ever looked at direct medicine as a model? We use one and love it, but only have a small number of employees locally.
work comp, unemployment, benefits etc. For us, it's about a 30% bump in just pure employee cash outlay. That doesn't speak to overhead.
A lot. It also varies per trade. I have 4 HVAC men, 6 plumbers and 6 construction guys on payroll. I'm able to be exempt since I own it, but I have 4 office/project managers that are cheaper but still around 2k I think. I just have gotten numb to writing insurance checks. EDIT: Also, the insurance company will audit my payroll and regardless of how many tens of thousands of dollars I've paid them, will find another 2 or 3 thousand I need to pay them every year.
Why in the hell do you have to grease the palms of every municipality you do business in? I have more issues with licensing fees than taxes, honestly. With taxes, at least you're paying with money you've already made. And you ostensibly derive some benefit from the things the taxes are funding. What the hell benefit does a business derive by paying a license to operate a business in that location? What's the conceptual basis behind that....other than "let's fleece whoever we can for whatever we can get away with".
Let's not lose sight about what we're talking about here. I understand that there are additional costs on the employers side, but the question was what does the employee get other than 7.50 an hour. And the answer is, nothing.
MD's who work outside the insurance world. Go directly to the customer. Direct Primary Care is the best way on earth to tackle the GP problem. A lot of folks call it concierge medicine because it has only been available to the wealthy, but GPs are figuring out now how to operate well outside of insurance repayments. Our founders have had concierge services for years, but we've figured out a way to make it available to all of our employees. We pay 100% of the costs and it's $100 per head / per month and an extra $20 for each family member. He gets predictable income and essentially becomes their traveling doc and writes scrips, refers etc. Old school medicine of doc providing care rather than filling out forms.
the govt is amazingly good at figuring out ways to collect money. i recently bought a dishwasher and if i wanted lowes to put it in the govt forced me to buy a $100 permit in addition to installation costs. I just did it myself and saved the $100, but it's a ridiculous amount of money.
Never got the idea of a professional privilege tax, either. It's not like most of these people just found their licenses in a Cracker Jack box.
oh i thogught we were talking total cost to the employer. minimum wage jobs are hardly the only job that doesn't have medical insurance.
I really don't know much about it. Can't say I really know anyone that does it, other than my father-in-law, but it's more a side thing he does for a few very elderly friends and not a moneymaker.
i have a client that only does that. I wouldn't say he's getting rich, but he certainly makes more than a normal general practitioner. the real sweet spot is pre retirees. he tried to do families at one point and got killed with people bringing their 2 year olds in every month for every cold. i'd imagine the elderly would be a similar problem. my elderly clients are far more time consuming than the younger ones because they have WAY too much time on their hands to think about shit they normally wouldn't care about.
So the employee is not going to get Social Security? The employee is not going to get Medicare? If they get fired they are not going to get unemployment? They get hurt on the job they are not going to get disability?
I knew this was coming. All that's great, but we're talking about contemporaneous compensation, no? Are we not?
