Tieing insurance to employers is yet another way to limit class mobility. Want to start a company? Better be young, healthy, and lucky.

It's also a huge reason people don't want transparent health records, even in the cases where it would help automate discovery and prevention of disease.

I don't think state-based healthcare is the correct abstraction either. It involves dealing with a central organization that is too big to fail. What happens when they screw something up? What do corrupt regulations look like when lives are at stake?