Suppose you are a manager at a low-budget healthcare setting, such as a local health department. 1. How will you recruit new staff and motivate current employees when competitors in the area are able to pay 30% to 40% more than your current organization can? Employers are finding it more difficult to support health insurance coverage as a benefit, as it has become more costly than the tax savings for offering it. 1. Is employer-based health insurance on its way out, and if so, is it more or less practical to maintain it as a benefit in a healthcare organization? 2. How has the Affordable Care Act affect employer based health insurance benefits?