I agree that healthcare need not be tied to employmentthis is an obvious conformity tactic , much like marriage and mortgage deductions . However , if you sever this relationship , the only way it works out for the worker and doesn ' t further increase wealth inequality is if we go full single payer . Now we ' ve freed businesses of a major expense and no doubt some of that could fall into employee ' s pockets in salary or other fringe benefits , and we ' ve reduced individual burden all analyses I ' ve seen of singlepayer point to lower costs . Personally , I want to get rid of all the underhanded ways that the government controls our lives and decisions , such as taking a traditional job as the only means for getting reasonable health care , as well as encouraging nuclear families and mortgages with big tax breaksin principle , because I feel it ' s none of their business , and in fairness because nuclear families are increasingly shunned and mortgages untenable for most millenials .