Ridiculous American employee health coverage laws contributed to the downfall of Detroit. In it's heyday around the second world war, Ford and other car companies employed tens of thousands of workers at it's manufacturing plants. As the years passed and these workers retired, many of them with Ford-financed health-coverage, the car manufacturers were said to be hospitals that happened to make cars. This lead to a mass exodus of manufacturing plants to more margin-friendly international destinations and the rest is history.