Health Affairs, 25, no. 6 (2006): 1474 doi: 10.1377/hlthaff.25.6.1474 © 2006 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Trends

PROLOGUE

Trends In Employer-Sponsored Health Insurance

The resonant image of the enfeebled giant has been a favorite of storytellers since Goliath made his claim to fame in the Book of Samuel. No surprise, then, that the putative demise of the embattled employer-sponsored health insurance system has become an irresistible story line for critics Left and Right since enrollment growth began to wobble in the 1980s. The plot has thickened with the retreat of managed care. The growth of costs has not been controlled, and employers and insurers seem to have lost their appetite for fighting back. Instead, they are thinning benefits and offloading risk onto patients. . . . [Full Text of this Article]

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