Discussion about this post

User's avatar
Kevin Erickson's avatar

Thank you for the illuminating discussion and comprehensive survey of the bills that are out there. It's very helpful to disentangle the classification piece of the puzzle from the other elements.

Three things to flag:

First, it's important to understand that association plans are highly controversial for reasons that are unrelated to classification. These plans aren't typically subject to the same level of regulation and in addition to concerns about essential benefit coverage, they are understood to end up driving up premiums for the general ACA market because of the way risk pooling works. That's led expert observers like the Commonwealth Fund to conclude that on balance, expansion of association plans would "likely create greater complexity and cost." For some on the right, that's the appeal of association plans: they undermine the ACA, and undermine efforts to transition toward a public system.

While I don't begrudge an eligible arts business or arts worker choosing an association plan if that's ultimately what they deem necessary to achieve coverage in the current affordability crisis, what association plans ultimately may mean on a structural level is cheaper access for the young and healthy and more expensive premiums for everyone else. That certainly should raise serious equity concerns. So it's important to not confuse a stopgap measure for a medium-long term policy solution.

Second, it's important to be mathematically realistic about what might be achievable, and be serious about evaluating feasibility before settling on campaign goals. A handful of folks in the musician community who are frustrated with low streaming royalties and affordability barriers to health coverage have suggested requiring major labels to pay into portable benefit plans for musicians--not just covering those musicians who record for major labels, but also those whose work they distribute via a licensing relationship. Setting aside the dubious legality of such a scheme, we haven't seen evidence that anyone has been able to make the math work in a way that would end up covering the broad population of recording artists, especially given that even good plans like SAG-AFTRA's for eligible recording artists has to allocate coverage based on earnings thresholds, which leaves a whole lot of people behind. We need to see every artist covered, regardless of whether their work is popular or commercially successful.

Finally, it does make sense to require that companies that are making piles of money off of artists' work contribute more than they are right now to artists' healthcare and wellbeing. But what we've seen internationally suggests that the optimal way to require them to do that is via tax revenues that pay into a single payer system. The best and most portable way of offering benefits to artists is via expanded public coverage. All of our health care discussion about incremental fixes, short and medium term reforms, etc is best understood as embedded in the long-term fight for single payer coverage. We know it's the approach that works, even as it may be a slog to get there.

Beth Mathews's avatar

This was so helpful. Thank you for sharing these resources! I live in California and had no idea about the “Creative Economy” plan.

3 more comments...

No posts

Ready for more?