Why do we hold employers responsible for the health and welfare of those they hire to perform work? This comes up in both minimum wage discussions and health insurance discussions. Employers generally control neither your cost of living nor your general health.
In general, any business is in the business of skimming profits from all that passes through its hands...if possible. When unions were on the rise, employers sought the cheapest possible deal they could make with their workers and there was no very little interest in public health funded by government. The solution major employers came up with was benefit packages that eluded taxation and health plans fit neatly into that formula...especially when they offered only the scantiest of coverage and medical technology was nowhere near as expensive as it is today. For awhile, the untaxed benefit idea was the most economical to the employer and the employer enjoyed the benefit of ECONOMY OF SCALE for plans of modest cost to them. This was all relative to paying the employees sufficiently to actually buy the medical services they needed themselves. Medicine was at that time more a profession than a business and employers enjoyed all the advantages.
Over time, medical technology became a lot more sophisticated and expensive and there were other BUSINESSES (profit skimming entities) that insinuated themselves in the healthcare scenario. The profits of these new businesses eventually exceeded the savings employers enjoyed in taxation from offering a health benefit. The result was shrinkage of coverage in the plans employers offered their employees and difficulties in paying for even these plans, expanded co-pays, and simply dropping the plans altogether for some.
Large employers are against single payer because they know there is only one source for the actual funding whether the employee pays or not. That source is THEIR PROFITS. It really would not matter if the employer paid or if the employee paid if the costs were reasonable. It really would not matter also if the plan were operated by the government either. Medical insurance companies, hospitals, medical equipment manufacturers, and big pharma are playing employers against employees and their unions and winning on all counts, jacking medical expense totally out of sight for employers, employees, and the government.
The answer is that government must intervene and make medical care for our population a reality without destroying other aspects of our economy. I believe at this time, that can only be done by instituting some sort of single payer system. This system would have to be fully empowered to bargain for fair pricing of all services offered to patients. This is a gargantuan task and appears to be beyond reach because of all the economic factions keeping our society from coming together on a concept of universal care for all citizens.
The fact is that the bottom line is
medical services and preventive care need to be addressed on a non profit basis, with adequate compensation for all in the activity, and clear regulations that deny nobody medical care and set standards for medical care. That would be the civilized way of dealing with the "problem" of medical care. This means the entire shooting match called "medical" needs to be addressed in its totality and be reorganized, regardless of things such as patents, investment portfolios, etc. etc. This will be the eventual outcome if our society manages to survive at some point. It is really very similar to getting opposing factions to deal with getting off petroleum. This too is on its way, if we manage to survive that long.