Do we want employment based health insurance?
Why is there not more support for an expanded employer role in providing health insurance to all Americans? I sense a certain exhaustion among decision makers and employee benefit professionals as they grapple with costs that just defy control. I notice at professional conferences an increasing openness to the single payer model.
We have seen one cost control fad after another. More and more employers are dropping health benefits in order to stay afloat. In this game of Old Maid, those employers who do provide benefits struggle to maintain their social compact with their employees without footing the bill for the rest of the world.
The rest of the world? How does that occur? In a number of ways.