Expand chart
Reproduced from Peter-Kaiser Health System Tracker; Chart: Axios Visuals

The past decade has seen enormous growth in health care costs paid by both employees and employers, creating the context for some of today's biggest political debates as well as teeing up more problems for the future.

Yes, but: There are some signs that employers have maxed out their ability to shift costs to employees.

By the numbers: Health spending by families who get their insurance from large employers has grown two times faster than wages over the last decade, driven partially by the rise in deductibles, according to a new brief by the Kaiser Family Foundation.

  • Employees' average costs for family coverage rose from $1,779 in out-of-pocket spending and $2,838 in premiums in 2008 to $3,020 and $4,706, respectively, in 2018.
  • But it's not like employers' costs have remained stable over the same time period: Their premium contribution has risen, on average, from $10,008 to $15,159.

Why it matters: People are paying higher premiums for insurance that leaves them on the hook for more of their bills.

  • Rising deductibles "has worsened inequality, fueling anger and resentment and adding to the country’s unsettled politics," the LA Times' Noam Levey recently reported in a series on high deductibles.
  • It's also fueled the debate over prescription drugs, which have become more expensive as patients become more exposed to their cost. That's been especially hard on chronically ill people, and "has made being sick in the U.S. dramatically more expensive," Levey reported.
  • The realization that the Affordable Care Act's coverage gains did little to make a dent in the cost of care for many Americans is part of the rationale behind Democrats' leftward march, and the most radical form of Medicare for All would completely eliminate premiums and cost-sharing for everyone.

What we're watching: There are signs that the system is nearing a breaking point.

  • Another analysis of employer-sponsored health insurance by the State Health Access Data Assistance Center found that deductibles remained stable, on average nationally, between 2017 and 2018 — a big change from the steady increase of previous years.
  • However, "it is likely too soon to say if 2018 data represents a break in the long-running growth in [employer insurance] deductibles or just a temporary pause," the authors cautioned.
  • There have also been predictions that 2020 will be the year that employers start fighting back against high prices.

The bottom line: Eventually things will change, because they have to. The current trajectory isn't sustainable.

Go deeper:

Go deeper

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: Americans feel Trump's sickness makes him harder to trustFlorida breaks record for in-person early voting — McConnell urges White House not to strike stimulus deal before election — Republican senators defend Fauci as Trump escalates attacks.
  2. Health: The next wave is gaining steam.
  3. Education: Schools haven't become hotspots — University of Michigan students ordered to shelter-in-place.
  4. World: Ireland moving back into lockdown — Argentina becomes 5th country to report 1 million infections.

Report: Goldman to settle DOJ probe into Malaysia's 1MDB for over $2B

Illustration: Lazaro Gamio/Axios

Goldman Sachs has agreed with the Department of Justice to pay over $2 billion for the bank's role in Malaysia's multi-billion dollar scandal at state fund 1MDB, Bloomberg first reported.

Why it matters: The settlement, expected to be announced within days, would allow Goldman Sachs to avoid a criminal conviction in the U.S. over the bribery and money laundering scandal that saw three of its former bankers banned for life from the banking industry by the Federal Reserve Board.

Trump threatens to post "60 Minutes" interview early after reportedly walking out

Trump speaks to reporters aboard Air Force One, Oct. 19. Photo: Mandel Ngan/AFP via Getty Images

President Trump tweeted on Tuesday that he was considering posting his interview with CBS' "60 Minutes" prior to airtime in order to show "what a FAKE and BIASED interview" it was, following reports that he abruptly ended the interview after 45 minutes of taping.

Why it matters: Trump has escalated his war on the media in the final stretch of his re-election campaign, calling a Reuters reporter a "criminal" this week for not reporting on corruption allegations about Hunter Biden and disparaging CNN as "dumb b*stards" for the network's ongoing coronavirus coverage.

Get Axios AM in your inbox

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Subscription failed
Thank you for subscribing!