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Why does your government not want a healthy work force? Healthy workers are more productive. Even with the right wing focus of your entire government, having healthy workers just feels like a no brainer.
Here is my perspective on the answer to your question:
Our government is not functional. It is not that it doesn't "want" a healthy work force, but that it isn't capable of setting any sort of a policy.
The last time the US made any meaningful change in healthcare policy was under Obama. My impression of what happened is that there was a brief (2 yr) moment when the Presidency, House, and Senate were all controlled by the same party. The Democrats passed "health reform" which was basically the Republican health care reform package from 4 years earlier.
In the 13 years since then, the only Republican position on health care has been that Obama's "ACA" law is "bad". There is literally no suggestion of what else would be better. (I'm not counting the anti-abortion laws as "health care" -- they are seen here as a moral issue, not a health care one.) The Democrats' position has been a mix of "we shouldn't let the Republicans take us back to something WORSE!" and "the whole system is broken and needs to be replaced".
We have two problems. First, our government is structured so that it cannot easily accomplish anything, at least without cooperation between the two opposed parties. Secondly, one of the two parties is insane and wants to destroy the government (and has enough electoral support to win almost half the time).
Additionally the private insurance market means the cost of hiring someone is dramatically higher. Medicare for all would probably make the vast majority of companies more profitable. It's such a no brainer for everyone outside the healthcare industry.
Not only that but say I run a bakery, why should I have to devote a crazy amount of time learning medical insurance speak? That's time that I should be spending thinking of new things I can sell. That's the whole point behind specialization. I don't give two-girls-one-cup shits about the ins and outs of ANY insurance policy. I buy what I need and I need it to work when I need it. My interests begins and ends there. and that's a REASONABLE position to take.
Why are we allowing ourselves to be extorted by medical insurance muckbangs?
The whole industry deserves doxxing and relentless public shaming. I'm not advocating violence. Like protesting outside assistant mid-managers houses. If identities got stolen and credit scores ruined...well, I'm not condoning it but I'm not gonna lose sleep over it either. Make the whole industry undesirable to work in.
I think my company's pays about $600 a month for my insurance and I pay about $150 for premiums. It's insane.
It's because this system works well for wealthy people. And most of the idiots who like this system are either wealthy, or idiots with "temporarily embarrassed millionaire" syndrome.
Those in power (Trump, then Biden) specifically ran campaigns against radical changes to this system. Many of us tried to drum up support for Bernie four years ago... Alas, it failed.
Also a worker that doesn't have to waste time on bureaucracy and healthcare considerations has more time to be productive.
Both of you are thinking in terms of efficiency and not control. You're dependent on your job to get health care. Lose your job? Better not get sick or hurt.
Of course the new thing is to not give employees too few hours so you legally don't have to provide health insurance for them and make them pay for it themselves. Which is much more expensive.
Sure there's Medicaid, but first you have to qualify. Then there's different parts that cover different things and not others. You may also still have copays, deductibles, and other charges you still have to worry about.