The University of California, Berkeley’s Center for Labor Research and Education released a report in 2004, “The Hidden Cost of Wal-Mart Jobs.” This study found that Wal-Mart workers disproportionately rely on taxpayer funded public health programs in California compared to workers in large retail as a whole. An internal Wal-Mart memo reported on in the The New York Times provides data from Wal-Mart that validates the basic findings of that UC Berkeley report.
The Wal-Mart memo contains detailed information about their workers’ and dependent children’s health coverage, allowing us to compare Wal-Mart to other large retailers and to check the findings of our earlier report. A quote from the memo is below:
”We also have a significant number of Associates and their children who receive health insurance through public-assistance programs. Five percent of our Associates are on Medicaid compared to an average for national employers of 4 percent. Twenty-seven percent of Associates’ children are on such programs, compared to a national average of 22 percent (Exhibit 5). In total, 46 percent of Associates’ children are either on Medicaid or are uninsured.”
Using data from the 2005 Current Population Survey, we analyzed the difference between Wal-Mart’s reported numbers and those for large retailers in general (defined as those with 1,000 or more workers). The greatest differences are for enrollment in children’s health programs. We find that 22% of children of employees of large retailers are enrolled in Medicaid/SCHIP, compared to 27% reported by Wal-Mart for children of their employees. We also find that 7% of the children of employees of large retailers are uninsured, compared to 19% reported by Wal-Mart. While 46% of the children of Wal-Mart workers are either uninsured or on Medicaid/SCHIP, the comparable figure for children of all large retail workers is 29%. Wal-Mart workers are less likely than workers in all large retail to have job based coverage (48% compared to 54%.) Wal-Mart workers’ enrollment in Medicaid nationally is similar to large retail as a whole (see Tables 1 and 2).
Applying Wal-Mart’s reported percentages of workers and children enrolled in Medicaid/SCHIP implies Wal-Mart workers and children cost $456 million to taxpayers nationally through their use of public health programs. This does not include the costs of adult dependents. (See Table 3)
The memo further reports that 19% of Wal-Mart employees lack health insurance. The cost of uncompensated care for those workers adds an estimated $202 million in taxpayer costs nationally, and $10 million in California. These costs were not quantified in the original report (see Table 4).
UC Berkeley report:
Wal-Mart internal memo:
 “Wal-Mart Memo Suggests Ways to Cut Employee Benefit Costs,” New York Times (Steven Greenhouse, Oct 26, 2005).