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Business owner Johnny Blakley looks out over Buffalo Creek Farm and Creamery, LLC Farmstead Goat Dairy in Germanton, N.C. (AP Photo/Gerry Broome)

Employer provided coverage has traditionally functioned well in the United States, even among very small employers. But as the market place becomes more competitive, as populations age and as health care costs continue to increase, employer provided benefits are under pressure. 

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