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Decade of Decline: The Erosion of Employer-Provided Health Care in the United States and California, 1995-2006

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Publication Date: April 2008

Publisher(s): Economic Policy Institute

Author(s): Heidi Shierholz; Jared Bernstein

Topic: Health (Health care financing)

Type: Brief


It is widely recognized that the means through which most working-age Americans receive health care coverage--the employer-based system--is undergoing fundamental change (Gould 2007). Though a majority of workers and their families are still covered through employers, a variety of factors, most prominently increased costs, have led to a steady slide in coverage. This decline has occurred in good economic times and bad, implying a structural, as opposed to cyclical, shift. This report examines what role changes in the composition of employment have played in this decline.