Aside from individual patients, one could argue that small businesses are most victimized by the dismal state of U.S. health care.

Only payroll surpasses health benefits as companies' largest expense category. And small businesses pay from 8% to 18% more than a large company for an identical health insurance policy, according to a 2018 National Conference of State Legislatures report. Worse, 40% of small businesses reported that they've increased the prices of goods and services due to rising health care costs, according to a 2021 survey by Small Business for America's Future.

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