.
>> Yeah, one last thing. I agree with
everything Javier said. Everything he
said makes sense. The problem is we
can't keep spending money we don't have.
And every time we go to cut something,
with all due respect to Javier,
everybody says the same thing. Well,
it's only a couple percent here and it's
a couple percent there and but we can't
keep increasing. We've got to start
start cutting back. Health care is not
an area where you typically say I want
to cut back for exactly the reasons that
Javier said. We've got to figure out a
way to make the health care system work
with the dollars that we we have now. In
the short term, let's get the government
open. Let's figure out how to help uh
everybody without spending too much
money. And in the long term, let's solve
this problem rather than just kicking
the can down the road, which is what
we've done really every year uh since
we've had the Affordable Care Act. It
turned out to be not so affordable and
they just keep kicking the can down the
road. We're at the end of the road. It's
time to address this uh problem. So, get
the government open. Let's address this
problem and let's try to come up with a
solution that makes sense for everybody.
>> Well, all right. Good discussion today.
Thank you both Hav and Michael.
>> Thank you Don.