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Why would large businesses not offer healthcare coverage?
Money. If, for example, a company employs 500 full-time employees, it costs them a large amount of money to provide health benefits to each of those employees and their families. But, if they keep a lot of those employees working just below full time, they save a lot of money.
Even larger businesses pay even more. That's as good a reason as any not to offer healthcare coverage. I'm not saying it's right, I'm just saying that that makes sense to me.
I learned this from 3 minutes of searching the internet, so I might be wrong.