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First, it ties employees and employers together even when such a tie has long outran its usefulness. Since, as we are getting older and add family members to our policy we also generate "pre existing" conditions that make it harder to apply for a new coverage. And then, of course, there are exciting opportunities at start up companies that cannot afford BMW-style coverage that an established corporation can.
Second, we have no say in type of coverage - and health care providers - that we have. It is our employer who negotiates the contract and often we have to leave a long trusted physician because he is no longer in our "network."
Mostly, for me, is the lack of privacy. An employer can and does request copies of payments by the insurance company. No, it will not detail the treatments or the illness but, say, you live in a community where only one OBGYN provides abortion services. Everyone knows about it. And your employer sees that this OBGYN submitted a claim on behalf of a female member of your family. Is it really your employer's business who you and your family member see? No. But s/he does.
Having said all this, I am glad that MA, and perhaps even CA are forcing employers to offer insurance coverage. Perhaps this will convince more of them to vote for Democrats who push for universal health care.
This is what was so disappointing in the "60 minutes" story about GM. Instead of complaining that cars made in the U.S. - but not Canada and Japan - cost $1400 more each because of GM-provided health care, one would hope that Rick Wagoner would join other corporate presidents to push for universal health care.
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