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It was older of a trend than that I believe back to post-WW2 when private sector was hobbled. To keep people incentivized to stay longer with employers they off

It was older of a trend than that I believe back to post-WW2 when private sector was hobbled. To keep people incentivized to stay longer with employers they offered more benefits that were employer tied such as pensions and health insurance programs not available to job hoppers or self employed. But more complex is that when people argued for a nationalized health plan a lot of people agreed with it until opponents argued that white people would be paying for minorities’ health insurance with their tax increases. These days it’s difficult to outwardly tell whom opposes public welfare policies requiring some solidarity based upon fiscal principles or social ones first.

brightball 6y ago
Right, the initial were benefits offered by employers to sweeten their compensation and improve retention. Later unions demanded these everywhere and that’s what led to employer sponsored health insurance being normalized. Separating the consumer of a insurance (the employee) from the decision of which insurance to use (the employer) is where this all went sideways. Otherwise, in a competitive market, people would be free to jump to any provider with a better offer, forcing other providers to respond and preventing the disaster that we have now. But now it’s a national mess to unravel and we have union demands to thank for it.
- devonkim 6y ago
  Yep, the more producers and consumers of products and services are separated the more markets are improperly incentivized even without any government involved. B2B has a place in commerce obviously but much of the problems of enterprise software is because it’s designed for a lengthy sales process to meet decision-makers’ needs rather than for those that work under the decision-makers.
- AtlasBarfed 6y ago
  Yes, the unions are 100% to blame for the current state of affairs. Providers, trial lawyers, drug/device companies, and insurance companies are absolved of blame! I used to tell people that when the subject of "why is healthcare so expensive" comes up, these four pigs feasting at the trough point to whomever is to their right. Now they have someone to point to that's not even eating, and arguably died a long time ago.
  - brightball 6y ago
    The root cause is root cause.

brightball 6y ago

Right, the initial were benefits offered by employers to sweeten their compensation and improve retention. Later unions demanded these everywhere and that’s what led to employer sponsored health insurance being normalized. Separating the consumer of a insurance (the employee) from the decision of which insurance to use (the employer) is where this all went sideways. Otherwise, in a competitive market, people would be free to jump to any provider with a better offer, forcing other providers to respond and preventing the disaster that we have now. But now it’s a national mess to unravel and we have union demands to thank for it.

devonkim 6y ago
Yep, the more producers and consumers of products and services are separated the more markets are improperly incentivized even without any government involved. B2B has a place in commerce obviously but much of the problems of enterprise software is because it’s designed for a lengthy sales process to meet decision-makers’ needs rather than for those that work under the decision-makers.
AtlasBarfed 6y ago
Yes, the unions are 100% to blame for the current state of affairs. Providers, trial lawyers, drug/device companies, and insurance companies are absolved of blame! I used to tell people that when the subject of "why is healthcare so expensive" comes up, these four pigs feasting at the trough point to whomever is to their right. Now they have someone to point to that's not even eating, and arguably died a long time ago.
- brightball 6y ago
  The root cause is root cause.