I agree that healthcare and retirement costs are two major employer expenses that cannot be eliminated except by laying off the employees. That being said, if I had a choice continuing my job with no health care coverage or losing it, I would certainly choose the former. I'm not that thrilled about the idea of copays, either. I would just rather not have insurance since I don't see doctors anyway. Last time I had a physical of any kind was a mandatory exam before I started college in September of 1980. Given the experiences of those I know with health care "professionals", I feel that I'm actually extending my life by avoiding doctors. Most of my relatives who lived a long time(I had three great aunts make it into their 90s, and a great-grandmother who made it to almost 103) never visited a doctor except when they got the flu, and never took anything stronger than aspirin.
The growing cost of health care is a national problem that needs to be addressed anyway. American medicine should focus on preventive rather than expensive cures. I laugh when I see all kinds of drugs for heartburn, heart disease, diabetes, and so forth when I know that most of these problems are caused by poor diet, obesity, and lack of exercise. In reality, I would say it's the national obesity epidemic more than anything else that's driving health care costs through the roof, and I'm starting to think that perhaps those who refuse to take better care of themselves should pay more towards their health care than those who do. I feel that more research money should go towards eliminating diseases not caused by a person's neglect of their body rather than developing expensive new drugs to counteract the effects of an unhealthy lifestyle. I also think that environmental pollution is the single biggest cause of cancer, so perhaps some of the money spent in medicine would be better spent cleaning up our air and water. I'm acutely aware that the medical establishment and drug companies are more than happy with the status quo since it's a cash cow, and will undoubtably fight any changes in the system.
On the retirement issue, I wonder how many employees will never see a dime of what was promised them due to Enron-type scandals. The unhappy reality is that the low people on the totem pole are paying a big price for major mistakes by CEOs, and unfortunately we'll see a great deal more downsizing before it's all over. I just wish that whenever possible employers would make a greater effort towards keeping people, even with reduced hours and benefits. There are definitely huge costs associated with getting rid of good employees. Employee morale falls, and with it customer satisfaction, sales, and profits. There are also large costs of retraining new personnel if business ever goes back to its former level and you need to hire again since it is unlikely the laid off employees would be willing or able to work for the same company again. Given that the first thing to be cut is usually the R&D budget, I wonder what the long-term effects will be on innovation. I can't help but think many companies are shooting themselves in the foot by focusing on short-term rather than long-term profits.