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256B    RE-ENGAGE

             :  THE CONSEQUENCES OF DISEASE MISMANAGEMENT—KIDNEY DISEASE
             An analysis of federal health data published in November 2008 in
             the Journal of the American Medical Association found that 13 percent
             of American adults—about 26 million people—had chronic kidney
             disease, up from 10 percent, or about 20 million people, a decade
             earlier. “We’ve had a marked increase in chronic kidney disease in
             the last 10 years, and that continues with the baby boomers coming
             into retirement age,” said Dr. Frederick J. Kaskel, director of pe-
             diatric nephrology at the Children’s Hospital at Montefiore in the
             Bronx. “The burden on the health care system is enormous, and it’s
             going to get worse. 7

           An intriguing article in the New York Times revealed that some ac-
        tually make decisions about marriage based on health-care benefits.

             :  AFFECTING FAMILIES
             In a 2008 Kaiser Family Foundation poll, 7 percent of adults said
             someone in their household had married in the past year to gain
             access to insurance. The foundation cautioned that the number
             should not be taken literally, but rather as an intriguing indicator
             that some Americans “are making major life decisions on the basis
             of health care concerns.” 8

           Whether we agree with the moral implications of these results,
        it is clear that the availability of benefits is becoming an increasingly
        important aspect of our lives, which strongly equates to the perceived
        quality of our overall work experience.
           Regardless of the causes, employers must now seriously consider
        whether their employee benefits package is impacting their overall
        employee engagement. We understand there can be considerable ex-
        pense in such an undertaking, but our data strongly suggest that em-
        ployees, whether they even realize it or not, have a strong need for
        quality employee benefits; and if they don’t have them, they are not as
        likely to give more discretionary effort in their jobs.
           We recently worked with a CEO who wanted to conduct a series of
        employee focus groups after receiving the organization’s Best-Places-to-
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