Mandatory Health
The health-care contract between American workers and their employers began when Franklin D. Roosevelt left health care out of his New Deal. Labor restrictions, tax breaks and accounting rules induced employers to offer private health insurance to workers. In 1940, 21 million Americans were enrolled in company-sponsored health plans; by 1950, 142 million. Privatized health insurance seemed like a glorious triumph for capitalism. Keep government out; let industry thrive!
Health-care expenditures in the U.S. totaled $27 billion in 1960; in 2005, $2 trillion. Oh, workers paid their part, in the form of premiums and co-pays. But as benefits grew more generous, employees’ contributions shrank, from 48% of all health-care costs in 1960 to 15% in 2000.