It's a decision that Corporate America has already made. Many businesses are already charging higher-paid employees up to twice as much for their health care as lower-paid workers. And while most companies are trimming back some coverage, by and large they are choosing means testing for health services over drastic cutbacks of benefits.
Companies are applying a sliding-scale approach to premium payments, annual deductibles, and out-of-pocket maximum caps on medical expenses. That's fair, and it's better than the alternative -- cutting benefits to all. There is no denying the sticker shock spreading through Corporate America as employees open their company health plans for 2004. It is similar to the shock reverberating in Washington over Medicare. Choices have to be made. The better choice for Congress is to ask those who can to pay more to help provide for everyone, including those who can't.