re: #566 Pie-onist Overlord
It’s tied to employment, in part, because there are tax benefits to the employers for providing the benefit, which is part of your overall compensation for working.
Sounds like someone needs a history lesson in how and why it was done this way.
Oh, and that the US determined health insurance was a need way back in 1789, when it established the Marine Hospital Service. The service as funded by compulsory contributions from seamen’s wages.