Something tells me the people in charge most definitely do not want this at all…
> For classical economists such as Adam Smith, the term free market refers to a market free from all forms of economic privilege, monopolies and artificial scarcities.
Employer-defined healthcare creates troughs of economic privilege, builds monopolies with respect to laborers, and enforces artificial scarcity in the supply of labor. It removes liquidity in the labor market if laborers aren't free to bid their labor to the highest bidder at any time simply because they can't risk their own health care. It's not a "free market" determined "solely" by supply and demand when the supply is artificially limited by the rent seeking inherent to employer-defined healthcare, no matter whether or not you think the solution is fairer labor regulations or how much you claim to hate government oversight. That's a market failure.
Shareholder return is not a free market function, in fact for most businesses it’s in the interest of the shareholder to have zero competition, as competitive forces require expenditure in labor and dollars to improve the product at lower margin.
Apple is the best consumer example of this. In segments where there are no competitive forces, say Mac displays, they ship high margin, mediocre products for an extended lifecycle. You can buy a shitty LG for half the price of a mediocre Apple model. The same thing happened in the pre-retina cheap MacBook Air - that thing lived 3 years too long because where else are you gonna go?
A free and liquid market in labor has some overlap with what people concerned with fairer labor market regulations want, but in other areas is diameteically opposed to what they want.
Free markets are unrealizable abstractions that lots of people like to appeal to vaguely, but very few consistently favor as more than a rhetorical device.
Something tells me the people in charge most definitely do not want this at all…
Exactly. The bigger the better.
I'm still baffled why local and state govts aren't easing into a public option.
Ditto the largest (self-insured) employers. It'd be so easy to extend benefits to their partners, local supporting businesses (eg daycares), and so forth.
That's easy enough to answer: lobbying efforts by major insurance companies (and insurance company adjacent companies) prevented it. In many states such lobbying efforts prevented it entirely in the legislature adding direct laws and some state constitutional amendments that states explicitly weren't allowed to build a public option as a part of their healthcare exchanges. It was a big part of the uproar when the ACA was passed at the federal level, a big part of why many states' healthcare exchanges were sabotaged and broken on Day One, and a large part of why the ACA itself made too many compromises in how it established the state-driven healthcare exchanges.
[1] https://en.wikipedia.org/wiki/Campaign_finance_reform_in_the...
Because socialism is well known for unsustainable costs and poor service.
Businesses like Walmart and McDonald's should pay their own costs without relying on the crutch of the public purse.
If these businesses are so inefficient that they can't survive without handouts then it is good and proper and correct that they die off and be replaced by more efficient businesses.
h/t economist Kevin Phillips.
I worked at an entity with 300+ thousand employees and Probably another 200k retirees… I was able to pay full cost to retain my health insurance from them.
The benefits and out of pocket costs are incredible - my current CEO asked me why I do that rather that use the company insurance and I walked through it with him. It’s not possible to buy that coverage, between the legacy insurance plan and huge risk pool, only the largest entities can have the best insurance.
The “simple answer” is pretty easy. Put a 10% payroll tax with a $5M income cap, and build out Medicare with whatever benefits are doable under that cost structure. Let the market compete for extended benefits, which would work like a traditional insurance market.
The doctors and medical industries would be happy. People would gain newfound job mobility and freedom. Most people would save money vs the payments they make today. Rich people would be sad because taxes.