Serps was introduced in 1978 and since April 1988 it has been possible to opt out (known as contracting out) of Serps via a personal pension plan.
BBC: Pensions questions answered
Believe it or not there are many health plan administrative costs that help reduce cost (e.g. disease management, provider contracting) that improve the rates you and I pay.
FORBES: What Does It Take To Get An ObamaCare Waiver?
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