|     (continued)
 Retirees Hard Hit As hard as unions 
                    have been fighting to retain benefits for retirees, the bottom-line 
                    reality for businesses is that older Americans are much more 
                    likely to make frequent visits to doctors, take prescription 
                    drugs and require hospitalization. "Its retirees 
                    who absorb the major cost of all of the plans and thats a 
                    factor everywhere," Pultar said. "Companies want 
                    retirees to pay more and more."   "Everything 
                    goes up in priceyour doctors, your gasoline, your groceries,
 your utility bills, even your home. One of these days you 
                    wont be able to
 afford it."
 Julian 
                    Otte, Retired Local 
                    551 member
 Some employer-sponsored 
                    plans and multi-employer funds are cutting back or cutting 
                    out benefits for retirees completely, leaving them to fend 
                    for themselves until Medicare kicks in. Some members retire 
                    from jobs that have no coverage for retirees, forcing them 
                    to work until they are eligible for Medicare or spend precious 
                    savings or pensions on health care. A recent report 
                    by the Economic Policy Institute found that 66 percent of 
                    large firms offered health care coverage to retirees in 1988; 
                    in 2002, it was down to 34 percent. Wichita, Kansas 
                    Local 
                    271 gives retirees the opportunity to be covered by its 
                    health and welfare fund but its $642 monthly price tag prohibits 
                    all but a few from participating. "They cant afford 
                    it," said Local 
                    271 Business Manager James Davis. Of the locals 150 retirees, 
                    only 11 take advantage. The others try to get by on Medicare 
                    if they are 65 or older, Medicaid (if they qualify for the 
                    low-income program) or veterans hospitals (if theyve served 
                    in the armed forces), Davis said.  Retiring before 
                    the age of 65 is considered "early" from the perspective 
                    of Social Security and Medicare. But due to the physical nature 
                    of the work performed in the construction and utility industries, 
                    sore joints and other physical problems resulting from a career 
                    pulling wire or climbing poles make early retirement in some 
                    cases a necessity.  "The trade 
                    does take a toll on the members," said an IBEW business 
                    manager whose health and welfare fund was forced to drop retiree 
                    coverage. "There are guys that cant go on early retirement, 
                    because its costing $1,000 a month."  Retired Local 
                    551 member Julian Otte, of Santa Rosa, California, said 
                    the United States should seek a health care system that provides 
                    universal coverage. "Ive been for that for years," 
                    he said. "If they did that, the cost overall could go 
                    down drastically. "Everything 
                    goes up in priceyour doctors, your gasoline, your groceries, 
                    your utility bills, even your home," said Otte, 82, who 
                    retired as an inside wireman in 1983. "One of these days 
                    you wont be able to afford it." Otte has health insurance 
                    through Local 
                    551 that includes prescription drugs, but a limited pension. 
                     "Theyll 
                    come around one of these days," Otte said about health 
                    care reform. "But I might not be here."  Shifting Burdens, Shafting Workers
 In the United 
                    States, most people fit into three broad categories: those 
                    covered by Medicare, people without insurance and people with 
                    insurance. Medicare, the government-sponsored health care 
                    program for people over age 65, currently does not cover prescription 
                    drugs or many procedures. As employer-sponsored and multi-employer 
                    benefit plans continue to slash benefits, the number of uninsured 
                    and underinsured Americans increases, and the costs shift 
                    to the states and towns and county hospitals that treat them. 
                     NCHC President 
                    Henry Simmons said health care reform must address the national 
                    "shell game" of cost shifting. "Some large 
                    employers control their costs by shifting costs to their employees 
                    or other business, large or small," he said. "Employees 
                    have no place to shift their costs except to their pockets." 
                     Wal-Mart, Americas 
                    largest private employer, offers such costly health insurance 
                    coverage, less than half of its work force is covered. This 
                    leaves most of its 1.2 million employees without health insurance, 
                    burdening states and communities for unpaid health costs. Often when workers 
                    are forced to bear a greater burden of health care costs, 
                    they drop out of their insurance plan altogether. This is 
                    particularly true for workers who must take on greater out-of-pocket 
                    expenses to keep coverage when they are not working.  Continued 
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