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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

CCP releases two jailed Canadians after Huawei CFO deal with DOJ

Photo: Sheldon Cooper/SOPA Images/LightRocket via Getty Images

Two Canadians imprisoned by the Chinese government for over 1,000 days have been released and are expected to arrive in Canada on Saturday, Prime Minister Justin Trudeau said Friday.

Why it matters: Their release comes hours after Huawei Technologies CFO Meng Wanzhou reached a deal with the U.S. Department of Justice that resolves the criminal charges against her and could pave the way for her to return to China.

Updated 8 hours ago - Politics & Policy

Arizona GOP's private recount of 2020 election confirms Biden's win

Contractors working on behalf of the GOP examine and recount 2020 ballots at Arizona Veterans Memorial Coliseum in Phoenix in May. Photo: Courtney Pedroza/Getty Images

In an odd coda to the 2020 election, private contractors conducting a GOP-commissioned recount in Arizona confirmed President Biden’s win in Maricopa County.

Why it matters: The unofficial, party-driven recount has been heavily covered on cable news as part of former President Trump's continued effort to sow doubt about the election result.

Del Rio bridge camp empty following Haitian migrant surge

A boy bathes himself in a jug of water inside a migrant camp at the U.S.-Mexico border on Sept. 21 in Del Rio, Texas. Photo: John Moore/Getty Images

The last migrants camping under the Del Rio International Bridge, which connects Texas and Mexico, departed on Friday, Homeland Security Secretary Alejandro Mayorkas announced during a White House press briefing.

Driving the news: Thousands of migrants, mostly from Haiti, had arrived to the makeshift camp after crossing the southern border seeking asylum. Roughly 1,800 migrants will now head to U.S. Customs and Border Protection processing centers.

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