HIPAA passed in 1996, fast forward to 2008. One of Obama's major campaign promises was reforming the healthcare system. The Wall Street Journal publishes an op-ed by an executive at Safeway entitled "How Safeway is Cutting Healthcare Costs" Employees are tested for cardiovascular disease, cancer, diabetes, and obesity; receive premium discounts for each test they pass. If they pass all four tests, annual premiums are reduced $780 for individuals and $1,560 for families.