At the time I left the BOE, the fastest growing segment of the budget was the cost of 
health insurance. I dunno if this is still the case - bet it is - but it is a MAJOR 
problem for virtually all employers, especially public ones. And degradation of health 
coverage shifts the costs back on to citizens, one way or another, either through 
increased out-of-pocket costs or through heavier usage of free/public health 
facilities, or - worst of all - refusal to seek health care when necessary.

Not an obvious culprit, but a powerful one.

Ann Berget
Kingfield
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