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A hospital room in Maine. Photo: Shawn Patrick Ouellette/Portland Press Herald via Getty Images

Bloomberg has a good look at one of the most significant yet under-appreciated trends in health insurance: the dramatic increase in deductibles, especially within employer-based coverage.

By the numbers: In employer-based health plans, the average deductible for a single person is roughly $1,500, according to Kaiser — almost three times higher than it was a decade ago.

The impact: The trend toward increasingly high deductibles means families can still struggle to afford their care, even with insurance. Bloomberg’s story follows a family who has insurance, but declared bankruptcy twice amid mounting out-of-pocket bills.

What they’re saying: Now, experts are starting to reconsider whether high cost-sharing — once conceived as a way to turn employees into more discerning health care consumers — is working.

  • “High-deductible plans do reduce health-care costs, but they don't seem to be doing it in smart ways,” USC professor Neeraj Sood told Bloomberg.

Why it matters: This frustration with existing cost-shifting tools — and the growing sense that we’ve basically maxed out their utility — is contributing to the renewed focus on underlying health care prices.

  • Many employers don’t feel they can shift any more costs onto their workers, but that’s largely how they’ve kept premiums in check for the past several years. And they certainly don’t want to shoulder higher bills themselves.
  • As that frustration mounts, expect to see a greater political appetite for real cost controls.

Go deeper

Moderna says COVID vaccine shows strong immune response in kids aged 6-11

Photo: Martin Galindo/Long Visual Press/Universal Images Group via Getty Images

Moderna on Monday released trial results for its coronavirus vaccine for children aged 6 to 11, saying it provides a "robust" immune response after two doses.

Why it matters: Moderna said it will officially submit the results to the Food and Drug Administration for authorization in "the near term," meaning we could soon see two coronavirus vaccines available to protect approximately 28 million more kids in the U.S.

Live list: The "Facebook Papers" arrive

Illustration: Annelise Capossela/Axios

Reports based on leaked whistleblower documents from Facebook, known as the Facebook Papers, appeared in a broad range of news outlets Monday, shedding light on what company knew about harms caused on its platform and how it handled that information.

Why it matters: The reports paint a detailed picture of Facebook's efforts over the years to grapple with major problems — from hate speech to inciting violence — while continuing to pursue its business objectives.

U.S. will now allow private citizens to sponsor Afghan refugees

A family boards a bus at the airport that will take them to a refugee processing center after being evacuated from Kabul. Photo: Anna Moneymaker/Getty Images

Americans wanting to help vulnerable Afghan refugees now have a new way to get involved through a new U.S. private refugee sponsorship program announced Monday.

  • Groups of at least 5 adults can apply, complete background checks and start fundraising the $2,275 per refugee required.

Why it matters: It’s a big shift in the U.S refugee process, which has long relied on non-profits.