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Whether they realize it or not, most large firms in America are in the health care business. Approximately 153 million people in the US, nearly half the population, rely on employer-sponsored plans for health coverage. Sixty-one percent of those plans are either partially or completely employer funded. Employers therefore insure 93 million people, which is more than either Medicaid (70 million) or Medicare (40 million). And with average premiums of $7,188 for single coverage and $20,576 for family coverage in 2019, health care is the second largest expense in the operating budget of most companies, after wages.