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Government Entities May Have to Renege on Their Promise of Free Lifetime Health Care

What can you buy with $1 trillion? According to Stephen T. McElhaney, an actuary and principal of Mercer Human Resources, a consulting firm that advises state and local governments on benefits, the nation’s total obligation for promised health care benefits to retired state and local government employees may equate to $1 trillion.

Three years ago the city of Duluth, Minnesota decided to have an actuary calculate the costs associated with providing the level of free health care the city promised to all of its retired employees, their spouses, and their children to age 26. The total was a staggering $178 million – more than double the city’s operating budget. The city recently asked the actuary to provide an updated figure. She came back with a whopping $280 million – a 57% increase in a three year period.

It is anticipated this same sad story is about to play out for state and local governments across the country. For years, government employees have been promised liberal medical benefits, but few governments, if any, have kept tabs on the associated expense.

All that is about to change as the Governmental Accounting Standards Board (GASB) has issued a new accounting rule scheduled to go into effect in less than two years. Most entities budget for health care a year at a time. However, under the new accounting rule, even though government entities will still not have to set aside money to ensure obligations are met, they will be required to outline a plan for supplying monies to fulfill promises made to retirees. If they don’t set aside such funds, their credit ratings may fall, making borrowing money and selling bonds much more difficult.

Source: The New York Times, 12-11-05

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