The heavy levy!

In November the Government announced a new package of measures in the private health insurance market. This was in response to the surprise decision of the Supreme Court in July to quash the existing risk equalisation scheme that was a key part of our private health insurance market. Up to then there were a number of basic principles underpinning the private health insurance system here, such as community rating, risk equalisation, open enrolment and lifetime cover, (explanation of these terms here). Once the risk equalisation scheme was declared illegal, one leg of the stool was gone and the Government had to come up with a solution.

The Government claimed that the abolition of the risk equalisation scheme would lead to a massive increase in premia for older people. Obviously no one would be in favour of that, but I don't really know how that could be the case. Most older people are insured by VHI, they have 99% of the over-80s, and 90% of the over-60s in the market. Also I know the Government was in turmoil following the medical card fiasco, but looked more like a manufactured crisis to me. Yes companies could design schemes that were more attractive to younger people, but they could not refuse to allow an older person to join and as far as I know all schemes have basic entitlements. So rather than coming up with a solution that would have ensured the viability of the market overall and protected the sector from the collapse of one company, the Government in my view has come up with a scheme designed to protect the state company VHI, allow it to maintain its dominant position, stifle competition and most importantly drive up costs for consumers and indeed force some people to give up on private health insurance.


Do you talk "Insurance Jive"?

The Government response was two-fold, the three companies VHI, Quinn Healthcare and Hibernian Health will have to pay a levy of €160 on all adults over 18 and €53 on all on children insured by them. It is being claimed that this levy will fund additional tax relief for the over 50s. Basically the three companies will receive money from the state for the tax relief (as this is given at source) and will have to pay the levy on all their customers. It has been claimed that because VHI has a higher number of older customers it will receive more than it has to pay in the levy, some claim up to €30m, while the other companies will pay more to the state that they will receive in tax relief payments. So in effect this is risk equalisation by the back door.

When she made the announcement the Minister for Health Mary Harney T.D. stated that she hoped the levy would not be passed on to the consumer. Some chance of that, we can see what has happened, VHI and Quinn have increased their premiums by 23% and 16% respectively and Hibernian yesterday also increased their premiums. The end result of all this is that younger people, many with families may have to cancel their policies and are less likely to take it out in the first place, because the prices are going up and they are getting no additional tax relief. This is especially so in the current economic environment. That is not good news because stated Government policy has been to encourage people to take out health insurance as early in life as possible. In 1999 the Government promised to introduce lifetime community rating, the idea that those joining later in life could be charged more and also I believe would have to include provisions for reductions for those who have been members for a long period. Nothing happened, although they are promising to introduce it now again ten years later. At the moment a person joining at 60 will pay the same premium as a person who joined at 30 and has been paying the premium for 30 years. The only difference is that as you get older the period you need to wait to be covered after joining increases from 6 months for those under 55, a year for those 55 to 64 and 2 years for those over 65.

The new scheme will apply retrospectively from January 1st 2009 once the legislation is published and passed in next legislative session. Hibernian Health has launched an "Axe the Levy" campaign and both they and Quinn have stated they are considering their legal options. Its unlikely the Government will change their mind now, although they may accept some adjustments to the promised legislation. They also say this is a temporary 3 year measure to allow time to come up with a comprehensive plan for the sector. Could we be going the route of universal health insurance as promised by Obama in the States?

We definitely need a well thought out plan for the future of the sector in Ireland, that meets our health needs and is competitive and affordable. If a universal plan can do that, I say yes. In the meantime we are stuck with a levy and a plan that appears designed to prop up a state company, where consumers and patients are the main losers.

Getting the messages and message!

When I was a young fella growing up in rural North Tipperary, we used "to go to Borris (Borrisokane) to get the messages", usually from a small number of local shops. Groceries were things that Americans used to buy in large supermarkets and bring home in brown paper bags in TV shows like the Brady Bunch. Shopping patterns have changed a lot since then and many Irish consumers are now buying their "groceries" from large multiples like Tesco, Dunnes and SuperValu.

The week before last the Competition Authority brought out two reports. The first report focused on the effects of the abolition of the Groceries Order in 2006. The analysis suggests that while prices fell as a result of the Groceries Order being abolished, most of the gains have been wiped out by the significant increase in the cost of food globally. There has been quite a bit of comment in relation to this report, so I am not going to go on about it again.

The second report published on April 9th didn't get any coverage that I am aware of, but I found it fascinating. Its entitled "A Description of the Structure and Operation of Grocery Retailing and Wholesaling in Ireland: 2001-2006". Its very useful because in reality the Groceries Order was always in my view a minor factor in determining the cost of groceries. Yes I supported its removal, but it was not the magic bullet to cheaper prices. What we require to improve competition and ensure consumers get a better deal is a well informed policy.

