One of the things that talking heads keep repeating is that increased health care costs are one of the reasons causing employers to avoid adding new hires.  This is reported to be especially important for smaller companies.
It certainly is true that small business is seeing much less indication of recovery. 

The NFIB (National Federation of Independent Business) survey is much more pessimistic than the ISM (Institute for Supply Management) as shown in the following graph:

The NFIB survey covers ...

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