During World War II, there were strict price and wage controls to prevent inflation. There was also a labor shortage since all the men were overseas fighting. Employers who wanted to attract extra workers started offering fringe benefits like health care being one of the main ones. At first, it was ambiguous whether or not these fringe value of these fringe benefits would be taxed as income for income tax. But after the war, there was a decision made that they would not be taxed.
Economist Ed Dolan of the Niskanen Center talks about employer-based health insurance with EconTalk host Russ Roberts. Dolan discusses how unusual it is relative to other countries that so many Americans get their health insurance through their employer and the implications of that phenomenon for the structure of the health insurance market. Dolan explores the drawbacks of this structure and makes the case for what he calls Universal Catastrophic Coverage.