Kriengsak Chareonwongsak medical costs

These increased costs however, may be offset in the long term by two factors – increased productivity and fewer resignations. Productivity is likely to increase through better welfare for the employees as they will be healthier. The increased productivity will decrease per unit costs and as a result, employers will be able to sell more goods to offset their social security contributions.

At the same time, employees will be comforted by the knowledge that their medical bills will no longer be a huge drain on them. In the past, they did not have any welfare such as the present 30 baht hospital card. Previously, whenever they were sick, they had to pay for all medical costs, and employees tended to look for work, which provided better welfare.
However, the new scheme will increase the administrative costs of small operators, as they will have to deal with the government sector and compile reports. Hence, employers should be allowed to share the resources of a private company to be responsible for such documentation and accounting.

Second, the effect on employees. In the past, employees had to be responsible for their own medical costs, now the public sector and employers will pay contributions for them. This will increase work productivity because of better sanitary, welfare and basic health assurance. This in turn will build security for employees who previously were not able to join a health assurance program or to join social security programs. As a result, fewer people are likely to change jobs, as they will have increased security.

Social security for small businesses - losses and gains

Professor Dr Kriengsak Chareonwongsak
Executive Director, Institute of Future Studies for Development (IFD)
kriengsak@kriengsak.com, http://www.ifd.or.th