In 1986 I became concerned that yearly family health care at one mining area was twice as high as another area 120 miles away in the same state.

I had worked at both operations and felt the employees and their families were very similar.

For every medical bill the self insured company policy was the employee paid $20 and the company paid the rest of the bill.
Note this was not 20% of the bill,
but simply $20 of the bill,
even if the bill was $140,000 like I remember one child ATV accident total was.

What were the actual family yearly costs?
$800 per family per year at one operation
$1600 per family per year at the other.

Note these are NOT per month numbers - they were per YEAR.

My sister tells me that today it costs over $24,000 per family per year today with family paying first 20% rather than $20.

When you hear USA private industry medical costs are seriously out of control this 1986 to 2023 comparison shows it.