The high cost of healthcare is not only depleting the pocket books of consumers, it is killing employers' bottom lines. The budgetary line item for health insurance costs is so out of control that, unless there is a significant change of course, it is projected to exceed profits by 2008.1 Employers are frustrated and are looking for a way out of their dilemma. The problem is how do you move away from your historical responsibilities without finding yourself in the middle of an all out employee revolt? Can you say Viva la Revolution?