US healthcare is clearly a huge barrier to older employees joining startups.
At my company we have a great selection of healthcare that's fairly affordable both for employees and the company. I think it's as good or better than any packages I've seen from big brand-name enterprises. However, as a European founder, I was shocked by the complexity and effort that went into the comparison shopping necessary to get anything other than expensive, poor coverage. The quality of what's out there from JustWorks, Gusto, Zenefits et al was frankly shocking - and they are feted as "making it all easy and affordable". (We use Trinet which although in many ways antediluvian has very, very good health options at least for NY).
> US healthcare is clearly a huge barrier to older employees joining startups.
It's a barrier to anyone with nearly any disability, chronic illness, or precondition (or with family members who may have them).
A friend's wife has to take medication that is classed as Tier 4 in California (least coverage). He has had to turn down many offers as he would then have to put the family on their own insurance, potentially costing upwards of $1200/mo. just for the one set of medications. As is, the meds are <$10/mo. on the insurance via their current employer.
US Healthcare is a giant hurdle for small businesses. We need UHC in the US.
At my company we have a great selection of healthcare that's fairly affordable both for employees and the company. I think it's as good or better than any packages I've seen from big brand-name enterprises. However, as a European founder, I was shocked by the complexity and effort that went into the comparison shopping necessary to get anything other than expensive, poor coverage. The quality of what's out there from JustWorks, Gusto, Zenefits et al was frankly shocking - and they are feted as "making it all easy and affordable". (We use Trinet which although in many ways antediluvian has very, very good health options at least for NY).