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Is it time to separate health insurance from the employer's responsibility?

Posted on 10/23/26 at 11:14 am
Posted by theliontamer
Chicago
Member since Nov 2015
2663 posts
Posted on 10/23/26 at 11:14 am
The system really doesn't make sense anymore. Some of these family premiums are more than a lot of low level workers earn. If you lose your job you lose your health insurance. If you change jobs, you have to worry about how your new insurance will cover existing conditions or may have to switch providers. If you don't work, the government will just give you free health care. If you work, but aren't wealthy, you can potentially be stuck with crippling medial debt. The employer is not obligated to find the best insurance plan for their employees. At this point you may as well just open something like medicare to everyone and allow employers or individuals to purchase supplementary plans.
Posted by Marlboro Smooth
Member since Dec 2025
211 posts
Posted on 10/23/26 at 11:15 am to
Bernie Sanders is almost dead
Posted by TDsngumbo
Member since Oct 2011
52581 posts
Posted on 10/23/26 at 11:16 am to
quote:

If you change jobs, you have to worry about how your new insurance will cover existing conditions

You sure about that?
Posted by Chad504boy
4 posts
Member since Feb 2005
181444 posts
Posted on 10/23/26 at 11:16 am to
of all things for our government to subsidise, it should be health insurance. Problem is, there are no restraints on the system and the greed involved from drug companies, doctors, malpractice suing and the list goes on.
Posted by Paul Allen
Montauk, NY
Member since Nov 2007
79223 posts
Posted on 10/23/26 at 11:17 am to
Regardless of whose responsibility it is just make it more affordable. This really shouldn’t even be a partisan issue.
Posted by DCtiger1
Member since Jul 2009
12233 posts
Posted on 10/23/26 at 11:17 am to
I offer health, vision and dental to my employees and it's a great plan with a $1000 deductible. I pay 80% of the cost. None of them could afford health insurance outside of having it subsidized by me.

You don't want to participate in your group health plan? Don't sign up for it. It's not the governments responsibility either.
Posted by TigerintheNO
New Orleans
Member since Jan 2004
45566 posts
Posted on 10/23/26 at 11:17 am to
I thought they changed that, but not 100% sure
Posted by Weekend Warrior79
Member since Aug 2014
22577 posts
Posted on 10/23/26 at 11:18 am to
Are you not able to opt out of your employer health insurance and enroll in your own, asking because I honestly do not know.

Also, if you think your employer's health insurance is expensive; wait until you start paying for it yourself. These insurance companies will give lower rates based on the size of the group.

quote:

If you lose your job you lose your health insurance. If you change jobs, you have to worry about how your new insurance will cover existing conditions or may have to switch providers.

As long as you have continuous insurance, a new plan cannot deny pre-existing conditions.
Posted by hubreb
Member since Nov 2008
2183 posts
Posted on 10/23/26 at 11:20 am to
my company has tiered pricing, the more you make the more you pay - 5 different tiers
Posted by TDsngumbo
Member since Oct 2011
52581 posts
Posted on 10/23/26 at 11:20 am to
quote:

I thought they changed that, but not 100% sure

They did. Health insurers can no longer not cover pre-existing conditions on a domestic US plan. They also can't charge more because of it either.
Posted by TDsngumbo
Member since Oct 2011
52581 posts
Posted on 10/23/26 at 11:21 am to
quote:

my company has tiered pricing, the more you make the more you pay - 5 different tiers

What in the socialist utopia kind of employer do you work for?
Posted by MSMHater
Houston
Member since Oct 2008
23551 posts
Posted on 10/23/26 at 11:28 am to
quote:

Are you not able to opt out of your employer health insurance and enroll in your own, asking because I honestly do not know.


You can, but your risk pool shrinks, your benefits decline, and your premiums increase.

You can't negate the insurance companies risk with your family and the few other business owners pooled into your group. A hospital system or other corporation, with thousands of employed lives, can. So they will always have better rates/benefits.
This post was edited on 10/23/26 at 11:32 am
Posted by slidingstop
Member since Jan 2025
2837 posts
Posted on 10/23/26 at 11:31 am to
quote:

of all things for our government to subsidise, it should be health insurance



absolutely. Anyone who has dealt with the USPS knows how well government subsidized institutions run.


Posted by Shexter
Prairieville
Member since Feb 2014
22351 posts
Posted on 10/23/26 at 11:33 am to
quote:

I pay 80% of the cost.


10 years ago, our company paid 80%. It's now down to 20%.

quote:

You don't want to participate in your group health plan? Don't sign up for it


If it were up to me, I'd have major medical only. I don't think that's an option any longer.

Thanks, Obama for the "Affordable" Care Act
This post was edited on 10/23/26 at 11:38 am
Posted by Tigersforthee
Member since Dec 2025
745 posts
Posted on 10/23/26 at 11:39 am to
I agree its not ideal but if you're suggesting people just go buy their own insurance like a gallon of milk not sure thats gonna work out great for them either since most employers pay most of the premiums. Decoupling work and insurance will do nothing to reduce those premiums.
Posted by Norbert
Member since Oct 2018
3793 posts
Posted on 10/23/26 at 11:42 am to
quote:

of all things for our government to subsidise, it should be health insurance.


There should be a dynamic free market with government there to catch people who slip through the cracks.

This is not even close to what we have in place.
Posted by Benne Wafer
Member since Jan 2015
473 posts
Posted on 10/23/26 at 11:43 am to
quote:

What in the socialist utopia kind of employer do you work for?


My employer and my husband's employer both have tiered pricing where the higher paid employees pay more for insurance. Both are financial companies.

Employer provided health insurance is 100% handcuffs for employees. I know so many people who work only for health insurance for their family. A substantial number of those are women who would prefer to stay home but their spouse owns a company so they don't have access to reasonably priced health insurance. So the wife works. There is a someone on social media currently pointing out that the children's hospital that is treating her son for cancer will no longer accept ANY marketplace insurance as of January 1st. She and her husband are business owners, where does that leave them?

Insurance companies are evil but employers aren't offering insurance to be benevolent, they know it is a huge retention tool.
Posted by Tigersforthee
Member since Dec 2025
745 posts
Posted on 10/23/26 at 11:44 am to
My wife also works for a financial company and has these tiers. She pays about triple what some others pay for the same insurance.
Posted by Great Plains Tiger
Member since Sep 2005
312 posts
Posted on 10/23/26 at 11:50 am to
While you’re not factually wrong, the starting point for this discussion should be recognizing that healthcare and health insurance are two fundamentally different things.
Posted by LSUGUMBO
Shreveport, LA
Member since Sep 2005
10007 posts
Posted on 10/23/26 at 11:50 am to
quote:

If it were up to me, I'd have major medical only. I don't think that's an option any longer.


It's still an option, it's just not 'affordable'. Family of 4, $15,000 deductible, $18,400 Out of Pocket Max for the low low price of $1536/month. But thanks to the Big, Beautiful Bill, I got to open an HSA this year for the first time in about a decade.
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