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Wal-Mart: How low can you go?

Wal-Mart: How low can you go?

Retail giant's proposed method for holding down health care costs is symptom of a larger problem

Laptop Battery By Tony DiRomualdo • 11/10/05 Low prices. Always low prices. When it comes to consumer goods, America is addicted to them. And with its one-stop-shop product selection and fanatical commitment to low prices, Wal-Mart is the biggest low-price outlet going. We like our stuff cheap, and Wal-Mart is the place to get it.

The company that many Americans hate to love is getting loads of unfavorable attention lately. Union and activist groups have successfully derailed its growth plans in certain parts of the country. Now, a new documentary film casts the company in a decidedly unflattering light. As the title of Robert Greenwalds, Wal-Mart: The High Cost of Low Prices (http://www.walmartmovie.com/) suggests, there is more to the cost picture than what one sees on the checkout receipt.

Wal-Marts single-minded focus on driving down costs applies to everything it does including, as we are now learning, how it treats employees. Recently, a confidential internal memo prepared by a team led by its head of employee benefits and sent to Wal-Marts Board of Directors got leaked to the media (See it here). The memo presents a rare inside look at the company, and in particular, how it views the tradeoff between costs, employee satisfaction and public reputation.

Not surprisingly, Wal-Mart sees labor as a growing cost to be rigorously controlled. And its juiciest target is health care the companys insurance costs are rising at a substantially higher annual rate than its sales (15% versus 11.9%). Refuting its skinflint image, Wal-Mart claims it provides coverage to a greater percentage of its employees than other retailers - 81% of Wal-Mart employees are eligible for health insurance while the retail industry average is 56%. But its expensive only 48% of its employees are actually enrolled in its health insurance program. The retail industry is worse though an average of only 36% of workers are enrolled.

Wal-Mart would like to get more credit for the benefits it already offers workers but admits its health care offering is vulnerable to at least some of their (critics) criticisms, especially with regard to the affordability of coverage and associates reliance on Medicaid. The memo acknowledges that 24% of employees and 46% of children of employees have no insurance or are covered by government Medicaid programs.

The memo contains more sobering news about Wal-Marts workforce: Our workers are getting sicker than the national population, particularly with obesity-related diseases. For example, the prevalence of coronary artery disease in Wal-Marts population grew by 6 percent compared to a national average of 1 percent, and the prevalence of diabetes in our population grew by 10% compared to a national average of 3 percent. These statistics are sadly ironic given that the company is the countrys largest seller of the kinds of cheap, unhealthy food whose consumption is directly linked to these medical problems.

The memo goes on to note the negative impact of its workers' poor health on Wal-Mart's bottom line: "The cost of an associate with seven years tenure is almost 55% more than the cost of an associate with one year tenure, yet there is no difference in his or her productivity. Most troubling, the least healthy, least productive associates are more satisfied with their benefits than other segments and are interested in longer careers with Wal-Mart.

Instead of proposing initiatives to help these workers become healthier and more productive, the team calls for redesigning Wal-Marts benefits package to better appeal to younger, healthier workers who are paid less and have shorter tenures. It hopes to weed out expensive, unhealthy workers by requiring more rigorous physical activity for jobs like cashier. Should anyone be surprised that a company that has built its business around selling cheap, disposable products wants a cheap, disposable workforce?

While Wal-Mart deserves to be criticized for these types of initiatives, the situation they and other businesses face illustrates how urgently our system of health care funding and delivery needs reform. The premiere quality of our healthcare system is often touted, but what good is this if fewer and fewer people can afford it?

This is not a new problem and its getting worse. When are we going to finally do something about it? Who in business and government is courageous enough to tackle the challenge of making healthcare widely available and affordable? What kind of country let alone business and workplace environment are we going to have if large and growing numbers of people cannot afford health care?

Im not letting Wal-Mart off the hook it certainly can and should do more. For example, you would think it would use its buying clout to negotiate the best health care deal for workers of any company in the U.S. But there is no denying that our biggest company and many other large corporations are struggling to keep pace with rising health care costs for their workers. Healthcare is the hot potato that no one wants to hold not businesses, not government, not individuals. We should be collectively trying to solve this problem, instead of seeking to shift the burden to the other guy. Several state governments are now attempting to come to grips with this problem because they, and ultimately the taxpayers, must foot the bill for the growing number of people who cant afford health care.

Just as Wal-Mart is evaluating the tradeoffs that best suit its interests, Americans need to start thinking about the bigger societal tradeoffs between price, individual quality of life and collective welfare. What good are businesses with always low prices on toothpaste if it means that neither they nor their workers can afford the cost of dental insurance? Are we really in favor of low prices at all costs? What kind of communities, workplaces and environments do we want? Its time for everyone politicians, business leaders, workers, citizens to get our heads out of the sand and rethink our priorities. Our physical and economic health depends on it.

Is the cost and quality of your health care benefits getting better or worse? Please e-mail Tony at tdiromualdo@yahoo.com to share your thoughts and experiences.

Tony DiRomualdo is a business researcher, author and consultant. His work focuses on how changes in global business dynamics, talent management practices and information technology-enabled tools and capabilities are transforming the workplace. He helps individual leaders and teams to create Next Generation Workplaces. He can be reached at td@nextgenerationconsulting.com.

The opinions expressed herein or statements made in the above column are solely those of the author, and do not necessarily reflect the views of Wisconsin Technology Network, LLC. (WTN). WTN, LLC accepts no legal liability or responsibility for any claims made or opinions expressed herein.

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