Forbes November 7, 2025
John Samuels

At this moment, we are in the thick of an open enrollment season where sticker shock meets complexity and uncertainty. Where the reality of our less-than-perfect healthcare system – one built for a post-war workforce that has long-since retired – hits us hard as we decide how we will insure ourselves in 2026. Employer-sponsored plans have been the norm, a recruitment perk offered by companies during World War II wage freezes. Now, over 155 million of us are still relying on this system, although the shape of our careers – mobile, hybrid, fragmented — has changed forever. Which brings us to the Individual Coverage Health Reimbursement Arrangement (ICHRA).

Another acronym, another possible cure for what ails us, both physically and...

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