It is a dangerous set of dominos, the fact that your life is dependent on having income and the ability to pay for health care and medications to keep you alive if you have a chronic illness or condition dependent on prescriptions. Having the ability to pay for this care is dependent on having health insurance or the money to pay for it on your own. And having health insurance and money is dependent on having a job. Lose the job, and the whole mess falls down. For hundreds and even thousands of people everyday, this is the reality which faces them. Given that our system of health care is based largely on having a job, when a recession hits, such as it has right now, people lose not only their jobs but the health insurance which keeps them alive or at least out of bankruptcy. While programs such as COBRA are available to the unemployed, they are so expensive that most people cannot afford them. This is why state and federally funded programs such as Medicaid are being stretched to the limit to provide for the ever increasing number of people without any alternative. Is our employer based health insurance system largely to blame for the state of the economy today? Or is it just another domino in a larger game?