The report tells us that the groceries market was worth €11.6 billion in 2006. It describes really well the nature and structure of the market, between what it calls the "vertically integrated retailers" such as Tesco, Dunnes, Aldi etc, the affiliated retailers operating under the brand of the likes of SuperValu, Londis, Mace and Centra and then the independent retailers. Many people complain about the decline of the local village shop or the corner shop and that is borne out by the report as the number of outlets has halved from 13,775 in 1977 to 6,293 in 2006, with about 55% of these being independent retailers.

Of course size is what counts and while there are less outlets, they have been replaced by large and medium sized supermarkets with a wide variety of products. I was surprised to read the significant position of the other retailers in terms of presence and market share. I had incorrectly assumed that the Tesco and Dunnes were the big beasts, under pressure now from Lidl and Aldi, but that the others were in the ha'penny place. However the report shows that while Tesco has the largest market share at over 18%, SuperValu and the Independent retailers are number 2 and 3 respectively, with Dunnes coming in 4th and Spar 5th.

The good news is that the report indicates that between 2005 and 2006 consumers were shopping around more, by visiting more retail outlets. Depressingly, if of no surprise, 82% of shoppers use their car to do their main weekly shop compared to 16% who walk and only 2% use public transport, and travel on average 22 minutes to do their main shop.

The report indicates that Irish shoppers are more brand conscious. A statistic that stood out for me was that own brand products comprised just 7% of total sales here compared to 45% in Switzerland, 30% in Germany, 28% in the UK and 22% in the Netherlands. While my assumption is that own brand products usually cost less consumers may worry about the quality or value of such products. Perhaps this is fed by memories of the now long gone, Quinnsworth's (now Tesco) own brand "yellow pack" range which is still used as a term to describe a product, service and even a job which is considered sub-standard. As well as price surveys, perhaps we need to work on encouraging Irish consumers to free themselves of brand loyalty or as some would call it brand tyranny.

The report shines a light on a very significant market and the details and information will hopefully be used to inform consumer policy. The Competition Authority is following up this report with a study on the retail planning system as applied to the grocery sector. That will also be very useful in light of the importance of location and convenience in terms of retailer selection.

I cannot let the day go without mentioning the great win by the Tipperary hurlers in Limerick today, couldn't make it due to other commitments, but had the pleasure of attending the game last weekend in Nowlan Park against Kilkenny. Here are some highlights of today's win courtesy of www.premierview.ie
Tiobraid Arann Abu...bring on the rebels in June!!

Dustin Douze Points, Competition Nil Point!

Well firstly congrats to Dustin on the great win last Saturday night, I have no doubt he will take Belgrade by storm. On the other hand, competition and consumers took a bit of a battering over the last 10 days and by Euro standards we are not in great shape.

First there was of course Noel Dempsey's decision to shelve competition in Dublin Bus, which is another blow to the hard pressed commuters, who have been waiting years for better services, lower prices and integrated ticketing. The problem with transport services in this country is that they are run and planned to meet the needs of everyone, politicians, managers and unions, all except of course the people this service is supposed to be for...the users, who appear to be an after thought.

Then there was the news (not really news actually as previous CAI surveys for ODCA told us the same thing) that there was limited competition in the groceries sector. The NCA report confirmed that there was little price differential between Tesco and Dunnes Stores, although Aldi and Lidl were much cheaper. While I welcome this survey, I think it has limited value. We have to stop putting the onus on consumers solely to drive change, state agencies like NCA who have a large budget need to be more innovative. I would like NCA to do localised surveys, like a price survey of the main shops in Ashbourne and publish it in the local papers. Now that would grab the local people's attention, but more importantly would grab the attention of the local retailers and traders, no one would want to be the dearest and would help drive and keep prices down.


Dustin douze points!

Also this week the Competition Authority published their 2007 annual report. Now as state agencies go, I think they do a good job. They have produced a number of reports on a range of sectors in the economy where we badly need more competition such as the legal profession, banking, public transport etc. They have managed to shed light on areas of the economy which up to now have been sheltered by uncompetitive practices and vested interests. The problem of course is that they are largely dependent on Government Departments and other state agencies to implement the findings of their reports. According to their own analysis (see page 56-57) the vast majority of these recommendations have not been implemented yet.

We need to inject accountability into the system, so that Government departments and state agencies are required to respond and act within a reasonable period. In the UK they have a system whereby the Government issues a formal response to a report by the Office of Fair Trading. We need something similar here, there may be difficulties with requiring a Government department to respond to a state agency, could create some governance issues. So instead we could require the Competition Authority to report on the response to their recommendation into the relevant Oireachtas committee within 6 months and every 2 years after that, until it is felt the work has been achieved. That would hopefully shame those Government Depts and agencies into action.

I also see that the Office for Fair Trading is for a trial period going to offer rewards for cartel whistelblowers. It will be interesting to see how this goes, but if it works over there it is something CAI will be pursuing here as well.