Would Health Care reform even be necessary if we hadn't been shedding good paying jobs for the past 20 years?

With the change of the "unemployment" rate to only include the recently unemployed, (hiding true unemployment withing statistics) and the permenantly (and long term) unemployed population growing every year since the 80s. . . with health care attached to jobs, and jobs paying less (even Engineering jobs... show more With the change of the "unemployment" rate to only include the recently unemployed, (hiding true unemployment withing statistics) and the permenantly (and long term) unemployed population growing every year since the 80s. . . with health care attached to jobs, and jobs paying less (even Engineering jobs pay less than they did 20 years ago, not to mention factory workers), how could the insurance healthcare system not have collapsed, crushing many of us Americans, as it has?

Note: I still think the insurance system could work, if they'd pass a law making it illegal for insurance companies to refuse coverage of existing conditions. We're not talking insuring a boat here, but a human.
Update: If we curb the costs today, and people are making even less tomorrow, even those costs will crush us.

What we need to do is help American workers do better, so that we can afford the cost of healing ourselves.
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