Other researchers have studied the issues examined here. Excellent articles by Blumberg and Nichols (2004), Chernew and Hirth (2004), and Gruber and Madrian (2004) have carefully documented many reasons why so many Americans are uninsured. There is no single and simple explanation about why many firms refuse to offer insurance and why employees sometimes refuse to accept these offers. The problem is complex. In this article, we focus on labor market turnover and expectations to explain firms’ insurance offer decisions. Various papers in the literature have recently discussed labor turnover. Fang and Gavazza (2007) model wage determination and health investment under exogenous and endogenous labor turnover. Owing to.
