Generally, health care is an expenses, so the higher the expenses, the less money is distributed to employees.

US Health System: The US has the most expensive health care system in the world, but the expenses don't match the expected level of service. Many Americans (recently including children) do not have health insurance. Life expectancy for Americans is low by international standards. Doctors are expected to preform a number of test on each patient to avoid getting sued by patients. As baby boomers approach retirement, health insurance expenses will cost significantly more, which will hurt budget estimates.

A few problems that affect the US health system include: non portable employee health insurance, lack of preventative medicine, gaps in health insurance coverage, tort issues, and inefficient health service providers. … "Health Care Cost" has a significant impact, so an analyst should put more weight into it.