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Previous Volume 347:1209-1210 October 10, 2002 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Fuchs (June 6 issue)¹ correctly points out that new insurance plans that decrease sharing of risk within companies will erode the social-insurance qualities of employment-based health insurance. This argument leads to the impression that tax saving would be the only remaining rationale for employment-based health insurance. Desire for control of costs and for fairness would then result in a switch to universal national health insurance, if and when political events undid the outdated tax code. However, this scenario does not account for a major rationale for employment-based health benefit plans: the profit motive.

Selective forces of business . . . [Full Text of this Article]

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