"False Promise of Employer Health Coverage" examines employer health coverage that serves as an incentive for private health insurance to milk increased profits, at the expense of reduced health care benefits and increased risk and out-of-pocket costs to employees, out-stripping wage growth. While private employer health costs have risen at twice the rate of wage increases, private health insurers are motivated to shrink their networks of providers - doctors and hospitals - as well as reducing drug formularies as means to increase profits. Fragmented U.S. commercial health insurance further inflates costs by ballooning administrative costs. Kaiser Family Foundation reported that employer-provided health care declined from 67.7 percent in 2000 to 57 percent by 2017.

Senator Bernie Sanders and business CEO Richard Masters advocate Medicare for All to replace high business costs exacerbated by profiteering middlemen of multiple commercial health insurers and private Pharma. Masters quotes billionaire investor Warren Buffett: "Medical costs are the tapeworm of American economic competition." Employer health coverage is advanced by Congress members who are recipients of large contributions from sectors of the medical industrial complex, as revealed by www.OpenSecrets.org.