Mike Rowe continuously spouts on a "skills gap" but doesn't seem to know anything about "job lock". http://en.wikipedia.org/wiki/Job_lock He keep avoiding the topic of health care in the USA several times in the Q&A. Frankly, I think Rowe is out of his league here and doesn't understand that we need a true single payer system for health care: http://www.pnhp.org/facts/single-payer-faq
Is there some reason to think health-care related "Job Lock" is a thing in the US after COBRA and HIPPA?
COBRA:
• COBRA is prohibitively expensive for most people who are attempting to transition to another job especially with the risks that are often incurred by switching to another job (see below)
• It has a time limit. If it doesn't work out with new jobs, you can find yourself without any health insurance. For example, if you're forced to get a job in the meantime that doesn't provide insurance, COBRA won't qualify you. Also, even if the job did have insurance and they lay you off, COBRA is expensive and will drain savings (if one is fortunate enough to have savings in the first place).
• If things go wrong after your transition to another job and you're expensive COBRA runs out you may get stuck with State-sponsored high risk pools with yet even more high costs, waiting lists, poor benefits. Of course, that is IF you're "luckily" enough to live in a state that has such a things.
• If you dare apply for another job and your current employer finds out you're looking for another job and find an excuse to fire you, you can't qualify for COBRA. You're SCREWED.
• Not all states are consistent in applying COBRA. Depending on which state you're in, if you're denied COBRA, you may be stuck.
• If you want to leave a job to start your own business, you may not quality for COBRA and/or afford it in the first place.
HIPAA does not ensure that a worker who changes jobs will have access to health insurance coverage on the new job or that the coverage offered will be affordable. Thus, neither COBRA nor HIPAA ensures affordability of health insurance -- the main cause of job lock.